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. 2021 Feb 22;36(5):1288–1295. doi: 10.1093/humrep/deab013

Table I.

Parameters, their distribution, assumptions, evaluations of assumptions and data source as used in the decision analytic model.

Parameter Distribution 2.5th and 97.5th percentile Underlying assumptions Assumptions checked by Source (see also Supplementary Data File S1)
Costs for clomiphene citrate (CC) Gamma(3.60,13.60) 0.40–10.20 Costs for 4 IUI-OS cycles Probabilistic sensitivity analysis Dutch Formulary for Medication
Costs for Letrozole Gamma(4.00,14.00) 0.48–11.14 Costs for 4 IUI-OS cycles Probabilistic sensitivity analysis Dutch Formulary for Medication
Costs for gonadotrophins N (1048,60) 930–1166 Costs for 4 IUI-OS cycles Probabilistic sensitivity analysis Dutch Formulary for Medication
Costs for multiple delivery N (14 357, 250) 13 867–14 847 Costs known and increases by general price index inflation Probabilistic sensitivity analysis Dutch medical centre cost data

Relative risk of Letrozole

versus CC (all trials)

Lognormal(ln(1.09)

0.1862)

0.76–1.57 Known relative effect that relies on the baseline rate Probabilistic sensitivity analysis, scenario analysis Network meta-analysis Wang et al. (2020)

Relative risk of gonadotrophins

versus CC (trials up to four cycles with strict cancellation criteria)

Lognormal(ln(1.20)

0.1172)

0.95–1.51 Known relative effect that relies on the baseline rate Probabilistic sensitivity analysis, scenario analysis Network meta-analysis Wang et al. (2020)

Relative risk of gonadotrophins

versus CC (all trials)

Lognormal(ln(1.39)

0.1204)

1.09–1.76 Known relative effect that relies on the baseline rate Scenario analysis Network meta-analysis Wang et al. (2020)
Probability of multiple pregnancy after CC Beta(18.5, 721.5) 1.5–3.7% Multiple pregnancy rates in trials in applicable to population Probabilistic sensitivity analysis, scenario analysis Network meta-analysis Wang et al. (2020)
Probability of multiple pregnancy after Letrozole Beta(8.97, 290) 1.4–5.2% Multiple pregnancy rates in trials in applicable to population Probabilistic sensitivity analysis, scenario analysis Network meta-analysis Wang et al. (2020)
Probability of multiple pregnancy after gonadotrophins Beta(51.3, 916.7) 4.0–6.8% Multiple pregnancy rates in trials in applicable to population Probabilistic sensitivity analysis, scenario analysis Network meta-analysis Wang et al. (2020)
Live birth rate, per cycle Beta(140, 1536) 7.1–9.7% Rate can be accurately extrapolated to 4 full cycles Probabilistic sensitivity analysis, scenario analysis Network meta-analysis Wang et al. (2020)
Live birth rate in trials up to four cycles who adhered to strict cancellation criteria

N (0.246,0.0158)

21.5–27.7%

Protocol for these trials is representative of today’s IUI-OS population for unexplained Probabilistic sensitivity analysis, scenario analysis Network meta-analysis Wang et al. (2020)