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Table 1 General inputs used in the model

From: Cost-effectiveness in unstable economies: the case of sacubitril/valsartan in heart failure with reduced ejection fraction in Argentina

Input

value

comment

source

Patient characteristics

 

patients from Latin-American Countries randomised in the PARADIGM-HF

3

  Mean age (years)

63

 

3

  Female %

27.30%

 

3

  NYHA I %

7.5%

 

3

  NYHA II %

81.6%

 

3

  NYHA III %

10.9%

 

3

  NYHA IV %

0.0%

 

3

  LVEF %

28.3

 

3

  Ischaemic aetiology %

43.1%

 

3

  Previously hospitalised for HF %

53.9%

 

3

  Mean SBP (mmHg)

118.6

 

3

  Mean heart rate (bpm)

70.6

 

3

  Mean eGFR (mL/min/1.73m2)

68.7

 

3

  Prior ACEi use

67.1%

 

3

  Prior ARB use

33.3%

 

3

  Beta blocker use

92.3%

 

3

  Mineralocorticoid receptor antagonist use

64.5%

 

3

Health states probabilities

 Hospitalization for HF

2.69%

modelled monthly probability

3

 Cardiovascular Mortality

0.58%

modelled monthly probability

3

Utilities

 reduction for each year with HF

-0.008

 

3, 19

 basal utility in HF

0.807

 

3, 19

Discount rate

 Outcomes

5%

discount rate usually applied in HE studies in Argentina

 

 Costs

31.64%

according to the BADLAR rate, a return of investment rate considering the opportunity cost of capital

10

 Cost-Effectiveness Threshold

 ≤ 1 GDP per capita

as suggested by the National Commission for Health Technology Assessment

27

Time Horizon

30 -years

 

19