Table 1.
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 | (18–20) | |
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