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. 2013 May 22;8(5):e64275. doi: 10.1371/journal.pone.0064275

Table 4. Costs Used in the Decision Model.

Cost Variable costs (in 2010 USD) Range/distribution Factors included Reference
Drug costs- prednisone/placebo $312 (156, 624) Gamma distribution Prednisone costs are minimal. Since it is used with every treatment it's not included in the cost. Oncology doctor visits for 4 cycles* [8], [18]
Drug costs - mitoxantrone $2,804 (1402, 5609) Gamma distribution Mitoxantrone, infusion, lab monitoring, follow-up doctor visits for 4 cycles* [7], [18], [41]
Drug costs- abiraterone $38,308 ($19,154, $76,617) Gamma distribution Abiraterone LFT monitoring (every 2 weeks for first 3 months and monthly thereafter), monthly K+ monitoring and oncology doctor visits for 8 cycles* [8], [18], [41]
Drug costs - cabazitaxel $49,182 ($24,591, $98,365) Gamma distribution Cabazitaxel, infusion, lab monitoring and follow up doctors visit for 6 cycles* [7], [41]
Grade III/IV neutropenia - mitoxantrone $17,374 ($8,687, $34747) Gamma distribution Two weeks of G-CSF treatment per cycle for half of grade III/IV neutropenia patients for 4 cycles*, one hospitalization for 9.5% of the grade III/IV neutropenia patients, one follow-up doctor's visit after discharge [7], [23], [41], [42]
Grade III/IV neutropenia- cabazitaxel $52,121 ($26, 060, $104, 242) Gamma distribution Two weeks of G-CSF treatment per cycle for all of grade III/IV neutropenia patients for 6 cycles*, one hospitalization for 19% of the grade III/IV neutropenia patients and doctor visits [7], [18], [23], [41][43]
Grade 0-II neutropenia- cabazitaxel $30,113 ($15,066, $60226) Gamma distribution Two weeks of G-CSF treatment per cycle for all of patients for 6 cycles* numbers [7], [41]
Grade III/IV cardiac disorders- abiraterone $12,012 ($6,006, $24,025) Gamma distribution Weighted average costs for dysrhythmia (80%) and cardiac arrest (20%) hospitalizations and 5 EKGs [8], [18], [43]
Grade III/IV bone pain – prednisone/placebo $11,061 ($5,531, $22,122) Gamma distribution Daily Bisphosphonates, morphine, Docusate Sodium, and Acetaminophen for 10.9 months** [8], [41]
Radiation for high baseline pain – abiraterone, mitoxantrone, cabazitaxel $1,797 ($899, $3,594) Gamma distribution One course of radiation therapy with 15 treatments was given to half of the patients with baseline pain in the treatment groups [37]
Radiation for high baseline pain- prednisone/placebo $3,560 ($1,780, $7,120) Gamma distribution One course of radiation therapy with 15 treatments was given to all the patients with baseline pain in the prednisone/placebo group [37]
Death associated hospitalization – all groups $95,545 ($47, 773, $191, 090) Gamma distribution Average cost of last hospitalization for severe side-effects (neutropenia and cardiac events) for an average stay of 22 days [43], [44]
*

(reported median cycle numbers were used).

**

(reported medium survival for prednisone/placebo group)