Table 18:
Clinical Outcome Parameters Used in the Economic Model
| Variable | Outcome (Base Case) | Range | Referencea |
|---|---|---|---|
| Total Contact Casting | |||
| Probability of ulcer healing | 0.741 | 0.677–0.915 | Meta-analysis16,28,29,32–36,38,39 |
| Time to healing, weeks | 5.097 | 3.823–6.371 | Meta-analysis16,28,29,33–35,38,39 |
| Probability of amputation from an unhealed ulcer | 0.0092 | 0.0065–0.0153 | CDA45 |
| Removable Cast Walkers | |||
| Risk ratio of ulcer healing (total contact casting vs. removable cast walkers) | 1.25 | 0.95–1.65 | Meta-analysis32–34,38 |
| Probability of ulcer healing | 0.593 | 0.449–0.779 | Calculation |
| Mean difference in time to healing (total contact casting vs. removable cast walkers), weeks | –1.013 | –1.816 to −0.209 | Meta-analysis32–34,38 |
| Time to healing, weeks | 6.11 | 5.31–6.12 | Calculation |
| Probability of amputation from an unhealed ulcer | 0.0145 | 0.0102–0.0240 | CDA45 |
| Irremovable Cast Walkers | |||
| Risk ratio of ulcer healing (total contact casting vs. irremovable cast walkers) | 1.02 | 0.87–1.19 | Meta-analysis28,29,36 |
| Probability of ulcer healing | 0.726 | 0.623–0.852 | Calculation |
| Mean difference in time to healing (total contact casting vs. irremovable cast walkers), weeks | –0.329 | –1.59 to 0.939 | Meta-analysis28,29,36 |
| Time to healing, weeks | 5.425 | 4.164–6.687 | Calculation |
| Probability of amputation from an unhealed ulcer | 0.0097 | 0.0068–0.0161 | CDA45 |
| Therapeutic Shoes | |||
| Risk ratio of ulcer healing (total contact casting vs. therapeutic shoes) | 1.62 | 1.11–2.38 | Meta-analysis16,32,38,39 |
| Probability of ulcer healing | 0.457 | 0.311–0.667 | Calculation |
| Mean difference in time to healing (total contact casting vs. therapeutic shoes), weeks | –3.73 | –5.25 to −2.22 | Meta-analysis16,32,38,39 |
| Time to healing, weeks | 8.83 | 7.32–10.34 | Calculation |
| Probability of amputation from an unhealed ulcer | 0.0193 | 0.0136–0.0320 | CDA45 |