Table 2.
Model parameters to inform long-term decision analytic model
| Transition probability | Sources | Specific details of the fields in source |
| Remaining in IT | NTP NCRF |
Time of withdrawal from IT Time of withdrawal from IT |
| LTOT to IT | The trial | Proportion of people engaged in IT |
| IT to LTOT | NTP NCRF |
Time of withdrawal from IT Time of withdrawal from IT |
| IT to SOLMP | NTP NCRF |
Time of completely stopping the use of opioids Time of completely stopping the use of opioids |
| IT to dead state | PL | All-cause mortality data from ONS |
| Remaining in LTOT | The trial | Number of people who do not engage in IT and remain in LTOT |
| SOLMP to LTOT | PtQ GPRs |
Medication data Prescription data |
| LTOT to PT | PtQ GPRs |
Medication data Prescription data |
| LTOT to dead state | PL | All-cause mortality data from ONS |
| Remaining in PT | The trial PtQ GPRs |
Number of people who remain in PT over time Medication data Prescription data |
| PT to LTOT | PtQ GPRs |
Medication data Prescription data |
| PT to SOLMP | PtQ GPRs |
Medication data Prescription data |
| PT to dead state | PL | All-cause mortality data from ONS |
| Remaining in SOLMP | PtQ GPRs |
Medication data Prescription data |
| SOLMP to dead state | All-cause mortality rates from ONS | |
| Utility scores | Source | Specific details of the source |
| LTOT | PL PtQ |
Utility of opioid therapy45
Regression analysis of patient self-reported EQ-5D |
| PT | PtQ | Regression analysis of patient self-reported EQ-5D |
| IT | PtQ | Regression analysis of patient self-reported EQ-5D |
| SOLMP | PtQ | Regression analysis of patient self-reported EQ-5D |
| Costs | Source | Specific details of the source |
| LTOT | PL PtQ GPRs |
Cost of opioid therapy per cycle46
Costs associated with self-reported resource use Costs associated with resource use collected |
| PT | The trial PtQ GPRs |
Cost associated with usual care Costs associated with self-reported resource use Costs associated with resource use collected |
| IT | The trial | Cost associated with intervention |
| SOLMP | PL | Assumption—1× contact with GP28 |
‘The trial’ means the I-WOTCH trial.
GP, general practitioner; GPRs, GP records; IT, I-WOTCH tapering; I-WOTCH, Improving the Well-being of people with Opioid Treated CHronic pain; LTOT, long-term opioid therapy; NCRF, nurse clinical record form; NTP, nurse tapering plan; ONS, Office of National Statistics; PL, published literature; PT, patient-driven tapering; PtD, patient diary; PtQ, patient questionnaire; SOLMP, successful opioid-less management of pain.