Table 1.
Disease state | Prevalence at simulation start | Costs (annual) | Disability weights | ||||||||
Mean (%) | Min (%) | Max (%) | Ref. | Mean | SD | Ref. | Mean | Min | Max | Ref. | |
Steatosis | 27.955* | 18.637 | 41.933 | American Diabetes Association, Wree et al, LaBrecque et al 8 16 18 | 134 | 50 | Zhang et al 87 | 0.000 | 0.000 | 0.000 | Murray et al, Michelotti et al, Page and Harrison88–90 |
NASH | 3.141* | 2.094 | 4.712 | American Diabetes Association, Wree et al, LaBrecque et al 8 16 18 | 267 | 100 | Zhang et al 87 | 0.033 | 0.017 | 0.066 | Murray et al, Michelotti et al, Page and Harrison88–90 |
Cirrhosis | 0.314* | 0.209 | 0.471 | Foster et al, Farrell and Larter91 92 | 2861 | 1073 | Baumeister et al 93 | 0.194 | 0.127 | 0.273 | 10 87 |
HCC | 0.025* | 0.017 | 0.038 | Adams et al, Ascha et al 94 95 | 42 644 | 15 992 | Murray et al, Bambha et al, McAdam-Marx et al 88 96 97 | 0.294 | 0.199 | 0.411 | Murray et al, Michelotti et al, Page and Harrison88–90 |
CHD | 6.544* | – | – | Flegal et al, Centers for Disease Control and Prevention1 2 6 | 13 233 | 4962 | Centers for Disease Control and Prevention, Lightwood et al 6 98 | 0.066 | 0.043 | 0.095 | Murray et al 88 |
T2D | 9.447* | – | – | Flegal et al, Centers for Disease Control and Prevention1 2 | 8170 | 3064 | Lightwood et al, Li et al 98–100 | 0.150 | 0.080 | 0.220 | Murray et al, Darbà et al 88 101 |
Overweight | 33.473* | – | – | Flegal et al, Centers for Disease Control and Prevention1 2 | 343 | 129 | Lightwood et al, Li et al 98 100 | 0.000 | 0.000 | 0.000 | Keating et al 102 |
Obesity | 37.391* | – | – | Flegal et al, Centers for Disease Control and Prevention1 2 | 916 | 344 | Lightwood et al, Li et al 98 100 | 0.012 | 0.001 | 0.022 | Keating et al 102 |
*Age-specific, sex-specific and/or ethnicity-specific values are specified in the online supplement.
CHD, coronary heart disease; HCC, hepatocellular carcinoma; NASH, non-alcoholic steatohepatitis; T2D, type 2 diabetes.
Costs are population based, meaning that they include those who do not get care. CHD, T2D, overweight and obesity prevalence are not varied in the sensitivity analyses.