Table 24:
Probabilities Used in the Economic Model
Model Parameters | Probability (%) | Standard Error (+/-) | Reference |
---|---|---|---|
Pessary | |||
Self manage pessary | 20.00 | 0.025 | Assumptiona,b |
Successfully fitted | |||
POP | 77.94 | 0.030 | Pooled rate41,43,65–73 |
SUI | 77.29 | 0.026 | Pooled rate67–69,71,72,74 |
Discontinuation rate | See reference | — | Appendix 7, Figure A1 |
Pelvic floor muscle training | |||
Discontinuation rate | See reference | — | Appendix 7, Figure A2 |
Surgery—SUI | |||
Eligible and want surgery | 62.00 | 0.031 | Brazzeli et al, 201975 |
Surgery success | 83.3 | 0.005 | Ford et al, 201776 |
Reoperation—SUI | |||
Eligible and want reoperation | 75.00 | — | Kilonzo et al, 200477 |
Reoperation success | 79.20 | 0.028 | Van der Doelen et al, 201578 |
Surgically repaired—SUI | |||
Symptoms return (biannual) | |||
Year 1–5 | 0.95 | 0.002 | Ford et al, 201776 |
Year 5+ | 0.55 | 0.002 | Ford et al, 201776 |
Surgery—POP | |||
Eligible and want surgery | 55.02 | 0.031 | Patnam et al, 201979 |
Surgery success | 94.35 | 0.010 | Brubaker et al, 201080 |
Reoperation—POP | |||
Eligible and want reoperation | 80.00 | — | Assumptiona |
Reoperation success | 85.00 | 0.012 | Assumptiona |
Surgically repaired—POP | |||
Symptoms return (biannual) | |||
Year 1–2 | 0.76 | — | Jacklin & Duckett, 201381 |
Year 2+ | 0.19 | — | Jacklin & Duckett, 201381 |
Abbreviations: POP, pelvic organ prolapse; SUI, stress urinary incontinence.
Email communication, Aisling Clancy, MD, January 7, 2020.
Email communication, Jennifer Skelly, PhD, December 31, 2019.