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Table 5 Model parameter

From: Cost-effectiveness and budget impact analysis of lisdexamfetamine versus methylphenidate for patients under 18 with attention-deficit/hyperactivity disorder in Iran

Parameters

Base-case value

Range

Distribution

References

Age of patient

Under 18 years

Fixed

Fixed

 

Cost discount rate per annum

7.2%

3.0–10.0%

Fixed

[59]

Effects discount rate per annum

5.0%

3.0–10.0%

Fixed

[60]

DSA

 Probability of tolerance in MPH

0.936

0.842–1

Fixed

 

 Probability of response in LDX

0.882

0.792–0.968

Fixed

 

 Probability of response in MPH

0.841

0.756–0.924

Fixed

 

 Probability of tolerance in LDX

0.959

0.863–1

Fixed

 

 Utility of response in titration

0.381

0.342–0.418

Fixed

 

 Cost of LDX per 1mg ($)

0.013

0.010–0.015

Fixed

 

 Cost of MPH per 1mg ($)

0.004

0.003–0.005

Fixed

 

 Cost of the physician in LDX ($)

34.43

27.54–41.32

Fixed

 

 Cost of hoteling in MPH ($)

84.36

67.48–101.24

Fixed

 

 Cost of hoteling in LDX ($)

6.89

5.51–8.26

Fixed

 

 Cost of the supplementary medicine in LDX ($)

11.88

9.50–14.25

Fixed

 

 Cost of the supplementary medicine in MPH ($)

41.32

33.05–49.58

Fixed

 

 Cost of transformation in LDX ($)

9.74

7.79–11.68

Fixed

 

 Cost of transformation in MPH ($)

19.63

15.70–23.55

Fixed

 

 The utility of nonresponse is tolerated in LDX

0.68

0.612–0.768

Fixed

 

 Utility of nonresponse in tolerate in MPH

0.59

0.53–0.65

Fixed

 

PSA

 Utilities

 

mean

SD

Distribution

 

  Utility in response to titration in MPH

0.38

0.02

Normal

 

  Utility of response in treatment in LDX

0.85

0.08

Normal

  Utility in non-response in titration

0.68

0.03

Normal

  The utility of nonresponse is tolerated in LDX

0.68

0.03

Normal

  Utility of response in treatment in MPH

0.61

0.06

Normal

  Utility of nonresponse in tolerating MPH

0.59

0.05

Normal

 

Transitional probabilities used in the 1-year decision tree

 Probability in response to MPH group

0.84

0.04

Beta

[39]

 Probability in response LDX group

0.88

0.05

Beta

 Probability of tolerating response in the LDX group

0.96

0.05

Beta

 Probability of tolerating response in the MPH group

0.94

0.05

Beta

 Cost distribution of LDX ($)

728

110

Gamma

 

 Cost distribution of MPH ($)

886

113

Gamma

 LDX daily dose

51.52

2.62

Normal

 

 LDX daily dose in titration

25

1.67

Normal

 MPH daily dose

50.93

2.59

Normal

  1. LDX Lisdexamfetamine, MPH Methylphenidate, mg milligram, DSA Deterministic Sensitivity Analysis, PSA Probabilistic Sensitivity Analysis, $ United States Dollars