From: Sarcopenia screening strategies in older people: a cost effectiveness analysis in Iran
Statistic variable | Base case | SD/(CI) | Distribution | Source |
---|---|---|---|---|
Sarcopenia prevalence in Iran | 0.245 | ±0.08 | Beta | [24] |
Annual discount rate | 0.05 | (0.03–0.12) | Beta |  |
Time Horizon (years) | 25 | Â | Â | Â |
Sensitivity of screening tests | ||||
 EWGSOP | 1 | – | Beta | |
 SarSA-Mod | 0.806 | (0.767–0.842) | Beta | |
 MSRA | 0.804 | ±0.08 | Beta | [31] |
 SARC-F | 0.168 | (0.135–0.206) | Beta | |
Specificity of screening tests | ||||
 EWGSOP | 0.84 | (0.816–0.862) | Beta | |
 SarSA-Mod | 0.788 | (0.75–0.803) | Beta | |
 MSRA | 0.604 | (0.543–0.664) | Beta | [31] |
 SARC-F | 0.866 | (0.843–0.886) | Beta | |
Probability of transition | ||||
 Probability of death in non-sarcopenic individuals (Normal Pop 60 yrs) | 0.09 |  | Beta | IRI Life Table |
 Probability of death in sarcopenic individuals | 0.132 | ±0.013 | Beta | |
 Probability of death in sarcopenic individuals with cardiovascular disease | 0.198 | ±0.03 | Beta | |
 Probability of death for sarcopenic individuals with fracture | 0.171 | ±0.02 | Beta | |
 Probability of falling in sarcopenic individuals | 0.273 | ±0.03 | Beta | |
 Probability of fracture in sarcopenic individuals | 0.40 | ±0.05 | Beta | [37] |
 Probability of cardiovascular disease (CVDs) in sarcopenic individuals | 0.27 | ±0.03 | Beta | [12] And Experts opinion |
Costs($) | ||||
 Annual average cost of treatment interventions (vitamin D, Supplements, exercise, diet) | 1119.048 | ±119.047 | Gamma | Survey and Calibration |
 Cost of usual gait speed test | 0.714 |  | Gamma | Survey and Calibration |
 Cost of handgrip strength test | 1.309 |  | Gamma | Survey and Calibration |
 Cost of DXA | 42.857 |  | Gamma | Survey and Calibration |
 Cost of MSRA | 0.714 |  | Gamma | Survey and Calibration |
 Cost of SARC-F | 0.714 |  | Gamma | Survey and Calibration |
 Cost of SARC-F (high-risk individuals) | 44.880 |  | Gamma | Survey and Calibration |
 Cost of SarSA-mod | 1.785 |  | Gamma | Survey and Calibration |
 EWGSOP (stage 1) | 2.023 |  | Gamma | Survey and Calibration |
 EWGSOP (stage 2) | 42.857 |  | Gamma | Survey and Calibration |
 Cost of treatment and care of fractures | 3599.048 | ±695.074 | Gamma | Survey and Calibration |
 The initial average per capita cost of treatment and care of cardiovascular patients | 4149.286 |  | Gamma | Survey and Calibration |
 The incremental average per capita cost of treatment and care of cardiovascular patients | 1904.762 | ±190.476 | Gamma | Survey and Calibration |
Utilities | ||||
 Non-sarcopenic individuals (Normal Pop > 60 yrs) | 0.76 |  | Beta | |
 Sarcopenic individuals | 0.68 |  | Beta | [44] |
 Sarcopenic individuals with fracture | 0.51 |  | Beta | |
 Sarcopenic individuals with cardiovascular disease | 0.56 |  | Beta | |
 Sarcopenic individuals with cardiovascular disease and fracture | 0.42 |  | Beta | |
Efficacy of interventions | ||||
 Efficacy of sarcopenia interventions (vitamin D, Supplements, exercise, diet) | 40% | ±15% | Beta |