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. 2022 Jun 1;59(6):778–792. doi: 10.1002/uog.24884

Table 3.

Estimates for progesterone effect and probability of neonatal mortality and long‐term morbidity used in decision analytic model estimating cost‐effectiveness of strategies to prevent spontaneous preterm delivery (sPTD) in asymptomatic women with a singleton pregnancy

Variable Absolute numbers Point estimate Range* Reference
Estimated reduction of sPTD < 33 + 0 weeks with VP treatment 0.300     0.050/0.550 14
Estimated reduction of sPTD at 33 + 0 to 36 + 6 weeks with VP treatment  0.100     0.0167/0.1833 14
Stillbirth if:
PTD < 33 + 0 weeks 677/458 220 0.0014774 ± 20% MBR
PTD at 33 + 0 to 36 + 6 weeks 298/453 499  0.0006571 ± 20% MBR
Delivery ≥ 37 + 0 weeks 669/436 509  0.0014326 ± 20% MBR
NND < 7 days after birth if:
PTD < 33 + 0 weeks 214/4044 0.0529179 ± 20% MBR
PTD at 33 + 0 to 36 + 6 weeks 67/16 702  0.0040138 ± 20% MBR
Delivery ≥ 37 + 0 weeks 158/435 840  0.0003625 ± 20% MBR
NND at 7–27 days after birth if:
PTD < 33 + 0 weeks 82/4044 0.0202769 ± 20% MBR
PTD at 33 + 0 to 36 + 6 weeks 17/16 702  0.0010184 ± 20% MBR
Delivery ≥ 37 + 0 weeks  57/435 840  0.0001307 ± 20% MBR
Long‐term morbidity (CP) if:
PTD < 33 + 0 weeks 41.36/1000  0.04136   ± 20% 36
PTD at 33 + 0 to 36 + 6 weeks 5.63/1000     0.00563   ± 20% 36
Delivery ≥ 37 + 0 weeks 1.23/1000     0.00123   ± 20% 36
Healthy newborn if:
PTD < 33 + 0 weeks 958.64/1000  0.9586    ± 20% 36
PTD at 33 + 0 to 36 + 6 weeks 994.37/1000       0.99437   ± 20% 36
Delivery ≥ 37 + 0 weeks 998.77/1000        0.99877   ± 20% 36
*

Range means values used in sensitivity analyses and is presented as min/max or as ± 20%.

Mortality rates from Swedish Medical Birth Register (MBR) for the years 2014, 2015, 2016 and 2017.

Personal communication with K. Himmelmann 36 .

CP, cerebral palsy; NND, neonatal death; PTD, preterm delivery; VP, vaginal progesterone.