Skip to main content
. Author manuscript; available in PMC: 2016 Apr 21.
Published in final edited form as: Ann Intern Med. 2015 Apr 21;162(8):533–541. doi: 10.7326/M14-1430

Table 1.

Inputs for simulation

Input Effect Size Reference
EFFECTIVENESS
LDL-C Lowering from statins 34% (95% CI: 20.4, 47.6) (2, 25)
Beta-Coefficient, per mg/dL of LDL-C
Stroke 0 (25)
CHD Base Case 0.004 (SD 0.0006)
0.003 (SD 0.0006)
(26)
CHD Low Sensitivity 0.001 (25)
CHD High Sensitivity 0.007 (26)
COST
Medication Costs Base Case $5/30/days (27)
Low Sensitivity $4/30 days (29)
High Sensitivity $30/30 days (29)
Physician Visit 1 every 4 years $67 (31)
Lipid Panel $19 (32)
Creatine Kinase 3 tests per myopathy case $9.33 (32)
Hospitalization from stroke $15,000 (1820)
ADVERSE EFFECTS
Myopathy (events per statin- year) 0.001 (2)
Hemorrhagic Stroke (events per statin-year) 0.001 (2)
Time to recover from myopathy 2 Months Clinical judgment
QALY Reduction of Myopathy (musculoskeletal problems, severe) 0.606 (24)
QALY Reduction of Stroke (moderate plus cognition problems) 0.312 (24)
GERIATRIC-SPECIFIC
ADVERSE EFFECTS
Statin Associated Disability Base Case 0 Clinical judgment
Adjusted Life-Year Reduction due to Functional Limitation or Mild Cognitive Impairment Sensitivity 0–0.01 Clinical judgment
Prevalence of Functional Limitation 32% (33)
Disability Adjusted Life-Year Reduction of Functional Limitation 0.076 (24)
Prevalence of Mild Cognitive Impairment 25% (34)
Disability Adjusted Life Year Reduction of Mild Cognitive Impairment 0.082 (24)
10-YEAR CVD RISK >7.5% for all ≥75 years (35)

Abbreviations: LDL-C = low-density lipoprotein cholesterol; CHD = CHD