Table 5 Description of one-way sensitivity analysis

From: Cost-effectiveness of sentinel lymph node biopsy vs inguinofemoral lymphadenectomy in women with vulval cancer

Parameter

Baseline value

Sensitivity analysis

Notes

Age of the cohort

65

40–80

Impacts on overall mortality rates

Increased mortality due to patient morbidity

None

20% Increase in overall mortality rate for those that experience morbidity

 

Cost of 99mTc+blue dye

£4219

£3836–£5754

(See appendices for justification of sensitivity values)

Groin recurrence rate following negative SLN biopsy

6/259 (2.3%) (van der Zee et al, 2008)

2/31 (6.5%) (Moore et al, 2008) and a more extreme hypothetical value of 30%

Van der Zee et al (2008) used at baseline, because it was a much larger study. Moore study also lacked detail about uni-/bi-focal disease

Frequency of monitoring

Every 3 months for IFL, and every 2 months for SLN pathways (2–7)

Every 3 months for all pathways

 

False-positive rate for SLN biopsy pathways

0%

1.2%

1.2% is 95% confidence interval value calculated from a systematic review (Meads et al, 2013). Note there was no evidence of any values below 100% being seen in the literature

  1. Abbreviations: IFL=inguinofemoral lymphadenectomy; SLN=sentinel lymph node.