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. 2020 Apr 2;40(7):1545–1555. doi: 10.1111/liv.14408

TABLE 1.

Direct medical cost and health effect input parameters

  Parameter Base Distribution First parameter (α for beta, shape for gamma, minimum for beta‐PERT) Second parameter (β for beta, scale for gamma, maximum for beta‐PERT) Reference
Diagnostic and treatment costs (€) Total screening cost, low‐risk groups a 15.00 Beta‐PERT 7.50 30.00 Sum of price of HCV antibody test b and per‐screen implementation cost c , assuming half the total cost as minimum and double the total cost as maximum
Total screening cost, high‐risk groups a 55.00 Beta‐PERT 27.50 110.00 Sum of price of HCV antibody test b and per‐screen implementation cost c , assuming half the total cost as minimum and double the total cost as maximum
RNA test/PCR 63.01 Ministero della Salute 2013 (code 91.19.3)
Genotyping 77.47 Ministero della Salute 2013 (code 91.20.2)
Fibroscan 50.00 10, 11
Lab costs 50.00 10, 11
Antiviral treatment 4000.00 10, 11
Healthcare costs (€) Fibrotic (F0‐F3) Gamma 100.00 2.77 10, 11
Comp. cirrhosis Gamma 100.00 8.76 10, 11
DCC Gamma 100.00 66.26 10, 11
HCC Gamma 100.00 128.96 10, 11
LTx, first year Gamma 100.00 737.74 10, 11
LTx, subs years Gamma 100.00 23.65 10
Death 11
Post‐SVR monitoring for cirrhotic patients 50.00 Cost of one ultrasound
QALY utilities, pre‐SVR Fibrotic (F0‐F3) Beta 11.12 1.52 12
Comp. cirrhosis Beta 16.17 3.31 12
DCC Beta 26.27 9.72 12
HCC Beta 46.47 41.21 12
LTx, first year Beta 26.27 9.72 12
LTx, subs years Beta 26.27 9.72 12
Healthy 1 12
QALY utilities, post‐SVR Fibrotic (F0‐F3) 1 12
Comp. cirrhosis Same as pre‐SVR
DCC Same as pre‐SVR
HCC Same as pre‐SVR
LTx, first year Same as pre‐SVR
LTx, subs years Same as pre‐SVR

Abbreviations: comp. cirrhosis, compensated cirrhosis; DCC, decompensated cirrhosis; HCC, hepatocellular carcinoma; HCV, hepatitis C virus; LTx, subs years, liver transplant, subsequent years; LTx, liver transplant; PCR, polymerase chain reaction; QALY, quality‐adjusted life year; RNA, ribonucleic acid; SVR, sustained virologic response.

a

Uncertainty in input considered in the most cost‐effective scenario.

b

Assumption and [ 18 ].

c

Assumption.