Model element | General SIADH | SCLC | Pneumonia |
---|---|---|---|
Clinical parameters | |||
Mean age (years) | 70; ART (with SIADH)a | 64; ART (SCLC with SIADH)a | 69; ART (pneumonia with SIADH)a |
% Male | 33 %; ART (with SIADH)a | 31 %; ART (SCLC with SIADH)a | 43 %; ART (pneumonia with SIADH)a |
Baseline [Na+] | 125; HN Registryb | 123; HN Registry [38] | 125; HN Registryb |
Baseline probability [Na+] correction (≥135 mmol/L) | Binary logistic regression; HN Registry (SIADH)b | Binary logistic regression; HN Registry (SIADH)b | Binary logistic regression; HN Registry (SIADH)b |
Odds ratio normalisation tolvaptan vs. NAT | 11.50; SALT I & II [4] | 11.50; SALT I & II [4] | 11.50; SALT I & II [4] |
Duration of tolvaptan treatment | Mean 3 days; Lognormal survival distribution; HN Registry (SIADH)b | Mean 4 days; Petereit et al. [28] | Mean 3 days; clinical opinion |
Early tolvaptan treatment discontinuation rule | 2 days | 2 days | 2 days |
Mean hospital LOS NAT | 8.00; SALT I & II (SIADH with [Na+] <130 mmol/L) [4] | 8.00; SALT I & II (SIADH with [Na+] <130 mmol/L) [4] | 8.00; SALT I & II (SIADH with [Na+] <130 mmol/L) [4] |
Percentage reduction hospital LOS with tolvaptan | 20.0 %; SALT I & II (SIADH with [Na+] <130 mmol/L)c | 20.0 %; SALT I & II (SIADH with [Na+] <130 mmol/L)c | 20.0 %; SALT I & II (SIADH with [Na+] <130 mmol/L)c |
Probability inpatient mortality | 2.2 %; ART (with SIADH)a | 4.4 %; ART (SCLC with SIADH)a | 6.2 %; ART (pneumonia with SIADH)a |
Long-term survival | Based on age; Swedish life-tables [24] | Based on disease; Gompertz distribution from ART (SCLC with SIADH) | Based on age; Swedish life-tables [24] |
Time to readmission | Weibull distribution; ART (with SIADH)a | Weibull distribution; ART (SCLC with SIADH)a | Weibull distribution; ART (pneumonia with SIADH)a |
Probability of SIADH (and HN) resolution at end of inpatient admission | 100 %; assumption | 88 %; List et al. [39] | 100 %; assumption |
Time to resolutiond | NA in base case | NA in base case | NA in base case |
Costs | |||
Tolvaptan dosing/cost assumption | 15/30 mg once dailye | 15/30 mg once dailye | 15/30 mg once dailye |
Care setting for admission | Internal medicine clinic | Oncology clinic | Pulmonary care clinic |
Discharge location | Home | Home | Home |
Palliative care costs | None | Applied for a maximum of 84 days (3 months) | None |
Chemotherapy costs | None | Applied once per inpatient stay | None |
Percentage patients in work between readmissions | 17 %; [40] | 0 %; Assumption | 17 %; [40] |
HRQL | |||
Baseline utility | 0.58; SALT I & II [41] | 0.61; Loveman et al. [20] with HN reduction from SALT I & II [41] | 0.73; Schuetz et al. [21] with HN reduction from SALT I & II [41] |
Treatment-specific change in EQ-5D at Day 4 | Absolute change in simulated EQ-5D at Day 30 from SALT I & II [41] | Absolute change in simulated EQ-5D at Day 30 from SALT I & II [41] | Absolute change in simulated EQ-5D at Day 30 from SALT I & II [41] |
Model structure | |||
Time horizon | 30 days | 180 days | 30 days |