Skip to main content

Table 1 Parameters of the Oncotyrol PCOP Model with annual time cycles

From: Benefits and harms of prostate cancer screening – predictions of the ONCOTYROL prostate cancer outcome and policy model

Parameters

Base-case values

Source

Natural history

 Prob. to exit the no cancer state (p / scale / shape)a

0.838 / 80.427/ 8.448

calibrated [41]

 Prob. to exit local G < 7 cancer state (p / scale / shape)a

0.449 / 2.041 / 8.431

calibrated [41]

 Prob. to exit local G = 7 cancer state (p / scale / shape)a

0.811 / 1.292 / 4.349

calibrated [41]

 Prob. to exit local G > 7 cancer state (p / scale / shape)a

0.987 / 2.940 / 7.069

calibrated [41]

 Prob. to exit regional G < 7 cancer state (p / scale / shape)a

0.450 / 6.050 / 4.129

calibrated [41]

 Prob. to exit regional G = 7 cancer state (p / scale / shape)a

0.560 / 4.113 / 5.546

calibrated [41]

 Prob. to exit regional G > 7 cancer state (p / scale / shape)a

0.823 / 2.024 / 2.791

calibrated [41]

 Prob. to exit distant G < 7 cancer state (p / scale / shape)a

0.999 / 0.254 / 5.373

calibrated [41]

 Prob. to exit distant G = 7 cancer state (p / scale / shape)a

0.945 / 0.806 / 4.564

calibrated [41]

 Prob. to exit distant G > 7 cancer state (p / scale / shape)a

0.999 / 1.135 / 5.521

calibrated [41]

 Familial risk factor on PCa onset and progression functionsa

1.423

calibrated [41]

 Prob. of local G < 7 cancer progress to regional

0.158

calibrated [41]

 Prob. of local G = 7 cancer progress to regional

0.388

calibrated [41]

 Prob. of regional G < 7 cancer progress to distant

0.005

calibrated [41]

 Prob. of regional G = 7 cancer progress to distant

0.144

calibrated [41]

 Prob. to die from PCa conditional on survival

SEER data

[53]

 Age-specific prob. to die from other causes

Austrian life Table 2010/12

[54]

Cancer detection (clinically or by screening)

 Prob. of local G < 7 cancer to be clinically detected

0.006

calibrated [41]

 Prob. of local G = 7 cancer to be clinically detected

0.110

calibrated [41]

 Prob. of local G > 7 cancer to be clinically detected

0.604

calibrated [41]

 Prob. of regional G < 7 cancer to be clinically detected

0.067

calibrated [41]

 Prob. of regional G = 7 cancer to be clinically detected

0.108

calibrated [41]

 Prob. of regional G > 7 cancer to be clinically detected

0.407

calibrated [41]

 Prob. of distant G < 7 cancer to be clinically detected

0.233

calibrated [41]

 Prob. of distant G = 7 cancer to be clinically detected

0.897

calibrated [41]

 Prob. of distant G > 7 cancer to be clinically detected

1.000

Assumption

 Prob. to participate in screening

1

Assumption

 Prob. to detect local cancer by screening (Age < 70)

0.550

calibrated [41]

 Prob. to detect local cancer by screening (Age 70+)

0.370

calibrated [41]

 Prob. to detect regional/distant PCa by screening (Age < 70)

0.677

calibrated [41]

 Prob. to detect regional/distant PCa by screening (Age 70+)

0.456

calibrated [41]

 Spec. of PSA (to account for disutility by unnecessary biopsies)

0.85

[55]

 Sens. of biopsy (to account for disutility by false neg. Biopsies)

0.90

[56, 57]

 Spec. of biopsy

1

Assumption

Treatment (benefitial and harmful events)

 Probability of cure given local/regional cancer (G < 7)

0.51

[50]

 Probability of cure given local/regional cancer (G = 7)

0.30

[50]

 Probability of cure given local/regional cancer (G > 7)

0.11

[50]

 Probability of cure given distant cancer (All G)

0

[58]

 Risk to die from prostatectomy (30 Day mortality)

0.0015

[55]

 Risk of erectile dysfunction attributable to prostatectomy

0.28

[13]

 Risk of erectile dysfunction attributable to radiotherapy

0.15

[13]

 Risk of urinary incontinence attributable to prostatectomy

0.22

[13]

 Risk of urinary incontinence attributable to radiotherapy

0.031

[13]

 Risk of bowel dysfunction attributable to prostatectomy

0

[13]

 Risk of bowel dysfunction attributable to radiotherapy

0.028

[13]

 Duration of treatment related dysfunctions

5 years

[59]

Utilities

 Utility without clinical distant PCa and treatment complicationb

age-specific (1–0.78)

[60]

 Utility of clinical distant cancer

0.6

[37]

 Utility of erectile dysfunction by RP (PCI score 0–25)

0.89

[37, 59, 61]

 Utility of erectile dysfunction by RT (PCI score > 25–50)

0.95

[37, 59, 61]

 Utility of urinary incontinence by RP (PCI score > 50–75)

0.90

[37, 59, 61]

 Utility of urinary incontinence by RT (PCI score > 75–100)

0.93

[37, 59, 61]

 Utility of bowel dysfunction by RP (PCI score > 75–100)

0.93

[37, 59, 61]

 Utility of bowel dysfunction by RT (PCI score > 75–100)

0.93

[37, 59, 61]

 One-time relative utility for biopsy

0.994

calc. from [37]

 One-time relative utility for RP

0.753

calc. from [37]

 One-time relative utility for RT

0.772

calc. from [37]

 One-time relative utility for terminal PCa

0.7

calc. from [37]

  1. aParameters for Eq. (1), b Age-specific utilities reported for the general male population