From: Economic benefits of microprocessor controlled prosthetic knees: a modeling study
Model parameter | Base case | Range | Data sources |
---|---|---|---|
Probability of falling per year | |||
MPK | 26.00% | 22.20–32.00% | |
NMPK | 82.00% | 75.00–87.50% | |
Proportion of medical falls | 10.40% | 6.20–19.60% | |
Proportion of fatal medical falls | 7.00% | 6.30–7.70%a | [64] |
Proportion of major injury falls | 40.00% | 32.60–40.00% | |
Proportion of minor injury falls | 53.00% | 53.00–60.50% | |
Average number of falls per faller per year | |||
MPK | 3.20 | 2.00–3.20 | |
NMPK | 3.87 | 1.86–3.87 | |
Odds ratio of falling in year 4 vs. year 1 | 0.53 | 0.48–0.58a | [67] |
Medical cost per major injurious fall | $24,844.52 | $16,978.61 - $31,707.24 | |
Medical cost per minor injurious fall | $1332.47 | $620.69 - $6005.62 | |
Medical cost of fall-related death | $27,337.76 | $27,337.76 - $29,578.20 | |
Caregiving expenses per person per year | |||
MPK | $2754.29 | $2478.86 - $3029.72a | |
NMPK | $3477.60 | $3129.84 - $3825.36a | |
Lost wages per person per year | |||
MPK | $1669.11 | $1502.20 - $1836.02a | |
NMPK | $2144.06 | $1929.65 - $2358.47a | |
Transportation expenses per person per year | |||
MPK | $463.46 | $417.11 - $509.81a | |
NMPK | $300.36 | $270.32 - $330.40a | |
Baseline prevalence of osteoarthritis (knee) | Medicare claims data 2011–2014 | ||
K1/K2 | 16.30% | 14.67–17.93%a | |
K3/K4 | 19.10% | 17.19–21.01%a | |
Probability of developing osteoarthritis per year | [34]; Expert opinion | ||
MPK | 1.50% | 1.35–1.65%a | |
NMPK | 2.21% | 1.99 - 2.43%a | |
Osteoarthritis-related medical cost per year | $6639.72 | $996.41 - $14,682.92 | [73] |
Osteoarthritis-related indirect cost per year | $1084.21 | $606.89 - $1192.63 | |
Baseline mortality rate | Medicare claims data 2011–2014 | ||
K1/K2 | 18.00% | 16.20–19.80%a | |
K3/K4 | 9.31% | 8.38–10.24%a | |
Device acquisition cost in 10 years | 2016 Medicare fee schedule; Medicare claims data 2011–2014; Expert opinion | ||
MPK (plus 1 replacement) | $56,000.00 | $44,750.00 - $58,118.00 | |
NMPK (plus 2 replacements) | $16,500.00 | $7785.00 - $22,101.00 | |
Device repair cost per year | |||
MPK | $192.23 | $173.01 - $211.45a | |
NMPK | $135.95 | $122.36 - $149.55a | |
Physical therapy cost in year 1 | |||
MPK | $1986.68 | $1788.01 - $2185.35a | |
NMPK | $1648.62 | $1483.76 - $1813.48a | |
Physical therapy cost in year 2 | |||
MPK | $1621.68 | $1459.51 - $1783.85a | |
NMPK | $1347.47 | $1212.72 - $1482.21a | |
Health utilities | |||
MPK | 0.82 | 0.75–0.83 | |
NMPK | 0.66 | 0.60–0.92 | |
Discount rate | 3.00% | 2.00–5.00% | [76] |