Table 3.
Tornado diagram* (rapid POC influenza testing versus the conventional clinical approach)
| Variable Name | Variable Description | Variable Lowest Bound | Variable Highest Bound | Lowest Cost Value (€) | Highest Cost Value (€) | Spread (€)τ | Threshold Valueμ | Risk%¥ | Cumulative Risk% |
|---|---|---|---|---|---|---|---|---|---|
| Sofia_spec | Combined specificity of Sofia testing | 0.915 | 0.992 | −123.940 | 16.894 | 140.83 | 0.924 | 0.895 | 0.895 |
| Sofia_sens | Combined sensitivity of Sofia testing | 0.592 | 0.915 | −70.683 | −34.645 | 36.037 | - | 0.059 | 0.954 |
| Clin_spec | Probability of correctly excluding non-influenza | 0.572 | 0.630 | −62.625 | −42.591 | 20.034 | - | 0.018 | 0.972 |
| cOpp | Opportunity costs due to blocking twin bed | 280.150 | 420.230 | −62.158 | −43.059 | 19.099 | - | 0.016 | 0.988 |
| Clin_sens | Sensitivity of diagnosing influenza if present | 0.654 | 0.767 | −58.505 | −47.211 | 11.294 | - | 0.006 | 0.994 |
| cPCR_ext | Costs of PCR in external laboratory | 30.000 | 65.000 | −57.233 | −49.188 | 8.045 | - | 0.003 | 0.997 |
| cSofia | Costs of Sofia test consumables inclusive | 9.600 | 14.400 | −55.008 | −50.208 | 4.800 | - | 0.001 | 0.998 |
| Flu_prev | Prevalence of influenza | 0.200 | 0.426 | −53.833 | −49.142 | 4.690 | - | 0.001 | 0.999 |
| pNI | Probability of NI treatment in per cent | 0.000 | 1.000 | −52.608 | −48.282 | 4.326 | - | 0.001 | 1 |
| sec_flu | Secondary cases due to one unknown influenza case | 0.154 | 0.256 | −53.202 | −52.081 | 1.121 | - | 0 | 1 |
| cRev_day | Additional revenue per day due to NI | 186.770 | 280.150 | −53.092 | −52.125 | 0.967 | - | 0 | 1 |
| cPL_day | Costs of productivity loss per day | 125.590 | 188.390 | −53.052 | −52.164 | 0.888 | - | 0 | 1 |
| sick_days | Number of days of HCW out of work due to influenza | 5.760 | 8.640 | −53.052 | −52.164 | 0.888 | - | 0 | 1 |
| cAntivir_day | Costs of virustatics per day | 9.890 | 14.830 | −52.988 | −52.226 | 0.762 | - | 0 | 1 |
| Vacc_eff | Effectiveness of influenza vaccination | 0.150 | 0.490 | −52.608 | −52.278 | 0.330 | - | 0 | 1 |
| pVacc_HCW | Probability of HCW | 0.328 | 0.492 | −52.637 | −52.579 | 0.058 | - | 0 | 1 |
| pHosp | Probability that hospitalization is required | 0.157 | 0.230 | −52.608 | −52.608 | 0 | - | 0 | 1 |
One-way sensitivity analyses of all model variables arranged in order, with the variable with the biggest impact at the top and the variable with the smallest impact at the bottom;
Risk%: This is a measure of how much of the total uncertainty is represented by the respective variable. The Risk% values sum to 1.0 across all the variables;
Highest cost value minus lowest cost value;
Indicates the point at which absolute savings turn to expenditures.
HCW: health care workers.