Table 1.
Data Inputs in Economic Model
Mean | Standard error | Implicit sample size | Distribution | Source | |
---|---|---|---|---|---|
Baseline treatment probabilities | |||||
Revascularization | 0.80 | 0.06 | 50 | Beta | SCRR |
PCI conditional on revascularization | 0.85 | 0.05 | 50 | Beta | SCRR |
DEFER conditional on no revascularization | 0.40 | 0.09 | 30 | Beta | SCRR |
Baseline 1-yr MACE probability | 0.20 | 0.06 | 50 | Beta | SCRR |
Probability death conditional on MACE in year 1 | 0.06 | – | – | Deterministic | SCRR |
Life expectancy conditional on death in year 1 (yrs) | 0.36 | – | – | Deterministic | SCRR |
Unit Costs (GBP) | |||||
Index PCI | 3410 | 208 | 50 | Normal | SCRR & NHS reference costs |
Index CABG | 10180 | 520 | 50 | Normal | SCRR & NHS reference costs |
DEFER | 7622 | 48 | 50 | Normal | NHS reference costs & expert opinion (CB) |
MACE | 4400 | 622 | 50 | Normal | SCRR & NHS reference costs |
Pressure Wire (PW) | 400 | – | – | Deterministic | St Jude's Medical Centre |
Adenosine (drug used with PW) | 30 | – | – | Deterministic | BNF 62 |
Medical Management year 1a | 510 | – | – | Deterministic | BNF 62 |
Medical Management years 2+b | 153 | – | – | Deterministic | BNF 62 |
Long term annual cost | 390 | 55 | 50 | Normal | SCRR & NHS reference costs |
No. of pressure wires | 1.3 | 0.60 | 100 | Normal | FAME |
Additional life expectancies (discounted) | |||||
No MACE | 8.8 | 2.20 | 10 | Normal | NICE guidelines CG94 |
MACE | 5.3 | 1.30 | 10 | Normal | NICE guidelines CG94 |
Quality-adjusted life-years | |||||
Baseline | 0.80 | 0.09 | 19 | Beta | Palmer et al. (2005)(24) |
Utility decrement with MACE (year 1) | 0.05 | 0.04 | 20 | Beta | Palmer et al. (2005) |
Treatment distribution – odds ratios | |||||
Revascularisation | 0.88 | 0.33 | 48 | Lognormal | Retrospective data |
PCI conditional on revascularisation | 0.96 | 0.43 | 41 | Lognormal | Retrospective data |
DEFER conditional on revascularisation | 0.02 | 0.03 | 5 | Lognormal | Retrospective data |
MACE 1-year odds ratio | 0.67 | 0.34 | 16 | Lognormal | FAME |
Relative price PCI in PW | 1.00 | 0.2 | 10 | Lognormal | FAME |
aAspirin (75mg), Bisoprolol (5mg), Ramipril (10mg), Simvastatin (40mg), Nitrate (20mg), Clopidogrel (90mg). All per day; bAs for year 1 but without Clopidogrel.