Table 1.
Model input parameters
| Model parameter | Mean | SE/SD/rangea | Distribution | Source |
| Discount rates | ||||
| cDR (cost discount rate) | 4 % | fixed | [21] | |
| oDR (outcome discount rate) | 1.5 % | fixed | [21] | |
| Treatment independent parameters | ||||
| Probabilities, (p) | ||||
| pAneurysm in case of non-traumatic SAH | 0.85 | fixed | [14] | |
| Costs, c (€) | ||||
| Diagnostics | ||||
| cDSA | 725 € | fixed | [21] | |
| cMRA | 252 € | fixed | [21] | |
| cCTA | 197 € | fixed | [21] | |
| Treatment | ||||
| cCoiling | 38,238 € | 1,833 € | gamma | [10] |
| cClipping | 31,739 € | 2,503 € | gamma | [10] |
| Health state costs | ||||
| Number of days in nursing home per year (d) | 365 | |||
| Costs per day in nursing home (euros/d) | 241 € | |||
| cDisability | 87,975 € | [21] | ||
| Event costs | ||||
| cDeath | 2,741 € | [18, 23] | ||
| Utilities (u) | ||||
| uWell | 0.78 | 0.019 | beta | [18, 22] |
| uWell after SAH | 0.72 | 0.65–0.80 | triangular | [18, 22] |
| uDisabled | 0.25 | 0.21–0.30 | triangular | [18, 22] |
| uDead | 0.00 | fixed | [18, 22] | |
| Clinical outcome probabilities | ||||
| Probability of being well after clipping | 0.69 | 0.014 | beta | [7] |
| Probability of being disabled after clipping | 0.21 | 0.013 | beta | [7] |
| pClipdead (probability of being dead after clipping) | 0.10 | 0.009 | beta | [7] |
| pClipwell (probability of being well after survived clipping) | 0.77 | [7] | ||
| Probability of being well after coiling | 0.76 | 0.013 | beta | [7] |
| Probability of being disabled after coiling | 0.16 | 0.011 | beta | [7] |
| pCoildead (probability of being dead after coiling) | 0.08 | 0.008 | beta | [7] |
| pCoilwell (probability of being well after survived coiling) | 0.83 | [7] | ||
| Probability of being well after DSA | 0.998 | 0.001 | beta | [17, 24] |
| Probability of being disabled after DSA | 0.002 | 0.001 | beta | [17, 24] |
| pDSAdead (probability of being dead after DSA) | 0.000 | fixed | [17, 24] | |
| pDSAwell (probability of being well after survived DSA) | 0.998 | |||
| Probability of being dead/disabled after surgery without aneurysm | ||||
| pSurgdead | 0.025 | 0.004 | beta | [30] |
| pSurgdisab | 0.132 | 0.008 | beta | [30] |
| pCoilTP (probability coiling is feasible in true-positive aneurysm) | 0.585 | 0.061 | beta | [19] |
| pCoilFP (probability coiling is feasible in false-positive aneurysm) | 0 | fixed | [19] | |
| Treatment dependent parameters | Value | SE/SD/rangea | Distribution | Source |
| Probabilities | ||||
| pMRAtpD (sensitivity of MRA in diagnosing aneurysm) | 0.954 | 0.018 | beta | [19] |
| pMRAtnD (specificity of MRA in diagnosing aneurysm) | 0.833 | 0.061 | beta | [19] |
| pCTAtpD (sensitivity of CTA in diagnosing aneurysm) | 0.915 | 0.024 | beta | [19] |
| pCTAtnD (specificity of CTA in diagnosing aneurysm) | 0.944 | 0.038 | beta | [19] |
| pMRAtpT (sensitivity of MRA in determining whether coiling is feasible) | 0.606 | 0.058 | beta | b |
| pMRAtnT (specificity of MRA in determining whether coiling is feasible) | 0.814 | 0.050 | beta | b |
| pCTAtpT (sensitivity of CTA in determining whether coiling is feasible) | 0.719 | 0.056 | beta | b |
| pCTAtnT (specificity of CTA in determining whether coiling is feasible) | 0.754 | 0.057 | beta | b |
| pDSAtpD (sensitivity of DSA in diagnosing aneurysm) | 1 | fixed | [19] | |
| pDSAtnD (Specificity DSA in diagnosing aneurysm) | 1 | fixed | [19] | |
| pDSAtpT (sensitivity of DSA in determining whether coiling is feasible) | 1 | fixed | [19] | |
| pDSAtnT (specificity of DSA in determining whether coiling is feasible) | 1 | fixed | [19] | |
aRange presented for triangular distributions
bData based on study [19]