Table 1

Base-case values and plausible ranges of input parameters

Model inputBase-case valueRangeDistributionSource
Outcomes at first 3 months for patients with alteplase
 mRS 00.1240–1 4
 mRS 10.230
 mRS 20.141
 mRS 30.133
 mRS 40.133
 mRS 50.124
 mRS 60.115
Outcomes at first 3 months for patients with placebo
 mRS 00.1070–1Dirichlet 4
 mRS 10.188
 mRS 20.134
 mRS 30.143
 mRS 40.214
 mRS 50.125
 mRS 60.089
 Probability of ICH with alteplase0.0620.030–0.122Beta, SD 0.023 4
 Probability of ICH with placebo0.0090.002–0.049Beta, SD 0.012 4
 Annual probability of recurrent stroke in China0.1180.112–0.124Beta, SD 0.003 5
 Death after recurrent stroke in China0.2100.189–0.232Beta, SD 0.011 5
 Annual probability of recurrent stroke in the US0.0500.040–0.060Beta, SD 0.005 6
 Death after recurrent stroke in the US0.1900.100–0.300Beta, SD 0.05 7
Death hazard ratios
 mRS 011–1.2Lognormal,
SD 0.050
14
 mRS 111–1.2Lognormal,
SD 0.050
 mRS 21.110.89–1.3Lognormal,
SD 0.103
 mRS 31.271.02–1.52Lognormal,
SD 0.125
 mRS 41.711.37–2.05Lognormal,
SD 0.170
 mRS 52.371.90–2.84Lognormal,
SD 0.235
Cost in China (¥)
 MRI600±25%Gamma, SD 75 16
 Imaging processing with RAPID software1000±25%Gamma, SD 125Institutional database
 Additional cost of r-tPA treatment13 88610 751–16 194Gamma, SD 1361 5
 Acute stroke (mRS 0–1)12 2147055–15 379Gamma, SD 2081 5
 Acute stroke (mRS 2–5)16 1498875–21 177Gamma, SD 3076 5
 Acute stroke (death)13 8406503–18 293Gamma, SD 2948 5
 ICH2949641–6155Gamma, SD 1379 5
 Annual posthospitalization (mRS 0–1)86842600–11 077Gamma, SD 2119 5
 Annual posthospitalization (mRS 2–5)13 2133323–16 616Gamma, SD 3323 5
 Recurrent stroke18 000±25%Gamma, SD 2250Institutional database
Cost in the US (US$)
 MRI816±25%Gamma, SD 102 17
 Imaging processing with RAPID software12 000±25%Gamma, SD 1500 19
 Additional cost of alteplase treatment86194309–12 928Gamma, SD 2155 8
 Acute stroke (mRS 0–3)92684633–13 901Gamma, SD 2317 18
 Acute stroke (mRS 4–5)14 1157057–21 171Gamma, SD 3529 18
 Acute stroke (death)16 4578228–24 685Gamma, SD 4114 18
 ICH33992719–4079Gamma, SD 340 18
 Annual posthospitalization (mRS 0–3)81574078–12 235Gamma, SD 2039 18
 Annual posthospitalization (mRS 4–5)22 13911 070–33 209Gamma, SD 5535 18
 Recurrent stroke25 14312 572–37 715Gamma, SD 6286 8
Utility
 mRS 00.800.64–1Beta, SD 0.090 14
 mRS 10.800.64–1Beta, SD 0.090
 mRS 20.650.52–0.78Beta, SD 0.065
 mRS 30.500.4–0.6Beta, SD 0.050
 mRS 40.350.28–0.42Beta, SD 0.035
 mRS 50.200.16–0.24Beta, SD 0.020
 Death0.00NANANA
 Disutility of ICH0.380.30–0.46Normal, SD 0.040 22
 Discount rate0.030–0.08Beta, SD 0.020 23
  • ICH, intracranial hemorrhage; MRI, magnetic resonance imaging; mRS, modified Rankin Scale; NA, not available; r-tPA, recombinant tissue-type plasminogen activator; SD, standard deviation; US, United States.