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Table 1 Efficacy input parameters

From: Palivizumab in the prevention of severe respiratory syncytial virus infection in children with congenital heart disease; a novel cost-utility modeling study reflecting evidence-based clinical pathways in Spain

Parameter

Palivizumab (SE)

No prophylaxis (SE)

Distribution in PSA

Source

First year (decision tree)

 MA-RSV risk, %

1.9 (0.4)

8.1 (1.6)

Beta

MAKI trial (2013, Feltes et al. (2003)

 RSV-H risk, %

5.3 (0.9)

9.7 (1.9)

Beta

Feltes et al. (2003)

 RSV-H: Immediate surgery, %

11.1 (4.0)

11.1 (4.0)

Beta

Altman et al. (2000)

 RSV-H: No immediate surgery, %

88.9 (17.8)

88.9 (17.8)

Beta

Altman et al. (2000)

 No surgery, %

39.3 (7.9)

39.3 (7.9)

Beta

Altman et al. (2000)

 Delayed surgery, %

60.7 (6.5)

60.7 (6.5)

Beta

Altman et al. (2000)

 Inpatient vs discharged before delayed surgery, %

33 vs 67 (8.1)

33 vs 67 (8.1)

Beta

Expert opinion*

 Case fatality, %

5.2 (0.9)

5.2 (0.9)

Beta

Szabo et al. (2013)

 CHD-specific background mortality (first 20 years)

age-specific mortality

age-specific mortality

Fixed

Tennant et al. (2010)

 CHD-specific background mortality (beyond 20 years)

age-specific mortality

age-specific mortality

Fixed

Diller et al. (2015), National mortality statistics (Spain, 2012)

Proportions of respiratory sequelae (used for transition probability calculations, see Table 2)

MA-RSV:

 Asthma, %

10.3 (1.1)

10.3 (1.1)

Beta

Stein et al. (1999)

 Allergic sensitization, %

37.4 (3.9)

37.4 (3.9)

Beta

Sigurs et al. (2010)

RSV-H:

 Asthma, %

32.6 (6.9)

32.6 (6.9)

Beta

Stein et al. (1999)

 Allergic sensitization, %

43.5 (7.3)

43.5 (7.3)

Beta

Sigurs et al. (2010)

Other parameter

 Nosocomial infection, %

6.1 (0.6)

6.1 (0.6)

Beta

Ehlken et al. (2005)

  1. *The SE was assumed to be 20% of the estimated mean
  2. Abbreviations: SE, standard error; PSA, probabilistic sensitivity analysis; RSV, respiratory syncytial virus; MA-RSV, medically attended RSV infection; RSV-H, RSV infection resulting in hospitalization