Parameter

Base-case value

Range

Distribution

Source

Treatment costs (CNY per cycle)

Nivolumab

82561.32

66049.056 - 99073.584

GAMMA

MENET

XELOX

6681.99

5345.595 - 8018.392

GAMMA

MENET

FOLFOX

19024.40

15219.523 - 22829.285

GAMMA

MENET

Disease management costs

Drug administration and hospitalization

402

321.6 - 482.4

GAMMA

Han Jia-qi et al., [11]

Imaging examination (CT or MRI)

800

640 - 960

GAMMA

Han Jia-qi et al., [11]

PD - L1 test

1410

1128 - 1692

GAMMA

Han Jia-qi et al., [11]

Adverse event management costs (per event)

Anemia

3789.40

3031.52 - 4547.28

GAMMA

Liu Guo-qiang et al., [13]

Neutrophil count decreased

3381

2704.8 - 4057.2

GAMMA

Tan Chongqing et al., [12]

Lipase increased

298

238.4 - 357.6

GAMMA

MENET

Incidence of adverse events in nivolumab plus chemotherapy group

Anemia

0.06

0.048 - 0.072

BATA

CheckMate649 [6]

Neutrophil count decreased

0.257

0.206 - 0.308

BATA

Lipase increased

0.058

0.046 - 0.069

BATA

Incidence of adverse events in chemotherapy alone group

Anemia

0.027

0.022 - 0.033

BATA

Neutrophil count decreased

0.209

0.167 - 0.25

BATA

Lipase increased

0.021

0.017 - 0.025

BATA

The cost of Subsequent therapy

In nivolumab plus chemotherapy group

17054.49

13643.596 - 20465.394

GAMMA

CheckMate649 [6]

In chemotherapy alone group

21582.01

17265.608 - 25898.412

GAMMA

Health state utility values

PFS

0.797

0.638 - 0.956

BATA

T Shiroiwa [14]

PD

0.577

0.462 - 0.692

BATA

Discount rate

5%

0% - 8%

China Guidelines for Pharmacoeconomics Evaluations (2020) [7]