Table 1.
Parameters for cost-effectiveness model
Variable | Value | Range | Distribution | Source | |
Minimum | Maximum | ||||
Transition probabilities | |||||
Pembrolizumab | |||||
Progression from stable state | 0.281 | 0.225 | 0.337 | Beta | 14 |
Death from stable state | 0.079 | 0.063 | 0.095 | Beta | 14 |
Mortality after progression | 0.104 | 0.083 | 0.125 | Beta | 14 |
Standard chemotherapy | |||||
Progression from stable state | 0.260 | 0.208 | 0.312 | Beta | 14 |
Death from stable state | 0.096 | 0.076 | 0.115 | Beta | 14 |
Mortality after progression | 0.140 | 0.112 | 0.168 | Beta | 14 |
Utilities | |||||
Stable state | 0.650 | 0.500 | 1.000 | Beta | 26 |
Progressive state | 0.520 | 0.200 | 0.700 | Beta | 26 |
Cost | |||||
Pembrolizumab | 5421 | 4337 | 6506 | Gamma | Calculated |
Standard first | 1439 | 1151 | 1727 | Gamma | Calculated |
Standard | 1253 | 1002 | 1503 | Gamma | Calculated |
Administration | 13 | 10 | 15 | Gamma | Calculated |
Test | 154 | 123 | 185 | Gamma | Calculated |
Time cost | 750 | 600 | 900 | Gamma | Calculated |
Severe adverse events | |||||
Pembrolizumab | 1227 | 981 | 1472 | Gamma | Calculated |
Standard | 5855 | 4684 | 7027 | Gamma | Calculated |
Cancer progression | 2555 | 1677 | 3620 | Gamma | 21 |
Best supportive care | 157.6 | 126.1 | 191.5 | Gamma | 20 |
Terminal cancer care | 2039.4 | 1631.5 | 2447.3 | Gamma | 19 |