Table 2.
Category | Subcategory | Specific components | Description/examples |
---|---|---|---|
Clinical outcomes (probabilities) | Screening phase | Screening outcomes | Data on sensitivity, specificity, and duration of time for following up test results |
Medical evaluation phase and clinical outcomes | Natural history | Epidemiologic data for short- and long-term outcomes for the condition identified via clinical identification or with newborn screening; includes incidence of condition, mortality rates | |
Treatment characteristics | Estimates of the effectiveness of treatment for short- and long-term health outcomes; adherence rates; adverse events | ||
Costs | Screening phase | Test costs | Cost of the initial screen |
Medical evaluation phase | Costs of following up out-of-range test result | All costs associated with medical evaluation following an out-of-range test result | |
Treatment | Direct medical costs | Hospitalizations, outpatient visits, drug treatments, procedures, diagnostic tests, medical equipment, other costs | |
Direct nonmedical costs | Transportation costs, special education, home modifications, other costs | ||
Opportunity costs | Patient time for testing and treatment, informal caregiver time | ||
Valuation of health outcomes | Screening results | Public or parent values for false-positive results as valued using QALYs | |
Health outcomes | Public or parent/patient values for short- and long-term health outcomes included in the natural history model as valued using QALYs | ||
Treatments | Loss in health-related quality of life associated with treatment regimens measured using QALYs. Loss in health-related quality of life could include difficulty of adhering to dietary treatments or losses in relation to painful and difficult transplant procedures. | ||
Treatment-related adverse events | Loss in health-related quality of life for adverse events associated with recommended treatment regimens measured using QALYs |
QALYs, quality-adjusted life years.