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Table 1 Results of the sensitivity analysis for 9 parameters with a high degree of fluctuation and the discount factor, timeframe remaining lifetime, starting age 75 years old

From: A cost-effectiveness analysis model of Preventicus atrial fibrillation screening from the point of view of statutory health insurance in Germany

Parameter

Variable

 

Minimum

value

Delta

costs *

Maximum

value

Delta

costs a

Base case, model timefram lifetime, starting age 75 years

Discounted by 3%

M

F

 

147.67 €

113.93 €

  

pAF

Undetected AF in % of detected AF

population (base case: 33%)

M

F

10%

8.94 €

−1.18 €

70%

365.67 €

294.82 €

cStroke_

Factor

Scaling factor stroke costs

100% = base case

M

F

50%

63.18 €

43.66 €

150%

232.15 €

184.20 €

RSA_Factor

Scaling factor RSA compensation payments; base case: factor 1.0

M

F

0.0

7.77 €

1,99 €

1.25

182.64 €

141.91 €

orStroke_AF_

reduction

Effectiveness of stroke prevention

0% - no effect; base case: 70%

M

F

40%

74.20 €

52.11 €

90%

204.81 €

161.76 €

AgeStart

Starting age of the population

Base case: 75 years old

M

F

65 years old

52.42 €

8.22 €

85 years old

156.65 €

126.67 €

orStroke_AF_

NOATT

Increased stroke rate with AF without prevention; Base case: factor 4.2

M

F

2.0

89.75 €

64.33 €

5.0

163.29 €

127.32 €

cTest_Factor

Scaling factor screening costs

100% = base case (€47.54 / €297.50)

M

F

50%

155.34 €

119.88 €

500%

86.27 €

66.28 €

orMortAF_base

Increased background mortality, AF subpop.

25% increase = base case

MF

0%

171.69 €

131.13 €

75%

113.86 €

89.36 €

Discount rate

Discount factor

3% = base case

M

F

1%

164.53 €

127.87 €

5%

132.34 €

101.26 €

  1. a Delta costs: cost advantage for screening strategy (if positive), cost disadvantage for screening strategy (if negative)