Parameter | Base case value (£)* | Range of variation in sensitivity analysis | Basis of variation; distribution type in PSA |
Drug costs20 | |||
Abciximab (ReoPro) 10 mg phial | 250 | –† | NA |
Eptifibatide (Integrilin) 20 mg; 75 mg phial | 14; 43 | –† | |
Tirofiban (Aggrastat) 12.5 mg phial | 161 | –† | |
Bivalirudin (Angiomax) 250 mg phial | 310 | –† | |
Event and procedure costs | |||
Angiography procedure cost‡ 21 | 283 | 269–501 | IQR; triangular |
PCI cost22 | 3152 | 2278–3865 | |
PCI procedure cost‡ 22 23 | 1733 | 1253–2126 | |
CABG cost22 | 8372 | 6690–9707 | |
CABG procedure cost‡ 22 24 | 3115 | 2489–3611 | |
Q-wave MI22 | 1746 | 1291–2011 | |
Non-Q-wave MI22 25 | 541 | 400–623 | |
Ischaemic stroke cost26 | 10611 | 5306–15 917 | ±50%; uniform |
Ischaemic stroke non-ward cost‡ 22 26 | 8873 | 4436–13 309 | |
Major bleed cost22 27 | 2364 | 1182–3545 | |
Major bleed non-ward cost‡ 22 27 | 1300 | 650–1950 | |
Minor bleed cost22 27 | 144 | 72–216 | |
Minor bleed non-ward cost‡ 22 27 | 79 | 40–119 | |
Ward costs | |||
Normal ward day28 | 274 | –§ | NA |
CCU/ICU day22 | 814¶ | –§ | |
Long-term annual cardiovascular treatment cost of 1-year or 3-year survivors** 29 | 900 | 450–1350 | ±50%; uniform |
↵* Unit costs at 2009–2010 prices. Inflated from older values where required.30
↵† Unit costs of anticoagulant phials were not varied as they were not subject to parameter uncertainty.
↵‡ Excluding ward costs.
↵§ Not varied in sensitivity analysis as variation of length of stay in the comparator strategy was assumed to also cover uncertainty in these unit cost estimates.
↵¶ Simple average of NHS reference costs for intensive care unit and coronary care unit. See online supplement.
↵** Also used to represent annual cardiovascular outpatient treatment and drug costs in year 1 (years 1–3, in the alternative model).
HRG, Healthcare Resource Group; ICU/CCU, intensive care unit/coronary care unit; NA, not applicable; NHS, National Health Service; PSA, probabilistic sensitivity analysis.