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Table 1 Input parameters for estimating the economic burden of ADRs

From: Pragmatic pharmacoeconomic analyses by using post-market adverse drug reaction reports: an illustration using infliximab, adalimumab, and the Canada vigilance adverse reaction database

Input variable

Base case

Sensitivity analysis

Value

Explanation/reference

One way

Probabilistic

Note

Employment rate

75%

StatCan. Average employment rate for 19–65 years old for the respective years

64–83%

Random selection employed or unemployed with a rough mean of 75% (applied at the population level)

Average Income

$37,847 $54,690 $46,268

Average individual incomes for female, male, sex-unknown individuals adjusted to 2018 $. Source: StatCan

$40,343–$61,181

Gamma distribution (applied at patient level) - the range is for the population average

Discount rate

1.5%

CADTH recommendation

0–3%

Not performed

 

Friction time

3 months

Conventional

1–5 months

Not performed

 

Loss of employment due to disability

22.5%

StatCan. For mild disability conditions, the employment rate is 7% lower, and for severe disability conditions, the employment is 33% lower. The average was assumed for the base case

15–32%

Random selection employment loss from disability with a rough mean of 22.5% (applied at the population level)

Average loss of income due to disability

31.5%

StatCan. For mild disability conditions, the average loss of income is 12% and for severe disability conditions, the loss is 51%. The average was assumed for the base case

29–34%

Gamma distribution (applied at patient level) - the range provided here is population average

Annual disability payment

$11,506

CPP average disability benefit 2018 value

Not performed

 

Cost per hospitalization

$1766–$5325 ($4205)

CIHI. Average annual cost for various age groups adjusted to 2018 $ (population average)

$4338–$4882

Gamma distribution (applied at patient level) - the range provided here is population average

Length of stay hospitalization

1.2–3.9 days (2.3 days)

CIHI average length of stay for various age groups (population average)

2.6–2.9 days

Gamma distribution (applied at patient level) - the range provided here is population average

Cost of treatment of other medically important condition

$417

Average cost for an ER visit in Alberta in 2018

$208–$626