Parameters | Baseline estimate | Standard error | Probability distribution* | Data source |
---|---|---|---|---|
Outpatient UATU | ||||
RR of a failed outpatient UATU hysteroscopy | 0.412 | 0.09 | Lognormal | Clark et al.31 and chart review |
Outpatient hysteroscopy costs, $† | 152 | 14 | γ (126.8, 1.2) | OCCI |
Physician costs for diagnostic hysteroscopy procedure, $† | 105 | Fixed | Schedule of Benefits | |
Costs of surgical procedure in UATU‡ | $600 | $150 | γ (16.0, 37.5) | Expert opinion |
Further uterine assessment | ||||
Probability | 0.605 | β (121.0, 79.0) | Chart review | |
Cost of further uterine assessment, $† | 690 | Weighted average | Chart review, OCCI, Schedule of Benefits | |
Diagnosis obtained§ | 78 | 6 | γ (161.0, 0.48) | Chart review |
Reordered uterine assessment | ||||
Probability of receiving reordered uterine assessment | 0.19 | β (23.0, 98.0) | Chart review | |
Cost, $† | 599 | Weighted average | Chart review, OCCI, Schedule of Benefits | |
Time to diagnosis§ | 147 | 19 | γ (59.0, 2.0) | Chart review |
Surgical treatment | ||||
Probability (p1)* | .522 | β (12.0, 11.0) | Chart review | |
Probability (p2)* | 0.408 | β (40.0, 58.0) | Chart review | |
Probability (p3)* | 0.443 | β (35.0, 44.0) | Chart review | |
Hospital costs, $† | 3514 | Weighted average | Chart review, OCCI | |
Surgeon, assistant and anesthesiologist costs, $† | 1038 | Weighted average | Chart review, Schedule of Benefits | |
Time to treatment (t1)§ | 151 | 30 | γ (25.0, 6.0) | Chart review |
Time to treatment (t2)§ | 90 | 15 | γ (38.0, 2.0) | Chart review |
Time to treatment (t3)§ | 152 | 17 | γ (77.0, 2.0) | Chart review |
Note: OCCI = Ontario Case Costing Initiative, RR = relative risk, UATU = uterine assessment and treatment unit.
↵* Probability distributions are presented as γ (shape, scale), β (α, β), and lognormal (lower limit, upper limit); p1–3 represents the respective probabilities in Figure 1.
↵† Costs were adjusted to 2018 Canadian dollars.
↵‡ The estimated mean cost of surgical disposables in the UATU. We set the uncertainty around the value at an assumed standard error of 25% of the mean and a γ distribution.
↵§ Time is presented in days; t1–3 represents the respective time in Figure 1.