Table 1. Selected model inputs.
Variable | Base-case value (%) | Range (%) |
---|---|---|
Screening test characteristicsa | ||
| ||
Probability of abnormal cytology (ASC-US+) given high-grade precancer or worse | 70 | 40 |
Probability of positive high-risk HPV DNA test given high-risk HPV | 100 | 90 |
Probability of abnormal biopsy (CIN2+) given high-grade precancer or worse | 86 | |
| ||
Unit costs | Baseline ($) | Range ($) |
| ||
Physician consultationb | ||
Screening (cytology and/or HPV test) | 122 | 61 - 244 |
Verification of high-grade lesion (colposcopy w/biopsy) | 258 | 129 - 516 |
Analyzing test sample at pathology laboratoryc | ||
Cytology | 45 | 22 - 89 |
HPV DNA test | 39 | 20 - 79 |
Cervical biopsy | 124 | 62 - 247 |
Patient time and travel costsd | ||
Screening consultation | 120 | 0 |
Colposcopy examination | 150 | 0 |
Precancer and cancer treatmente | ||
High-grade precancers | 1,682 | 841 - 3,364 |
Local cancer | 26,941 | 13,471 - 53,882 |
Regional cancer | 56,601 | 28,301 - 113,202 |
Distant cancer | 41,367 | 20,684 - 82,735 |
ASC-US+: Atypical squamous cells of undetermined significance or worse, CIN2+: ce rvical intraepithelial neoplasia of grade 2 or worse, HPV: Human papillomavirus.
Based on published Norwegian fee schedules.
Based on actual resource use in Norwegian pathology laboratories (details available in the Supplementary Appendix).
Includes round-trip travel costs to attend physician consultation, as well as productivity losses associated with travel-, wait-, and consultation-time.
Based on published Norwegian fee schedules and includes patient time and travel costs. All costs are expressed in 2014 US dollars (US$ = NOK6.30).