This assignment requires analyzing a decision model provided in Excel worksheets. The key tasks are:
Report Word Limit:
Up to 1,000 words, divided into:
References:
Formatting Guidelines:
Population: Patients admitted to the hospital with suspected severe infection.
Intervention: Introducing a test to guide antibiotic use in the clinical pathway.
Comparator: Current clinical practice without the test.
Outcomes:
Structure: Decision tree.
Time Horizon: 12 months.
Perspective: Healthcare payer (costs in Canadian dollars).
Follow-Up Periods:
Potential Patient States:
| Parameter | Value (Mean) | Standard Error | Notes |
|---|---|---|---|
| Mortality | |||
| Baseline (current practice) | 0.15 | 0.02 | At 1-month follow-up. |
| RR (Testing strategy) | 0.9 | 0.03 | |
| Mortality after complications | 0.3 | 0.06 | At 12-month follow-up. |
| Mortality (no complications) | 0.05 | 0.01 | |
| Complications | |||
| Baseline (current practice) | 0.25 | 0.04 | |
| RR (Testing strategy) | 0.75 | 0.12 | |
| Antibiotic Initiation | |||
| Baseline (current practice) | 0.85 | 0.07 | |
| RR (Testing strategy) | 0.65 | 0.09 |
| Parameter | Value (Mean) | Standard Error | Notes |
|---|---|---|---|
| Testing Costs | $250.00 | NA | |
| Antibiotics | $50.00 | NA | |
| Inpatient Stay (Complications) | $17,500.00 | 500 | At 1-month follow-up. |
| Inpatient Stay (Patient Died) | $12,500.00 | 350 | At 1-month follow-up. |
| Inpatient Stay (No Complications) | $4,500.00 | 300 | At 1-month follow-up. |
| Parameter | Value (Mean) | Standard Error | Notes |
|---|---|---|---|
| Alive at 1 Month (QALY) | 0.1 | NA | |
| Alive at 12 Months (QALY) | 0.75 | NA | |
| QALY Decrement for Complications | -0.05 | NA |