Probability of disease progression |
For no-treatment group |
Probability of progression from precancer to cancer stage I |
Beta |
0.04 |
0.01 |
[10] |
Probability of progression from cancer stage I to II |
Beta |
0.53 |
0.27 |
[19] |
Probability of progression from cancer stage II to III |
Beta |
0.59 |
0.25 |
Probability of progression from cancer stage III to IV |
Beta |
0.67 |
0.25 |
Probability of precancerous lesion regression |
Beta |
0.30 |
0.10 |
[20] |
For treatment group |
Probabilities of disease progression of each cancer stage are less than the no-treatment group by a half. (using hazard ratio = 0.50) |
- |
0.50 |
- |
[9] |
Probability of precancerous lesion being cured after treatment |
- |
0.58 |
- |
[20, 21] |
Probability of loss to follow-up treatment and developing cancer stage I |
- |
0.01 |
- |
[19] and mail survey |
Probability of death |
For treatment group |
Probability of death from cancer stage I |
Beta |
0.20 |
0.01 |
Meta-analysis [7–9] |
Probability of death from cancer stage II |
Beta |
0.34 |
0.06 |
Probability of death cancer from stage III |
Beta |
0.42 |
0.08 |
Probability of death cancer from stage IV |
Beta |
0.52 |
0.10 |
For no-treatment group |
Probabilities of death of each cancer stage are more than the treatment group by a half. (using hazard ratio = 2) |
- |
2.00 |
- |
[9] |
Compliance with screening |
Screening program |
MSE at no cancer and precancer |
- |
0.97 |
- |
Pilot study, by the Bureau of Dental Health |
Visual screening by TDN at no cancer and precancer |
- |
0.80 |
- |
Visual screening by TDT at no cancer and precancer |
- |
0.76 |
- |
Visual screening by oral surgeons at precancer |
- |
0.91 |
- |
Visual screening at cancer stages I to VI |
- |
1.00 |
- |
Assumption |
Biopsy |
- |
0.62 |
- |
S1 Table |
No-screening program |
Self-referral rate to general dentist without precancer and cancer |
- |
0.04 |
- |
[22] |
Self-referral rate to general dentist at cancer stage I and II |
- |
0.43 |
- |
Self-referral rate to general dentist at cancer stages III and IV |
- |
0.82 |
- |
Biopsy |
- |
0.51 |
- |
[23] |
Compliance with treatment |
Precancer stage |
- |
0.94 |
- |
Data collection |
Cancer stage I |
- |
0.98 |
- |
Cancer stage II |
- |
0.98 |
- |
Cancer stage III |
- |
0.94 |
- |
Cancer stage IV |
- |
0.84 |
- |
Performance of screening |
Screening program |
Sensitivity of MSE |
Beta |
0.20 |
0.03 |
Pilot study, by the Bureau of Dental Health |
Specificity of MSE |
Beta |
0.81 |
0.02 |
Sensitivity of visual examination by TDN |
Beta |
0.44 |
0.06 |
Specificity of visual examination by TDN |
Beta |
0.79 |
0.02 |
Sensitivity of visual examination by TDT |
Beta |
0.87 |
0.04 |
[24–26] |
Specificity of visual examination by TDT |
Beta |
0.85 |
0.05 |
[24–26] |
Sensitivity of visual examination by oral surgeon |
Beta |
0.76 |
0.03 |
[27] |
No-screening program |
Sensitivity of visual examination by general dentist |
Beta |
0.84 |
0.09 |
[28, 29] |
Specificity of visual examination by general dentist |
Beta |
0.82 |
0.14 |
[28, 29] |
Sensitivity of visual examination by oral surgeon |
Beta |
0.76 |
0.03 |
[27] |
Cost of screening |
Direct medical costs |
Cost of screening program management |
- |
0.25 |
- |
Pilot study, by the Bureau of Dental Health |
Cost of MSE |
- |
5 |
- |
[30] and data collection |
Cost of visual screening by TDN |
- |
34 |
- |
Cost of visual screening by TDT |
- |
43 |
- |
Cost of visual screening by general dentist |
- |
95 |
- |
[31] |
Cost of visual screening by oral surgeon |
- |
90 |
- |
[30] and data collection |
Cost of biopsy |
- |
450 |
- |
[32] |
Direct non-medical costs |
|
|
|
|
Transportation cost of visual screening by TDN |
Gamma |
57 |
4 |
[33] |
Transportation cost of visual screening by TDT |
Gamma |
76 |
4 |
Transportation cost of visual screening by oral surgeon |
Gamma |
151 |
12 |
Lost productivity work time to visual screening by TDN |
Gamma |
14 |
4 |
Lost productivity work time to visual screening by TDT |
Gamma |
52 |
6 |
Lost productivity work time to visual screening by oral surgeon |
Gamma |
85 |
14 |
Cost of treatment |
Direct medical costs |
Precancer |
Gamma |
758 |
177 |
Data collection |
Cancer stage I |
Gamma |
63,546 |
10,250 |
[34] |
Cancer stage II |
Gamma |
68,753 |
15,870 |
Cancer stage III |
Gamma |
78,749 |
8,205 |
Cancer stage VI |
Gamma |
106,529 |
5,978 |
Direct non-medical costs |
Precancer |
Gamma |
11,044 |
1,841 |
Data collection |
Cancer stage I |
Gamma |
18,460 |
5,630 |
Cancer stage II |
Gamma |
75,896 |
14,422 |
Cancer stage III |
Gamma |
54,300 |
10,497 |
Cancer stage VI |
Gamma |
54,265 |
9,511 |
Utility |
Precancer |
Beta |
0.83 |
0.02 |
Data collection |
Cancer stages I to II |
Beta |
0.61 |
0.05 |
Cancer stages III to VI |
Beta |
0.34 |
0.09 |