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Table 1 Model data inputs

From: The financial impact of increasing home-based high dose haemodialysis and peritoneal dialysis

Parameter

Value (range)

Data sources

Mortality

High dose HD mortality HR vs. conventional HD

0.76 (0.57-0.95)

Johansen; Marshall; Nesrallah [9, 12, 13]

Home HD mortality HR vs. ICHD

1.00

Assumption

Hospitalisations (28 day probabilities)

Conventional ICHD

Year 1: 7.05% (5.29% - 8.81%)

Year 1: FHN trial [14]

 

Year 2+: 4.86% (3.65% - 6.08%)

Year 2+: Arora†[33]

Conventional home HD

Year 1: 5.35% (4.01% - 6.68%)

Year 1: FHN trial [14]

 

Year 2+: 3.69% (2.77% - 4.61%)

Year 2+: Arora†[33]

High dose HD at home

Year 1: 7.09% (5.32% - 8.86%)

Year 1: Rocco [16]

 

Year 2+: 4.89% (3.67% - 6.11%)

Year 2+:Arora†[33]

All PD

Year 1: 6.69% (5.02% – 8.36%)

Year 1: Lafrance , USRDS [34, 35]

 

Year 2+: 6.69% (5.02% - 8.36%)

Year 2+: Arora†[33]

Transition probabilities (28 days)

Transplant rate – all modalities

0.007 (0.005 – 0.009)

UK Renal Registry reports [36, 37],

Graft failure probability – all modalities

0.004 (0.003 – 0.005)

NHS Blood and Transplant Activity Report for 2012-13 [32]

Proportion moving from ICHD - > home HD

  

0 – 12 months

0.05% (0.04% - 0.06%)

Assumption

13 – 18 months

0.03% (0.02% - 0.04%)

 

19+ months

0%

 

Proportion moving from home HD - > ICHD

  

Constant probability

0.38% (0.29% - 0.48%)

McFarlane [38]

Proportion moving from HD - > PD

  

0 – 6 months

Incident: 1.95% (1.46% - 2.44%)

Johnson, Haller [39, 40]

 

Prevalent: 1.08% (0.81% - 1.35%)

 

7 – 12 months

0.20% (0.15% - 0.25%)

 

13 – 18 months

0.07% (0.05% - 0.08%)

 

19+ months

0.06% (0.04% - 0.07%)

 

Proportion moving from PD - > HD

  

0 – 6 months

Incident: 2.61% (1.96% - 3.26%)

Johnson, Haller [39, 40]

 

Prevalent: 1.87% (1.40% - 2.34%)

 

7 – 12 months

1.13% (0.85% - 1.41%)

 

13 – 18 months

0.78% (0.59% - 0.97%)

 

19+ months

0.31% (0.23% - 0.39%)

 
  1. Abbreviations: HD Haemodialysis, HR Hazard ratio, ICHD In-centre haemodialysis, PD Peritoneal dialysis.
  2. †Hospitalisation rates in years 2+ are based on a ratio of first year to subsequent year hospitalisations estimated from data from Arora [33].