Parameter | Base case | Lower limit | Higher limit | Distribution | Parameter 1 | Parameter 2 | Reference |
SVR rates | |||||||
SOF/VEL, NC | 0.984 | 0.960 | 0.996 | Uniform | 0.960 | 0.996 | 18 |
SOF/VEL, C | 0.958 | 0.789 | 0.999 | Uniform | 0.789 | 0.999 | 18 |
EBR/GZR, NC | 0.980 | 0.937 | 1 | Uniform | 0.937 | 1 | 19 |
EBR/GZR, C | 1 | 0.937 | 1 | Uniform | 0.937 | 1 | 19 |
3D, NC | 0.993 | 0.976 | 1 | Uniform | 0.976 | 1 | 20 |
3D, C | 0.942 | 0.892 | 0.991 | Uniform | 0.892 | 0.991 | 21 |
DCV/ASV, NC | 0.889 | 0.85 | 0.94 | Uniform | 0.85 | 0.94 | 22 |
DCV/ASV, C | 0.911 | 0.85 | 0.94 | Uniform | 0.85 | 0.94 | 22 |
SD, NC | 0.98 | 0.95 | 1 | Uniform | 0.95 | 1 | 23 |
SD, C | 0.98 | 0.95 | 1 | Uniform | 0.95 | 1 | 23 |
SR, NC | 0.94 | 0.87 | 0.99 | Uniform | 0.87 | 0.99 | 24 |
SR, C | 0.94 | 0.87 | 0.99 | Uniform | 0.87 | 0.99 | 24 |
Annual transition probabilities | |||||||
Fibrosis progression | |||||||
F0–F1 | 0.117 | 0.104 | 0.130 | Beta | 274.98 | 2075.30 | 25 |
F1–F2 | 0.085 | 0.075 | 0.096 | Beta | 210.06 | 2261.18 | 25 |
F2–F3 | 0.120 | 0.109 | 0.133 | Beta | 288.05 | 2112.38 | 25 |
F3–F4 | 0.116 | 0.104 | 0.129 | Beta | 270.61 | 2062.22 | 25 |
Cirrhosis progression | |||||||
F4-DC | 0.039 | 0.010 | 0.079 | Beta | 3.51 | 86.48 | 26 |
F4-HCC | 0.014 | 0.010 | 0.079 | Beta | 0.18 | 12.38 | 26 |
F4-SVR to DC | 0.003 | 0.002 | 0.004 | Beta | 96 | 31 821 | 27 |
F4-SVR to DC | 0.006 | 0.005 | 0.007 | Beta | 95 | 15 814 | 27 |
Liver disease progression | |||||||
DC-HCC | 0.068 | 0.054 | 0.082 | Beta | 89 | 1226 | 28 |
Receiving liver transplant | |||||||
DC-LT | 0.0003 | 0.0002 | 0.0011 | Beta | 0 | 0.1 | 29 |
HCC-LT | 0.0005 | 0.0 | 0.0024 | Beta | 4.1 | 8788.8 | 29 |
Mortality rates | |||||||
DC-death | 0.129 | 0.1032 | 0.5124 | Beta | 147.03 | 983.97 | 28 |
HCC-death | 0.427 | 0.3416 | 0.5124 | Beta | 117.1 | 155.23 | 28 |
LT-death | 0.116 | 0.060 | 0.420 | Beta | 1.3 | 9.9 | 30 |
PLT-death | 0.044 | 0.060 | 0.420 | Beta | 4.7 | 101.6 | 30 |
Drug costs | Local charge | ||||||
SOF/VEL | 10 087 | 7565 | 12 608 | ||||
EBR/GZR | 8548 | 6411 | 10 685 | ||||
3D | 8546 | 6409 | 10 682 | ||||
DCV/ASV | 8378 | 6283 | 10 472 | ||||
SD | 12 302 | 9226 | 15 377 | ||||
SR | 17 096 | 12 822 | 21 370 | ||||
Annual health state costs | |||||||
F0–F3 | 992 | 671 | 1313 | Gamma | 6002 | 0.165 | 31 |
F4 | 2823 | 1001 | 4646 | Gamma | 8570 | 0.329 | 31 |
DC | 6287 | 3820 | 8755 | Gamma | 31 403 | 0.200 | 31 |
HCC | 13 272 | 9544 | 17 000 | Gamma | 92 610 | 0.143 | 31 |
LT (first year) | 56 719 | 40 983 | 81 956 | Gamma | 308 255 | 0.184 | 32 |
LT (subsequent years) | 9016 | 8196 | 10 077 | Gamma | 170 113 | 0.053 | 32 |
Utilities | |||||||
F0–F3 | 0.790 | 0.632 | 0.948 | Beta | 19.4 | 5.2 | 33 35 |
F4 | 0.748 | 0.598 | 0.898 | Beta | 23.5 | 7.9 | 33 35 |
DC | 0.672 | 0.538 | 0.806 | Beta | 30.8 | 15.0 | 33 35 |
HCC | 0.610 | 0.488 | 0.732 | Beta | 36.8 | 23.6 | 33 35 |
LT (first year) | 0.560 | 0.520 | 0.780 | Beta | 33.0 | 17.8 | 33 35 |
LT (subsequent years) | 0.709 | 0.567 | 0.851 | Beta | 27.2 | 11.2 | 33 35 |
Post SVR | 0.87 | 0.65 | 1 | Uniform | 0.65 | 1 | 34 |
ASV, asunaprevir; C, cirrhotic; 3D, ombitasvir/paritaprevir/ritonavir+dasabuvir; DC, decompensated cirrhosis; DCV, daclatasvir; EBR, elbasvir; F0–F4, METAVIR liver fibrosis scores, F0 (no fibrosis), F1 (portal fibrosis with no septa), F2 (portal fibrosis with few septa), F3 (numerous septa without cirrhosis), and F4 (compensated cirrhosis); GZR, grazoprevir; HCC, hepatocellular carcinoma; LT, liver transplant; NC, non-cirrhotic; PLT, post liver transplant; SD, sofosbuvir+daclatasvir; SOF, sofosbuvir; SR, sofosbuvir+ribavirin; SVR, sustained virologic response; VEL, velpatasvir.