Table 1

Input parameters

Model inputBase-case valueRangeDistributionSource
Outcomes at initial 3 months with r-tPA
 mRS 00.2130–1DirichletThomalla et al15
 mRS 10.323
 mRS 20.213
 mRS 30.122
 mRS 40.071
 mRS 50.020
 mRS 60.039
Outcomes at initial 3 months with placebo
 mRS 00.1490–1DirichletThomalla et al15
 mRS 10.269
 mRS 20.229
 mRS 30.169
 mRS 40.133
 mRS 50.040
 mRS 60.012
Probability of ICH with r-tPA0.0200.009–0.046BetaThomalla et al15
Probability of ICH with placebo0.0040.001–0.023BetaThomalla et al15
Probability of recurrent stroke in China0.1180.112–0.124BetaPan et al8
Probability of death after recurrent stroke in China0.2100.189–0.232BetaPan et al8
Probability of recurrent stroke in the USA0.0500.040–0.060BetaHong et al17
Probability of death after recurrent stroke in the USA0.1900.100–0.300BetaFagan et al20
Death HRs
 mRS 011–1.2LognormalSamsa et al23
 mRS 111–1.2
 mRS 21.110.89–1.3
 mRS 31.271.02–1.52
 mRS 41.711.37–2.05
 mRS 52.371.90–2.84
Cost in the US ($)
 MRI816± 25%Gamma26
 Additional cost of r-tPA treatment86194309–12928GammaLeppert et al9
 Acute stroke (mRS 0–3)92684633–13901GammaEarnshaw et al27
 Acute stroke (mRS 4–5)14 1157057–21171GammaEarnshaw et al27
 Acute stroke (death)16 4578228–24685GammaEarnshaw et al27
 ICH33992719–4079GammaEarnshaw et al27
 Annual posthospitalisation (mRS 0–3)81574078–12 235GammaEarnshaw et al27
 Annual posthospitalisation (mRS 4–5)22 13911 070–33209GammaEarnshaw et al27
 Recurrent stroke25 14312572–37 715GammaLeppert et al9
Cost in China (¥)
 MRI600±25%GammaChen et al25
 Additional cost of r-tPA treatment13 88610 751–16 194GammaPan et al8
 Acute stroke (mRS 0–1)12 2147055–15 379GammaPan et al8
 Acute stroke (mRS 2–5)16 1498875–21 177GammaPan et al8
 Acute stroke (death)13 8406503–18 293GammaPan et al8
 ICH2949641–6155GammaPan et al8
 Annual posthospitalisation (mRS 0–1)86842600–11 077GammaPan et al8
 Annual posthospitalisation (mRS 2–5)13 2133323–16616GammaPan et al8
 Recurrent stroke18 000± 25%GammaInstitutional database
Utility
 mRS 00.800.64–1BetaSamsa et al23
 mRS 10.800.64–1
 mRS 20.650.52–0.78
 mRS 30.500.4–0.6
 mRS 40.350.28–0.42
 mRS 50.200.16–0.24
 Death0.00NANANA
 Disutility of ICH0.380.30–0.46NormalChristensen et al30
 Discount rate0.030–0.08BetaSanders et al31
  • NA: not available; mRS: modified Rankin Scale; ICH, intracranial haemorrhage; r-tPA, recombinant tissue-type plasminogen activator.