Table 1. Input parameters.
Parameters | Base case | Range (min-max) | Source(s) |
Epidemiological data | |||
Incidence of allopurinol-induced SJS/TEN in Thai population | 0.0016 | 0.00079–0.00241 | [26] |
Prevalence of HLA-B*5801 in Thai population | 0.15 | 0.12–0.18 | [27], [28] a |
Probability of death among SJS/TEN | 0.1134 | 0.0503–0.1765 | [26] |
Probability of DES in SJS/TEN patients | 0.3760 | 0.2882–0.4704 | [6] |
Test characteristics | |||
Sensitivity | 1.000 | NA | DMSC |
Specificity | 1.000 | NA | DMSC |
Gene-disease association | |||
Association between HLA-B*5801 and allopurinol-induced SJS/TEN in Thai population | 348.33 | 19.15–6336.88 | [8], [20] |
Costs (THB, year of costing: 2013) | |||
Direct medical care costs | |||
Annual cost of SJS/TEN management | 15440.275 | 339.40–129492.25 | [38] |
Cost of HLA-B*5801 testing | 1,000 | 800–1,200 | DMSC |
Annual drug cost of allopurinol | 411.99 | 137.33–823.99 | [39] |
Annual drug cost of probenecid (alternative) | 1,277.50 | 1,277.50–2,555.00 | [39] |
Annual cost of gout management | 7,512 | 149–474,254 | BCRH b |
Annual cost of DES management | 4,043.90 | 3,235.12–4,852.68 | Expert |
Direct non-medical care costs | |||
Cost of transportation for patient with SJS/TEN | 151.93 | 121.54–182.32 | [22], [38] |
Cost of transportation for relative of patient with SJS/TEN | 1,030.09 | 824.07–1,236.10 | [22], [38] |
Cost of additional food for relative of patient with SJS/TEN | 379.44 | 303.55–455.33 | [22], [38] |
Cost of transportation for patient with gout | 1,194.63 | 1,004.09–1,385.16 | [22] |
Cost of additional food for relative of patient with gout | 440.06 | 385.03–495.08 | [22] |
Cost of transportation for patient with DES | 607.72 | 486.18–729.26 | [22] |
Cost of additional food for relative of patient with DES | 223.86 | 179.09–268.63 | [22] |
Outcomes | |||
Life expectancy of Thai population (at 30 years old) | 42.7 | - | [41] |
Utility value of patient with gout | 0.71 | 0.638–0.736 | [31] |
Utility value of patient with gout and dry eye syndrome | 0.48 | 0.40–0.56 | [31]–[33] c |
Discount rate (% per year) | 3 | 0–6 | [42] |
Data from meta-analysis.
Calculated from Buddhachinaraj Regional Hospital (BCRH) database using ICD-10 for identification of patients.
Calculated from utility of patients with DES and utility of gout patients using multiplicative method.
SJS = Stevens-Johnson syndrome; TEN = toxic epidermal necrolysis; THB = Thai baht; DES = dry eye syndrome; DMSC = Department of Medical Sciences, Thailand.