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. 2017 Sep 21;17(12):1–124.

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-analysis16,28,29,3236,38,39
Time to healing, weeks 5.097 3.823–6.371 Meta-analysis16,28,29,3335,38,39
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-analysis3234,38
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-analysis3234,38
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

Abbreviation: CDA, Canadian Diabetes Association.

a

Meta-analysis included studies reported in the clinical evidence review.16,28,29,3236,38,39