Table 20:
Sensitivity Analysis—MRgHIFU Funded at Six Centres (Replacing a Proportion of Uterine-Preserving Procedures Only)
| Parameter | Base Case Value | Sensitivity Analysis Value | Current Expenditure | Expenditure With MRgHIFU Funded | Budget Impact (Compared With Current Expenditure) |
|---|---|---|---|---|---|
| Base case results | $35,491,984 | $32,069,660 | ($3,422,325) | ||
| Peri-procedure direct/indirect costs of myomectomy | $5,094 | ||||
| $6,000a | $37,011,256 | $32,175,866 | ($4,835,390) | ||
| $6,500 | $37,849,706 | $32,234,479 | ($5,615,227) | ||
| $7,400 | $39,358,916 | $32,339,982 | ($7,018,934) | ||
| $8,400 | $41,035,816 | $32,457,207 | ($8,578,608) | ||
| Peri-procedure cost of MRgHIFU | $3,499 | ||||
| −15% | $35,491,984 | $31,087,256 | ($4,404,729) | ||
| +15% | $35,491,984 | $33,052,064 | ($2,439,921) | ||
| +50%b | $35,491,984 | $35,344,340 | ($147,645) | ||
| Number of MRgHIFU procedures per week | 6 | ||||
| 3 | $35,491,984 | $35,880,822 | $388,838 | ||
| 4 | $35,491,984 | $34,610,434 | ($881,550) | ||
| 5 | $35,491,984 | $33,340,047 | ($2,151,937) | ||
| 8c | N/A | N/A | N/A | ||
| 10c | N/A | N/A | N/A |
Abbreviation: MRgHIFU, magnetic resonance-guided high-intensity focused ultrasound.
a
Maximum costs for myomectomy as captured through OCCI (codes 1RM87CAGX, 1RM87BAGX, 1RM87DAAG, and 1RM87LAAK), details in Appendix 2, Table A8.
b
This value chosen to demonstrate the break-even point in terms of direct costs for MRgHIFU.
c
Insufficient number of uterine-preserving procedures performed to operate more than 8 procedures a week at 6 MRgHIFU centres.