Original name | Type | Param 1 | Param 2 | Base Case | Description |
---|---|---|---|---|---|
General | |||||
Undetected AF in % detected AF | Beta | 37.9 | 962.1 | 0.038 | Assumption (prevention, 1/3 ratio undetected AF to detected AF) |
Sensitivity Preventicus screening b | Beta | 229 | 21 | 0.92 | from DETECT AF [31] |
Specificity Preventicus screening b | Beta | 342.624 | 1.376 | 0.99 | from DETECT AF [31] |
Positively validated screening results (after Holter ECG) b | Beta | 9.9875 | 1.7625 | 0.85 | Adoption acc. to Wachter et.al [44]. |
Prevention | |||||
Marcumar proportion in OAC medication | Triangular | 0.05 / 0.2 / 0.5 | 0.29 | ||
Increased stroke rate with AF without prevention | Normal | 4.2 | 0.235 | 4.20 | mean: Wolf et.al [40]. SD: assumption |
Reduction of stroke rate through prevention b | Normal | 0.686 | 0.05 | 0.70 | |
Strokes and Mortality | |||||
Stroke rate normal population | Normal | 1.00 | 0.14 | 1.00 | SD according to Kolominisky-Rabas [49] |
Frequency of recurrent stroke | Beta | 52.48 | 275.52 | 0.160 | Hardie [48]: Perth registry |
Mortality, year 1 (SMR)a | Normal | 3.7 | 0.3 | 3.7 | Bromum-Hansen [46], year 0–1 |
Mortality, subsequent years (SMR) a | Normal | 1.92 | 0.13 | 1.92 | Bronnum-Hansen [46], years 2–5 |
Mortality, recurrence (SMR factor) | Triangular | 1.0 / 1.5 / 2.0 | 1.5 | Assumption according to Hardie [48] | |
Stroke costs, year 1 | Gamma | 434.0277 | 0.02344 | 18,517 | Kolominsky-Rabas [3] / variation coefficient derived from lifetime, 2006 prices |
Stroke costs, subsequent years | Gamma | 434.0277 | 0.07922 | 5479 | discounted costs, 2006 prices |
Increased mortality, AF subpopulations | Normal | 25& | 5% | 25% | Wolf, Mitchel [52] |
Frequency of bleeding | |||||
Severe bleedings, without OAC: | Normal | 0.023 | 0.00153 | 0.023 | |
Severe bleedings, with OAC | Normal | 0.039 | 0.0026 | 0.039 | Mix of VKA and NOAC |
Less severe bleedings, without OAC | Normal | 0.08256 | 0.00242 | 0.0823 | Assumption: ratio with/without same as with severe bleeding |
Less severe bleedings, with OAC | Normal | 0.14 | 0.0041 | 0.14 | |
Cerebral haemorrhages | |||||
Increase in the incidence of brain haemorrhage through VKA | Normal | 4.00 | 0.22 | 4.00 | Assumption, SD analogous to Wolf [40] |
Reduction in cerebral haemorrhages through NOAC (compared with VKA) | Beta | 24.34211 | 35.02890 | 0.41 | Chatterjee [51], suppl., eFigure 3 |
Mortality cerebral haemorrhages | Beta | 37.422 | 39.578 | 0.486 | Fang [54] |
QALYs | |||||
Age decrement (per year) | Normal | −0.00029 | 0.0000225 | −0.00029 | Sullivan [55] |
with AF | Beta | 33.82 | 7.93 | 0.810 | Gauthier: HTA Canada [56] citng |
with AF: reduction factor with VKA medication b | Uniform | 0.953 | 1.000 | 0.987 | |
with AF: reduction factor with NOAC medication b | Uniform | 0.990 | 0.998 | 0.994 | |
after cerebral haemorrhage, year 1 | Beta | 11.41332 | 17.19149 | 0.399 | Golicki [62] (ICD I61 result) |
after stroke, year 1 | Beta | 378.6275 | 304.81567 | 0.554 | Golicki [62] (ICD I63 result) |
after stroke: reduction in the year of the event | Normal | 0.103 | 0.008 | 0.103 | Gauthier: HTA Canada [56], citing Sullivan et.al [57]. |
after stroke or cerebral haemor- rhage, subsequent years b | Uniform | 0 | 0.5 | 0.12 | Shah & Gage [59] (range) |
Decrement for severe bleeding | Normal | −0,092 | 0.010 | −0,092 | |
Decrement for less severe bleeding | Normal | −0.013 | 0.001 | −0.013 |