Table 1.
Parameters | Base‐case value (95% CI) | Distribution | Data source [Ref.] |
---|---|---|---|
Baseline population characteristics | |||
Demographic characteristics | |||
Mean age, years | 63 | EMPA‐REG OUTCOME 6 | |
Women, % | 29 | EMPA‐REG OUTCOME 6 | |
BMI ≥ 30, % | 52 | EMPA‐REG OUTCOME 6 | |
HbA1c ≥ 69 mmol/mol (8.5%) | 31 | EMPA‐REG OUTCOME 6 | |
CV history, % | |||
Non‐fatal stroke | 23 | EMPA‐REG OUTCOME 6 | |
Non‐fatal MI | 47 | EMPA‐REG OUTCOME 6 | |
CABG | 25 | EMPA‐REG OUTCOME 6 | |
MCAD | 47 | EMPA‐REG OUTCOME 6 | |
SVCAD | 10 | EMPA‐REG OUTCOME 6 | |
PAD | 21 | EMPA‐REG OUTCOME 6 | |
eGFR, % | |||
≥ 90 ml/min/1.73 m2 | 22 | EMPA‐REG OUTCOME 6 | |
60 to < 90 ml/min/1.73 m2 | 52 | EMPA‐REG OUTCOME 6 | |
<60 ml/min/1.73 m2 | 26 | EMPA‐REG OUTCOME 6 | |
Geographical region, % | |||
Africa | 4 | EMPA‐REG OUTCOME6 | |
Asia | 19 | EMPA‐REG OUTCOME6 | |
Europe | 41 | EMPA‐REG OUTCOME6 | |
Latin America | 15 | EMPA‐REG OUTCOME6 | |
North America | 20 | EMPA‐REG OUTCOME6 | |
Empagliflozin daily drug cost, £ | 1.31 | MIMS Drug Database8 | |
Cost per episode of clinical events, £ | |||
Non‐fatal MI | 8120 | Gamma | Alva et al., 20159 |
Non‐fatal stroke | 11 921 | Gamma | Alva et al., 20159 |
Unstable angina | 5186 | Gamma | Clarke et al., 200310 |
Heart failure | 5001 | Gamma | Alva et al., 20159 |
Transient ischemic attack | 5654 | Gamma | Ward et al., 201211 |
Revascularization | 6192 | Gamma | Cassar, 200612 |
CV death | 3684 | Gamma | Alva et al., 20159 |
Macro‐albuminuria | 8896 | Gamma | Gordios et al., 200413 |
Renal injury | 676 | Gamma | Kent et al., 201514 |
Renal failure | 44,876 | Gamma | NICE technology appraisal 33615 |
Baseline utility value | 0.785 | Beta | Sullivan et al., 2015 16 |
Utility decrements for clinical events | |||
Non‐fatal MI | −0.047 (−0.057, −0.036) | Beta | Sullivan et al., 2015 16 |
Non‐fatal stroke | −0.060 (−0.074, −0.046) | Beta | Sullivan et al., 2015 16 |
Unstable angina | −0.047 (−0.057, −0.036) | Beta | Sullivan et al., 2015 16 |
Heart failure | −0.050 (−0.064, −0.036) | Beta | Sullivan et al., 2015 16 |
Transient ischemic attack | −0.070 (−0.131, −0.008) | Beta | Sullivan et al., 2015 16 |
Revascularization | −0.030 (−0.036, −0.024) | Beta | Lindgren et al., 200717 |
Macro‐albuminuria | −0.038 (−0.059, −0.016) | Beta | Sullivan et al., 2015 16 |
Renal injury | −0.038 (−0.059, −0.016) | Beta | Sullivan et al., 2015 16 |
Renal failure | −0.038 (−0.059, −0.016) | Beta | Sullivan et al., 2015 16 |
Utility effect of multiple events (additive to utility) | |||
2 events | 0.017 | Sullivan et al., 2015 16 | |
3 events | 0.042 | Sullivan et al., 2015 16 | |
4 events | 0.070 | Sullivan et al., 2015 16 | |
≥ 5 events | 0.087 | Sullivan et al., 2015 16 |
CABG, coronary artery bypass grafting; CV, cardiovascular; eGFR, estimated glomerular filtration rate; HR, hazard ratio; MCAD, multivessel coronary artery disease; MI, myocardial infarction; NICE, National Institute for Health and Care Excellence; PAD, peripheral artery disease; SVCAD, single vessel coronary artery disease