Table 3 QALY parameter estimates
State | Gen. services | No gen. services |
|---|---|---|
If equal adverse psychological effects (base case) | ||
Cancer free | 0.77 | 0.77 |
Prophylactic mastectomy | 0.76 (Grann et al, 1999b) | — |
Prophylactic oophorectomy | 0.82 (Grann et al, 1999b) | — |
Mastectomy and oophorectomy | 0.73 (Grann et al, 1999b) | — |
Breast cancer | 0.83 (Grann et al, 1999b) | 0.83 (Grann et al, 1999b) |
Metastatic cancer | 0.59 (Grann et al, 1999b) | 0.59 (Grann et al, 1999b) |
Death | 0.0 (Grann et al, 1999b) | 0.0 (Grann et al, 1999b) |
If gen. services creates adverse psychological effects | ||
Cancer free | 0.77 | 0.86 (Serova et al, 1997) |
Prophylactic mastectomy | 0.76 (Grann et al, 1999b) | — |
Prophylactic oophorectomy | 0.82 (Grann et al, 1999b) | — |
Mastectomy and oophorectomy | 0.73 (Grann et al, 1999b) | — |
Breast cancer | 0.83 (Grann et al, 1999b) | 0.83 (Grann et al, 1999b) |
Metastatic cancer | 0.59 (Grann et al, 1999b) | 0.59 (Grann et al, 1999b) |
Death | 0.0 (Grann et al, 1999b) | 0.0 (Grann et al, 1999b) |
If gen. services reduce adverse psychological effects | ||
Cancer free | 0.77 | 0.68a |
Prophylactic mastectomy | 0.76 (Grann et al, 1999b) | — |
Prophylactic oophorectomy | 0.82 (Grann et al, 1999b) | — |
Mastectomy and oophorectomy | 0.73 (Grann et al, 1999b) | — |
Breast cancer | 0.83 (Grann et al, 1999b) | 0.83 (Grann et al, 1999b) |
Metastatic cancer | 0.59 (Grann et al, 1999b) | 0.59 (Grann et al, 1999b) |
Death | 0.0 (Grann et al, 1999b) | 0.0 (Grann et al, 1999b) |
