Table 2. Model inputs for probabilities, utilities and costs.
Parameter | Base case value | Range of variation | Basis of variation | References |
---|---|---|---|---|
Unit costs (in 2016 €) | ||||
Stent | ||||
Everolimus-eluting stent (EES) | 847 | 424–1,271 | ±50%; uniform | [12] |
Bare metal stent (BMS) | 440 | 220–660 | ±50%; uniform | [12] |
Myocardial infarction (MI) | ||||
Initial STEMI, discharged alive | 926 | 463–1,389 | ±50%; uniform | [12] |
Initial STEMI, discharged dead | 1,817 | 909–2,726 | ±50%; uniform | [12] |
Repeat MI, discharged alive | 2,846 | 1423–4,269 | ±50%; uniform | [12] |
Repeat MI, discharged dead | 3,737 | 1869–5,606 | ±50%; uniform | [12] |
Stent thrombosis (STT) event | ||||
Initial event, discharged alive | 926 | 463–1,389 | ±50%; uniform | [12] |
Initial event, discharged dead | 1,817 | 909–2,726 | ±50%; uniform | [12] |
Repeat event, discharged alive | 2,846 | 1423–4,269 | ±50%; uniform | [12] |
Repeat event, discharged dead | 3,737 | 1869–5,606 | ±50%; uniform | [12] |
Revascularization | ||||
Coronary artery bypass graft (CABG) | 16,068 | 8,034–24,102 | ±50%; uniform | [12] |
Percutaneous coronary intervention (PCI) without MI | 1,920 | 960–2880 | ±50%; uniform | [12] |
Annual cardiovascular outpatient treatment and drug costs (excluding revascularization therapy costs) | 327 | 164–491 | ±50%; uniform | Assumption1 |
Long-term annual cardiovascular treatment costs after year 5 (including revascularization therapy costs) | 1,135 | 568–1,703 | ±50%; uniform | [13, 14] |
Anti-platelet therapy costs after revascularization event (12 months) | 240 | 120–360 | ±50%; uniform | Assumption2 |
Life expectancy (in years) | ||||
5-year follow-up survivors | * | ±25%; triangular | [8],[9] | |
Utility scores and decrements | ||||
Baseline utility score | ±25%; triangular | [10] | ||
Initial STEMI event | ||||
First year after event | -0.120 | -0.090 - -0.150 | ±25%; triangular | [11] |
Subsequent years after event | -0.085 | -0.064 - -0.106 | ±25%; triangular | [11] |
Repeat MI event | ||||
First year after event | -0.060 | -0.045 - -0.075 | ±25%; triangular | Assumption3 |
Subsequent years after event | -0.043 | -0.032 - -0.054 | ±25%; triangular | Assumption3 |
STT event | ||||
First year after event | -0.060 | -0.045 - -0.075 | ±25%; triangular | Assumption3 |
Subsequent years after event | -0.043 | -0.032 - -0.054 | ±25%; triangular | Assumption3 |
Revascularization (CABG or PCI) | ||||
First year after event | -0.060 | -0.045 - -0.075 | ±25%; triangular | Assumption4 |
Subsequent years after event | 0.000 | NA | Assumption5 | |
Decrement due to ageing | * | ±25%; triangular | [10] |
EES = everolimus-eluting stent. BMS = bare metal stent. MI = myocardial infarction. STEMI = ST-segment elevation myocardial infarction. STT = stent thrombosis. CABG = coronary artery bypass graft. PCI = percutaneous coronary intervention.
* = age dependent
1 = assumed to be half as high as long-term annual cardiovascular treatment costs.
2 = assumed to cost around €20 per month for a duration of twelve months.
3 = assumed to affect utility only half as much as the initial STEMI event.
4 = assumed to have the same impact on utility as repeat MI or STT events for a year.
5 = no effect was assumed for subsequent years.