Table 1. Base case values and distributions applied in probabilistic sensitivity analysis.
Base case value | Probabilistic sensitivity analysis distribution | Base case source | |
---|---|---|---|
Health outcomes | |||
CHD free (QoL) | 0.90 | Not varied | [20,25] |
Disutility due to non-fatal CHD event (QALY) | -0.147 | -1 × Beta(52,304) | [20,26–28] |
Probability of death in case of event | 22% | Beta(48,173) | [29] |
Expected time of CHD event | 5.75 years | Not varied | [5] |
Risk reduction if statin treatment | -27% | -1 × Beta(45,121) | [30] |
Annual side effect of statin treatment (QoL) | -0.002 | Not varied | [31,32] |
Discount rate of health outcomes | 3% | Not varied | [24] |
Costs | |||
Costs of obtaining traditional factors incl. blood panel, doctor and nurse visits (€) | 173€ | Not varied | [33] |
Genetic testing (€) | 200€ | Unif(100,300) | Expert opinion |
Annual statin costs (€/person) | 53€ | Not varied | [34,35] |
Annual monitoring of a patient receiving statins (in primary prevention) | 173€ | Not varied | [33] |
Annual secondary prevention | 451€ | Not varied | [36] |
Non-fatal CHD event (undiscounted) | 19,860€ | Gamma(171,116) | National Discharge Register |
Fatal CHD event (undiscounted) | 2,417€ | Gamma(171,14) | [35,36] |
Willingness-to-pay threshold | 50,000€ | Assumption | |
Discount rate of costs | 3% | Not varied | [24] |
CHD, coronary heart disease; QoL, quality of life; QALY, quality-adjusted life-year.