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Table 2 Key parameters and their distributions

From: Implementation of an audit and feedback module targeting low-value clinical practices in a provincial trauma quality assurance program: a cost-effectiveness study

Parameters

Base case value

SD

Distributiona

Source of information

Mean cost of LVPs (2020 CAN dollars)

 Head CT in low-risk patients

89

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AS471 (https://www.donneesquebec.ca/recherche/dataset/as-471-rapports-financiers-annuels-des-etablissements), RAMQ (https://www.ramq.gouv.qc.ca/fr/professionnels/medecins-specialistes/manuels/Pages/remuneration-acte.aspx)

 Cervical spine CT in low-risk patients

123

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AS471 (https://www.donneesquebec.ca/recherche/dataset/as-471-rapports-financiers-annuels-des-etablissements), RAMQ (https://www.ramq.gouv.qc.ca/fr/professionnels/medecins-specialistes/manuels/Pages/remuneration-acte.aspx)

 Whole body CT in minor or single-system injury

296

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AS471 (https://www.donneesquebec.ca/recherche/dataset/as-471-rapports-financiers-annuels-des-etablissements), RAMQ (https://www.ramq.gouv.qc.ca/fr/professionnels/medecins-specialistes/manuels/Pages/remuneration-acte.aspx)

 Post-transfer repeat CT

98

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AS471 (https://www.donneesquebec.ca/recherche/dataset/as-471-rapports-financiers-annuels-des-etablissements), RAMQ (https://www.ramq.gouv.qc.ca/fr/professionnels/medecins-specialistes/manuels/Pages/remuneration-acte.aspx)

 Neurosurgical consultation for mild complicated TBI

113

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–-

AS471 (https://www.donneesquebec.ca/recherche/dataset/as-471-rapports-financiers-annuels-des-etablissements), RAMQ (https://www.ramq.gouv.qc.ca/fr/professionnels/medecins-specialistes/manuels/Pages/remuneration-acte.aspx)

 Spine service consultation for isolated thoracolumbar transverse process fractures

115

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AS471 (https://www.donneesquebec.ca/recherche/dataset/as-471-rapports-financiers-annuels-des-etablissements), RAMQ (https://www.ramq.gouv.qc.ca/fr/professionnels/medecins-specialistes/manuels/Pages/remuneration-acte.aspx)

Costs of A&F module (2020 CAN dollars)

 Yearly cost of the A&F module

135,363

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Expert consultation (Table 1)

Mean annual number of LVPs

 Head CT in low-risk patients

458

53.9

Normal

Moore et al. [24]

 Cervical spine CT in low-risk patients

215

39.6

Normal

Moore et al. [24]

 Whole body CT in minor or single-system injury

295

46.3

Normal

Moore et al. [24]

 Post-transfer repeat CT

236

34.6

Normal

Moore et al. [24]

 Neurosurgical consultation for mild complicated TBI

286

39.0

Normal

Moore et al. [24]

 Spine service consultation for isolated thoracolumbar transverse process fractures

16

10.0

Normal

Moore et al. [24]

Parameters regarding the effectiveness of the A&F moduleb

 • Year 1

13.9%

10%

Beta

Ivers et al. [26]

 • Year 2

13.9%

10%

 • Year 3

13.9%

10%

 • Year 4

13.9%

10%

 • Year 5

13.9%

10%

Other parameters

 Discount rate

1.5%

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CADTH [19]

 Time horizon

6 years

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Expert consultation

  1. AS471 hospital financial reports, CADTH Canadian Agency for Drugs & Technologies in Health, LVP Low-value practice, RAMQ Régie de l’assurance maladie du Québec, SD Standard Deviation
  2. aTo be used in the probabilistic sensitivity analyses
  3. bThe A&F module would reduce the volume of LVPs by around 13.9% each year over its 5-year lifetime