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. 2015 Mar 1;15(5):1–61.

Table 3:

Natural History Model Parameters Used in the Economic Model

Model Parameter Base-Case Value Sensitivity Analysis Range Reference
Treatment Eligibility
Proportion eligible for treatment
Hysterectomy 1.0000 Fixed (27)
Myomectomy 1.0000 Fixed (27)
UAE 0.9000 0.8–1 (27)
MRgHIFU 0.3500 0.25–0.45 (27)
Treatment Efficacya
Probability of symptom relief
Hysterectomy 1.0000 Fixed (27)
Myomectomy 0.7990b 0.65–0.95 (31, 32)
UAE 0.8520b 0.6–1 (27, 3133)
MRgHIFU 0.8940b 0.75–1 (27, 34, 35)
Probability of symptom recurrence in 6–month period
Hysterectomy 0 Fixed (27)
Myomectomy 0.0500 +/− 20% (27)
UAE 0.0300 +/− 20% (27)
MRgHIFU 0.0600 +/− 20% (27)
Treatment Safetya
Probability of major complicationsc
Hysterectomy 0.0200 +/− 20% (27)
Myomectomy 0.0210b +/− 20% (27, 31, 36)
UAE 0.0340b +/− 20% (27, 31, 33)
MRgHIFU 0.0130b +/− 20% (27, 35, 37)
Probability of procedure-related death
Hysterectomy 0.0020 +/− 20% (27)
Myomectomy 0.0020 +/− 20% (27)
UAE 0.0015 +/− 20% (27)
MRgHIFU 0   (27)

Abbreviations: MRgHIFU, magnetic resonance-guided high-intensity focused ultrasound; UAE, uterine artery embolization.

a

Efficacy and safety with second- and third-line treatment are assumed to be the same as for the corresponding first-line treatment.

b

Weighted average (weighted by number of subjects in each study).

c

Major complications include infection, hemorrhage requiring infusion, unintended major surgery, life-threatening event, and rehospitalization for hysterectomy, (38) febrile morbidity for myomectomy, (39) pulmonary embolus for UAE, (40) and deep vein thrombosis for MRgHIFU. (35)