Table 1.
Model input parameters for Asian American males: baseline probabilities
Baseline probabilities according to ethnicity |
Base case | Sensitivity analysis range |
Monte Carlo distribution |
References |
---|---|---|---|---|
Japanese American | ||||
➢ HP gastritis | 0.27 | 0.1-0.6 | Beta | 30-34 |
➢ Non-HP gastritis | 0.03 | 0.03-0.12 | Beta | 35 |
➢ Atrophic gastritis | 0.24 | 0.3-0.87 | Beta | 34,36-38 |
➢ GIM | 0.36 | 0.18-0.58 | Beta | 41-43 |
➢ Dysplasia | 0.06 | 0.05-0.09 | Beta | 9,11,12,15,44 |
➢ Local NCGA | 0.00006 | 0.0001-0.00044 | Beta | 9,11,12,15,44 |
➢ Regional NCGA | 0.00012 | 0.00001-0.00011 | Beta | 9,11,12,15,44 |
➢ Distant NCGA | 0.000053 | 0.00001-0.00015 | Beta | 9,11,12,15,44 |
Chinese American | ||||
➢ HP gastritis | 0.24 | 0.2-0.25 | Beta | 24,34 |
➢ Non-HP gastritis | 0.05 | 0.01-0.074 | Beta | 34,42,45 |
➢ Atrophic gastritis | 0.25 | 0.1-0.25 | Beta | 34,36,42,45 |
➢ GIM | 0.35 | 0.14-0.35 | Beta | 34,38,39,46 |
➢ Dysplasia | 0.06 | 0.05-0.065 | Beta | 41-43 |
➢ Local NCGA | 0.00004 | 0.00001-0.00044 | Beta | 9,11,12,15 |
➢ Regional NCGA | 0.000085 | 0.00001-0.00011 | Beta | 9,11,12,15 |
➢ Distant NCGA | 0.000036 | 0.00001-0.00015 | Beta | 9,11,12,15 |
Korean American | ||||
➢ HP gastritis | 0.36 | 0.19-0.65 | Beta | 34,47-49 |
➢ Non-HP gastritis | 0.01 | 0.005-0.1 | Beta | 34,42,45 |
➢ Atrophic gastritis | 0.10 | 0.05-0.25 | Beta | 34,48 |
➢ GIM | 0.40 | 0.21-0.6 | Beta | 34,39,48,49 |
➢ Dysplasia | 0.08 | 0.05-0.09 | Beta | 41-43 |
➢ Local NCGA | 0.00013 | 0.0001-0.00044 | Beta | 9,11,12,15,44 |
➢ Regional NCGA | 0.00027 | 0.00001-0.00011 | Beta | 9,11,12,15,44 |
➢ Distant NCGA | 0.00011 | 0.00001-0.00015 | Beta | 9,11,12,15,44 |
Vietnamese American | ||||
➢ HP gastritis | 0.34 | 0.26-0.7 | Beta | 24,34,50 |
➢ Non-HP gastritis | 0.03 | 0.01-0.25 | Beta | 34,42,45 |
➢ Atrophic gastritis | 0.24 | 0.08-0.85 | Beta | 34,50,51 |
➢ GIM | 0.28 | 0.2-0.4 | Beta | 34,39,50,51 |
➢ Dysplasia | 0.06 | 0.05-0.09 | Beta | 41-43 |
➢ Local NCGA | 0.000053 | 0.0001-0.000442 | Beta | 9,11,12,15 |
➢ Regional NCGA | 0.00011 | 0.00001-0.00011 | Beta | 9,11,12,15 |
➢ Distant NCGA | 0.000046 | 0.00001-0.00015 | Beta | 9,11,12,15 |
Filipino American | ||||
➢ HP gastritis | 0.40 | 0.2-0.6 | Beta | 52 |
➢ Non-HP gastritis | 0.10 | 0.07-0.25 | Beta | 34,42,45 |
➢ Atrophic gastritis | 0.20 | 0.15-0.65 | Beta | 34,50,51 |
➢ GIM | 0.13 | 0.12-0.33 | Beta | 39 |
➢ Dysplasia | 0.06 | 0.05-0.09 | Beta | 41-43 |
➢ Local NCGA | 0.000018 | 0.00001-0.00005 | Beta | 9,11,12,15,44 |
➢ Regional NCGA | 0.000037 | 0.00001-0.00005 | Beta | 9,11,12,15,44 |
➢ Distant NCGA | 0.000015 | 0.00001-0.00005 | Beta | 9,11,12,15,44 |
Southeast Asian American | ||||
➢ HP gastritis | 0.19 | 0.10-0.30 | Beta | 24,34,53-55 |
➢ Non-HP gastritis | 0.10 | 0.07-0.25 | Beta | 54-56 |
➢ Atrophic gastritis | 0.35 | 0.02-0.65 | Beta | 34 |
➢ GIM | 0.14 | 0.09-0.33 | Beta | 34,39 |
➢ Dysplasia | 0.06 | 0.05-0.09 | Beta | 41-43 |
➢ Local NCGA | 0.000019 | 0.0001-0.000442 | Beta | 9,11,12,15 |
➢ Regional NCGA | 0.000041 | 0.00001-0.00011 | Beta | 9,11,12,15 |
➢ Distant NCGA | 0.000017 | 0.00001-0.00015 | Beta | 9,11,12,15 |
Overall Asian American, male | ||||
➢ HP gastritis | 0.22 | 0.10-0.26 | Beta | 14,34 |
➢ Non-HP gastritis | 0.12 | 0.07-0.25 | Beta | 14,34 |
➢ Atrophic gastritis | 0.29 | 0.07-0.65 | Beta | 14,34 |
➢ GIM | 0.25 | 0.10-0.40 | Beta | 14,34,39 |
➢ Dysplasia | 0.07 | 0.05-0.09 | Beta | 14,41-43 |
➢ Local NCGA | 0.00018 | 0.0001-0.000442 | Beta | 9,11,14,15 |
➢ Regional NCGA | 0.00005 | 0.00001-0.00011 | Beta | 9,11,14,15 |
➢ Distant NCGA | 0.00003 | 0.00001-0.00015 | Beta | 9,11,14,15 |
Abbreviations: HP = Helicobacter pylori; GIM = intestinal metaplasia; NCGA = noncardia gastric adenocarcinoma
Note: this is a consolidated list of the inputs used and represents the most pertinent transitions. Transition and baseline probabilities were altered according to Asian American ethnicity and sex whenever possible based on available data. While the literature differentiates the incidence of malignant states by sex, for some of the premalignant states (HP gastritis, non-HP gastritis, atrophic gastritis, GIM, dysplasia), there were no or limited data available differentiating incidence/prevalence by sex; in these instances, the same baseline probabilities were used for males and females along with appropriate sensitivity analyses (see Supplemental Material).
Note: for the purpose of the analysis, the base case probabilities were altered when the sum total of all probabilities exceeded “1” (100%), for example, in patients with HP gastritis and atrophic gastritis. Thus, each lesion was considered to be mutually exclusive with the more severe lesion assigned the higher probability in circumstances of overlap.