Variable | Minimum | Likeliest | Maximum |
---|---|---|---|
Cost variables (£)* | |||
Cost of procedure: | |||
MIDCAB | 2832.27 | 3146.97 | 3461.67 |
PTCS | 1743.40 | 1937.11 | 2130.82 |
Cost of follow-up: | |||
MIDCAB | 454.66 | 505.18 | 555.70 |
PTCS | 427.06 | 474.51 | 521.96 |
Cost of myocardial infarction | 407.82 | 453.13 | 498.44 |
Cost of stroke | 1427.40 | 1586.00 | 1744.60 |
Travel expenses: | |||
MIDCAB | 1.98 | 2.20 | 2.42 |
PTCS | 2.48 | 2.76 | 3.04 |
Out of pocket expenses for patient: | |||
MIDCAB | 4.34 | 4.82 | 5.30 |
PTCS | 4.91 | 5.46 | 6.01 |
Cost to society for time off work: | |||
Patient | |||
MIDCAB | 1348.29 | 1498.10 | 1647.91 |
PTCS | 1084.14 | 1204.60 | 1325.06 |
Carer | |||
MIDCAB | 29.12 | 32.36 | 35.60 |
PTCS | 37.07 | 41.19 | 45.31 |
Utility variables (QALYs)† | |||
Asymptomatic utility | 0.774 | 0.860 | 0.946 |
Utility of MIDCAB | 0.745 | 0.828 | 0.910 |
Utility of PTCS | 0.772 | 0.857 | 0.943 |
Utility of myocardial infarction | 0.752 | 0.835 | 0.919 |
Utility after stroke | 0.504 | 0.560 | 0.616 |
Utility of MIDCAB after stroke | 0.475 | 0.528 | 0.580 |
Utility of PTCS after stroke | 0.502 | 0.557 | 0.613 |
Utility of myocardial infarction after stroke | 0.482 | 0.535 | 0.589 |
Utility after second stroke | 0.477 | 0.530 | 0.583 |
Discount rate‡ | 0 | 0.035 | 0.06 |
Transition probabilities§ | |||
Probability of repeat revascularisation with PTCS: | |||
MIDCAB | 0.0082 | 0.0174 | 0.0452 |
PTCS | 0.0227 | 0.0583 | 0.1135 |
Probability of repeat revascularisation with CABG: | |||
MIDCAB | 0.0016 | 0.0073 | 0.0121 |
PTCS | 0.0057 | 0.0094 | 0.0400 |
Rate of myocardial infarction: | |||
MIDCAB | 0.0083 | 0.0170 | 0.0419 |
PTCS | 0.0096 | 0.0240 | 0.0482 |
Rate of stroke: | |||
MIDCAB | 0.0018 | 0.0044 | 0.0105 |
PTCS | 0.0080 | 0.0192 | 0.0462 |
Perioperative mortality: | |||
MIDCAB | 0.0026 | 0.0224 | 0.0281 |
PTCS | 0.0059 | 0.0075 | 0.0610 |
Mortality†: | |||
Myocardial infarction | 0.2 | 0.25 | 0.5 |
Stroke | 0.1 | 0.2 | 0.3 |
Baseline¶ |
£1.00 (€1.51; $1.96). MIDCAB=minimally invasive direct coronary artery bypass; PTCS=percutaneous transluminal coronary artery stenting; CABG=coronary artery bypass grafting.
Distributions for each variable were triangular.
*Reeves et al.17
†NICE.13
‡NICE.10
§Aziz et al.4
¶UK government actuary's department tables.12