TABLE 1.
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.
Uncertainty in input considered in the most cost‐effective scenario.
Assumption and [ 18 ].
Assumption.