Table 3.
Model input parameters and their uncertainty distributions
Parameter |
Value Mean (SE or 95%CI) |
Uncertainty distribution | Sources and assumptions |
---|---|---|---|
RR of IHD with treatment |
|
|
|
-Statin -Diuretic -Calcium channel blocker -ACE inhibitor -Beta-blocker |
0.70 (0.61 to 0.81) 0.86 (0.75 to 0.98) 0.85 (0.78 to 0.92) 0.83 (0.78 to 0.89) 0.78 (0.89 to 1.02) |
Normal (lnRR) |
Meta-analyses of primary prevention trials
[5,6,47] |
RR of stroke with treatment |
|
|
|
-Statin -Diuretic -Calcium channel blocker -ACE inhibitor -Beta-blocker |
0.81 (0.71 to 0.93) 0.62 (0.53 to 0.72) 0.66 (0.58 to 0.75) 0.78 (0.66 to 0.92) 0.70 (0.83 to 0.99) |
Normal (lnRR) |
Meta-analyses of primary prevention trials
[5,6,47] |
RR of stroke in IHD |
|
|
|
-Men -Women |
1.32 (0.20) 1.88 (0.30) |
Normal (lnRR) |
Busselton study
[48,49] |
RR of IHD in stroke |
|
|
|
-Men -Women |
2.64 (0.07) 2.85 (0.04) |
Normal (lnRR) |
Busselton study
[48,49] |
IHD treatment cost |
|
|
|
-First year -Subsequent years |
$12,921 $4,539 |
Uniform |
Lim
[43]. Uniform distribution assumed to vary by ±25% around mean. |
Stroke treatment cost |
|
|
|
-First year -Subsequent years |
$23,581 $3,201 |
Uniform |
Lim
[43]. Uniform distribution assumed to vary by ±25% around mean. |
Proportion of population visiting a GP in one year |
|
|
|
35–44 yrs 45–54 yrs 55–64 yrs 65–74 yrs 75+ yrs |
Men Women 73% 88% 81% 89% 81% 89% 93% 94% 99% 99% |
– |
BEACH data
[17] |
Proportion of GPs measuring absolute risk |
65% (6.5%) |
Beta |
Practice Incentives Program data
[50]. |
First year drug discontinuation rate | 40% (8%) | Beta | Estimate from Australian survey data [21,22]. Standard error assumed to be 20% of point estimate. |
NB. All costs adjusted to 2008 Australian dollars using Australian health price deflators [39]. RR – relative risk.