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Table 2 Base case inputs by population (data value or type; source)

From: Cost-effectiveness of tolvaptan for the treatment of hyponatraemia secondary to syndrome of inappropriate antidiuretic hormone secretion in Sweden

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

  1. Abbreviations: ART The Assessment of epidemiology, patient characteristics and outcomes Related To patients with hyponatraemia/SIADH in Sweden: a population-based register study, HN hyponatraemia, HRQL health-related quality of life, LOS length of stay, NA not applicable, NAT no alternative treatment, SALT study of ascending levels of Tolvaptan in Hyponatremia, SCLC small cell lung cancer, SIADH syndrome of inappropriate antidiuretic hormone secretion
  2. aBased on data from ART (unpublished observations)
  3. bAnalysis of HN registry data
  4. cpost-hoc analysis of SALT1 and SALT-2
  5. dIf resolution did not occur as an inpatient
  6. e15/30 mg daily associated with equal cost