Table 1.
Model parameters | Base-case value (Range) | Distribution | Reference |
---|---|---|---|
Model assumption | |||
Discount rate cost/outcomes | 0.03 (0–0.06) | – | [24] |
Time horizon | Lifetime | – | – |
Perspective | NHS | – | – |
Cohort characteristics | |||
Age F0, year | 51 (41–61) | Normal | [11] |
Age F1, year | 52 (42–62) | Normal | [11] |
Age F2, year | 55 (44–66) | Normal | [11] |
Age F3, year | 59 (47–71) | Normal | [11] |
Age F4, year | 57 (46–72) | Normal | [11] |
Body weight, kg | 71 | Normal | [11] |
Stage of fibrosis distribution | |||
F0 | 0.06 | Dirichlet | [11] |
F1 | 0.17 | Dirichlet | [11] |
F2 | 0.51 | Dirichlet | [11] |
F3 | 0.04 | Dirichlet | [11] |
F4 | 0.22 | Dirichlet | [11] |
Proportion with IL-28B genotype, CC type | 0.33 (0.29–0.38) | Beta | [25] |
HCV natural history | |||
Fibrosis progression (annual probability) | |||
F0–F1 | 0.12 (0.107–0.127) | Beta | [26] |
F1–F2 | 0.09 (0.078–0.093) | Beta | [26] |
F2–F3 | 0.12 (0.112–0.130) | Beta | [26] |
F3–F4 | 0.12 (0.107–0.123) | Beta | [26] |
F4 to Decompensated cirrhosis | 0.04 (0.030–0.055) | Beta | [27] |
F4–HCC | 0.03 (0.024–0.042) | Beta | [27] |
Decompensated cirrhosis to HCC | 0.06 (0.026–0.091) | Beta | [28] |
Decompensated cirrhosis to liver transplant | 0.01 (0–0.022) | Beta | [28] |
HCC to liver transplant | 0.11 (0.076–0.141) | Beta | [11] |
Mortality relative risk from nonliver causes in patients F0–F3 | 1.79 (0.8–4.0) | LogNormal | [13] |
Hazard ratio for HCC development in patients F4 with SVR | 0.24 (0.18–0.31) | LogNormal | [15] |
Liver-related mortality (annual probability) | |||
F4 | 0.03 (0.023–0.041) | Beta | [27] |
Decompensated cirrhosis | 0.13 (0.085–0.179) | Beta | [29] |
HCC* | 0.58 (0.530–0.630) | Beta | [14] |
Liver transplant | 0.13 (0.123–0.136) | Beta | [29] |
Liver transplant, after 1st year | 0.033 (0.032–0.034) | Beta | [29] |
F0, Metavir fibrosis stage 0; F1, Metavir fibrosis stage 1; F2, Metavir fibrosis stage 2; F3, Metavir fibrosis stage 3; F4, Metavir fibrosis stage 4; SVR, Sustained virologic respond; HCC, hepatocellular carcinoma.
The mortality rate included also the nonliver-related mortality.