Table 2. Health state utilities and costs for patients who have incidentally detected pulmonary nodules, are at intermediate risk, and were scheduled for CT surveillance alone.
Model Parameter | Value | Source |
---|---|---|
Health State Utilities | ||
Age, years | ||
50–54 | 0.90 | Fryback 1993 |
55–64 | 0.87 | |
65–74 | 0.83 | |
≥75 | 0.79 | |
Lung Cancer | ||
NSCLC | ||
Local | 0.71 | Black 2014 |
Regional (ie, Stage 2/3) | 0.67 / 0.65 | |
Distant | 0.62 | |
SCLC | 0.62 | Black 2014 |
Costs* | ||
AABT | $575 | OncImmune |
CT | $245 | Black 2014 |
Diagnostic Follow-up | $5,415 | RBRVS 2016, HCUP-NIS 2014, David 2012, Weiner 2011, Wang Memoli 2012 |
Bronchoscopy (10% of patients) | $1,553 | |
CT-TTNA (60% of patients, and includes cost of complications) | $901 | |
Wedge Resection (30% of patients) | $15,730 | |
Lung Cancer Treatment | $36,724 | Black 2014 |
ABT, autoantibody test; CT, computed tomography; NSCLC, non-small-cell lung cancer; RBRVS, Resource-Based Relative Value Scale; SCLC, small-cell lung cancer
*Costs expressed in 2016 US dollars