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. 2020 Jun 19;23(Suppl 1):e25499. doi: 10.1002/jia2.25499

Table 2.

CVD microsimulation model parameters a

Parameter Value Reference
CVD natural history b    
Probability of first CHD event type    
Cardiac arrest 10%  
MI 32% (males)/ 20% (females) [23]
Angina 1 ‐ probability of other events [24]
Acute (one‐year) mortality following a CVD event
Cardiac arrest 0.95 [25]
MI 0.05 [26]
Angina 0.045 [27]
Stroke 0.38 [28]
Annual mortality (post‐event)
MI 0.04 [29]
Angina 0.03 [29]
Stroke 0.05 [29]
Annual risk of new event in post‐event states  
Repeated MI post‐MI 0.064 [30]
MI post‐angina 0.035 [31]
Repeated stroke post‐stroke 0.04 [32]
Intervention characteristics c
Annual screening coverage 20% of population Assumption
Screening success 90% [16]
NCD treatment uptake & long‐term medication management 50% Assumption
NCD treatment effectiveness c , d
% reduction in CHD events with hypertension treatment among people   [18]
‐ With diabetes 88%  
‐ Without diabetes 77%  
% reduction in stroke events with hypertension treatment among people   [18]
‐ With diabetes 74%  
‐ Without diabetes 74%  
% reduction in CHD and stroke events with diabetes treatment 79% [19]
Costs (2018 USD) c  
Acute care for cardiac arrest 1,049.14 [33]
Acute care for MI 2,041.02 [33]
Acute care for angina 1,264.90 [33]
Acute care for stroke 1,916.26 [33]
Non‐acute care post‐CHD 331.15 per year [34]
Non‐acute care post‐stroke 993.44 per year [34]
Screening for HIV 21.50 [7]
Screening for hypertension and diabetes 1.22 [7]
HIV treatment (ART) 297.51 per year [35]
Hypertension treatment 77.65 per year [33]
Diabetes treatment 186.73 per year [33]
Disability weights c
Angina 0.08 [36]
Cardiac arrest 0.08
MI

0.08 (first year)

0.072 (subsequent years)

Stroke 0.152
HIV

0.078 (on ART)

0.274 (off ART)

a

Non‐communicable diseases (NCD); Cardiovascular diseases (CVDs); Cardiovascular heart disease (CHD); Myocardial infarction (MI).

b

The underlying structure of CVD natural history model and selected parameter values are based on Subramanian et al. (2019) [11].

c

Parameters are varied within +/‐ 15% of their original values in sensitivity analysis.

d

NCD treatment effectiveness is estimated separately for hypertension and diabetes treatment, and the impact of combined treatments is modelled as independent and multiplicative (Data S1).