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Table 4 Data Inputs and distribution in Markov model

From: Cost-utility analysis of antihypertensive medications in Nigeria: a decision analysis

Variable

Mean/Mode

Distribution

Source

Probabilities

   

Probabilities of non-symptomatic to stroke or CHD

See Table 2

Gamma

6

Probability from stroke to Death

0.27

Beta (α 0.27, β 0.73)

29

Probability from CHD to Death

0.51

Beta (α 0.49, β 0.51)

29

Relative Risk

   

Relative Risk of Thiazide to Stroke

0.63

Normal (α 0.63, se 0.056)

4

Relative Risk of Thiazide to CHD

0.84

Normal (α 0.84, se 0.060)

4

Relative Risk of Thiazide to Death

0.89

Normal (α 0.89, se 0.037)

4

Relative Risk of Propranolol to Stroke

0.83

Normal (α 0.83, se 0.076)

4

Relative Risk of Propranolol to CHD

0.90

Normal (α 0.90, se 0.071)

4

Relative Risk of Propranolol to Death

0.96

Normal (α 0.96, se 0.056)

4

Relative Risk of Lisinopril to Stroke

0.65

Normal (α 0.65, se 0.116)

4

Relative Risk of Lisinopril to CHD

0.81

Normal (α 0.81, se 0.075)

4

Relative Risk of Lisinopril to Death

0.83

Normal (α 0.83, se 0.071)

4

Relative Risk of Nifedipine to Stroke

0.58

Normal (α 0.58, se 0.183)

4

Relative Risk of Nifedipine to CHD

0.77

Normal (α 0.77, se 0.174)

4

Relative Risk of Nifedipine to Death

0.86

Normal (α 0.86, se 0.120)

4

Resources (Annual cost/patient in US Dollars)

   

Thiazide

89.69

Triangular (min 71.75, max 107.63)

11

Propranolol

103.36

Triangular (min 82.69, max 124.03)

11

Lisinopril

404.08

Triangular (min 323.26, max 484.89)

11

Nifedipine

294.72

Triangular (min 235.78, max 353.67)

11

Hospitalization cost for Stroke

873.62

Triangular (min 698.89, max 1048.34)

11,12,UNTH

Hospitalization cost for CHD

311.73

Triangular (min 249.39, max 374.08)

11, UNTH

Management of Stroke and CHD Patients

417.74

Triangular (min 334.20, max 501.29)

11

Health Utilities

   

Hypertensive patients

0.57

Beta (α 206.1, β 155.1)

Unpublished

Stroke Patients

0.04

Beta (α 1.0, β 23.3)

Unpublished

CHD

0.13

Beta (α 4.9, β 32.9)

Unpublished

Discount Rate

   

Cost and Utility

3%

Triangular (min 0%, max 5%)

30