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Table 2 Estimates used to determine parameters for the decision tree model*

From: Cost-effectiveness analysis of malaria chemoprophylaxis for travellers to West-Africa

Definition of probabilities

Estimates (likliest, 95% CI)

Date of data

References

Current probability of recourse to malaria chemoprophylaxis in current situation of no reimbursement

0.687/0.55/0.824

2002-2003

[1215]

Probability of recourse to malaria chemoprophylaxis in the 80% reimbursement strategy

0.865/0.806/0.925

-

[11, 16]

Probability of recourse to mefloquine

0.554

2007

Personal evaluation at the STI1

Probability of recourse to atovaquone/proguanil

0.407

2007

Personal evaluation at the STI1

Probability of recourse to doxycycline

0.039

2007

Personal evaluation at the STI1

Probability of adverse events due to mefloquine leading to withdrawal

0.04 (0.01-0.08)

1998-2001

[9]

Probability of adverse events due to atovaquone/proguanil leading to withdrawal

0.02 (0.00-0.04)

1998-2001

[9]

Probability of adverse events due to doxycyline leading to withdrawal

0.03 (0.00-0.06)

1998-2001

[9]

Probability of severe adverse events due to mefloquine without withdrawal

0.11 (0.06-0.15)

1998-2001

[9]

Probability of severe adverse events due to atovaquone/proguanil without withdrawal

0.07 (0.02-0.11)

1998-2001

[9]

Probability of severe adverse events due to doxycyline without withdrawal

0.06 (0.02-0.10)

1998-2001

[9]

Probability of contracting malaria without malaria chemoprophylaxis

0.0242 (Varied ± 30%: 0.017 - 0.0314)

-

[18]

Prophylactic effectiveness of mefloquine

0.945 (0.84-0.981)

1993-1995

[19]

Prophylactic effectiveness of atovaquone/proguanil

0.958 (0.915-0.975)

Metaanalysis 2007

[20]

Prophylactic effectiveness of doxycyline

0.926 (0799-0.975)

1995

[21]

Rate of hospitalisation of the imported malaria cases in Switzerland

0.63

2003-2006

Personal evaluation with data from FOPH2 and SFSO3

Medical cost variables

Estimates (likliest)

Date of data

References

Direct cost of mefloquine (Mephaquin®) for two weeks in 80% reimbursement strategy

€ 17.77

2008

[17]

Cost to treat adverse events

€ 37.59

2008

Personal evaluation with TARMED4 and Swiss drug compendium[17]

Direct cost of hospitalisation due to a malaria case

€ 4763

2004-2005

Personal communication (SFSO)

Direct cost of ambulant treatment due to a malaria case

€ 368

2008

Personal communication (STI)

Average indirect cost of sick leave due to a malaria case

€ 2123

1996-2004

Personal communication (SUVA5)

  1. *using the template created by Pistone[11]
  2. 1 Swiss Tropical Institute
  3. 2 Federal Office of Public Health (FOPH)
  4. 3 Federal Statistical Office (SFSO)
  5. 4 Swiss TARMED
  6. 5 Swiss accident insurance funds