Table 1.
Health states | Utility, annual | (SE) | Related healthcare costs | Patient and family costs | Intersectoral costsa | |||||
---|---|---|---|---|---|---|---|---|---|---|
Stable CAD | 0.671 | (0.046) | 20 | €134 | 25 | €0 | €0 | |||
Mild PAD, | 0.681 | NA | €508 | 34 | €423 | 34 | €268 | 35 | ||
Moderate PAD | 0.607 | NA | €863 | 34 | €358 | 34 | €268 | 35 | ||
Severe PAD | 0.430 | (0.108) | 23 | €3551 | 24 | €358 | 34 | €268 | 35 | |
CV events | CAD and mild PADb | CAD and mild PADc | CAD and PAD | |||||||
Acute MI: 0–3, 4–6 months | 0.603 | (0.022) | 20 | €6630 | 28 | €154 | 36,d | €1255 | 36 | |
Sub-acute MI 7–9, 10–12 months | 0.671 | (0.046) | 20 | €2841 | 28 | €33 | 36,d | €0 | ||
Post MI 12+ months | 0.671 | (0.046) | 20 | €287 | 28 | €0 | €0 | |||
Acute stroke, 0–3 months | 0.523 | (0.019) | 20 | €7440 | 28 | €4742 | 30 | €1212 | 36 | |
Sub-acute stroke, 4–6 months | 0.542 | (0.044) | 20 | €7440 | 28 | €4742 | 30 | €1212 | 36 | |
Sub-acute stroke 7–9, 10–12 months | 0.542 | (0.044) | 20 | €3189 | 28 | €1666 | 30 | €0 | ||
Post stroke 12+ months | 0.542 | (0.044) | 20 | €2776 | 28 | €0 | €0 | |||
Events |
Decrement (SE) |
|
Per event |
|
||||||
Recurrent MI | 0.063 | (0.013) | 21 | €6630 | 28 | |||||
Recurrent stroke | 0.117 | (0.035) | 21 | €7440 | 28 | |||||
Major bleeding | 0.047 | (0.001) | 16 | €7819 | 32 | |||||
Minor bleedinge | 0.039 | (0.003) | 16 | €200 | 33 | |||||
Peripheral revascularisation | 0.133 | (0.002) | 24 | €3454 | 35 | |||||
Amputation | 0.161 | (0.032) | 24 | €15,127 | 23 | |||||
CV death | €6630 | |||||||||
Non-CV death | €1227 | 31 | ||||||||
Components PAD utilities |
Utility |
(SE) |
|
|||||||
General population aged 65+ years (mild) | 0.870 | (0.001) | 21 | |||||||
Rutherford 1–3 (mild, moderate) | 0.620 | (0.155) | 22 | |||||||
Rutherford 4 (moderate) | 0.490 | (0.123) | 22 | |||||||
CV event with PAD | Decrement (SE) | |||||||||
Acute MI, 0–3, 4–6 months | 0.063 | (0.013) | 20 | |||||||
Sub-acute, post MI, 7+ months | 0 | assumed | ||||||||
Acute stroke, 0–3 months | 0.117 | (0.041) | 20 | |||||||
Sub-acute, post stroke, 4+ months | 0.067 | (0.025) | 20 |
CAD: coronary artery disease; CV: cardiovascular; HS: haemorrhagic stroke; IS: ischaemic stroke; MI: myocardial infarction; PAD: peripheral arterial disease; SE: standard error.
aCost of missed work, assumed to be unpaid for this retired population. A day of missed work is assumed to contain 3 hours of unpaid work, as seen in patients with rheumatoid arthritis.38
bFor PAD utilities with CV events: apply ‘CV event with PAD’ decrement to mild/moderate/severe PAD utility.
cFor PAD-related healthcare costs with CV events: add moderate/severe PAD costs to the costs of CV event with CAD/mild PAD.
dAssuming the number of healthcare visits (GP, specialist, etc.) is equal to patients post stroke.
eDisutility of minor bleed assumed to last one month.