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, 31–33) |
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.
Efficacy and safety with second- and third-line treatment are assumed to be the same as for the corresponding first-line treatment.
Weighted average (weighted by number of subjects in each study).