Table I.
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) | 0.40–10.20 | Costs for 4 IUI-OS cycles | Probabilistic sensitivity analysis | Dutch Formulary for Medication | |
Costs for Letrozole | 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) |