Table 2.
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) |
Non‐communicable diseases (NCD); Cardiovascular diseases (CVDs); Cardiovascular heart disease (CHD); Myocardial infarction (MI).
The underlying structure of CVD natural history model and selected parameter values are based on Subramanian et al. (2019) [11].
Parameters are varied within +/‐ 15% of their original values in sensitivity analysis.
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).