Model parameters, probability distributions and data sources for the decision-analytical model for economic evaluation of municipal ice cleat distribution programmes
Parameter | Average (range, if applicable) | SE | Distribution (probabilistic sensitivity analysis) | Data source |
Annual number of snow-related or ice-related fall injuries at baseline as a function of population size and climate (![]() | 21.6 (2.7, 472.6) | Municipality-specific SE from regression prediction | Lognormal | Municipality-specific and age-specific data from National Patient Register21. Population data from Statistics Sweden30. Annual number of snow days from the Swedish Meteorological and Hydrological Institute* |
Initial change in ice cleat use as a function of climate (![]() | 0.25 (0.09, 0.35) | Municipality-specific SE from regression prediction | Logit-normal | National survey (random sample, n=4608 aged 65+) conducted in 2007 by the Swedish Civil Contingencies Agency* |
Compliance over time, multiplicative scaling factor (![]() | {![]() | Not available | None | Calibrated* simulation model to results from quasi-experimental evaluation in Gothenburg13 |
Effect of ice cleat use (RR), log scale | −0.799 | 0.333 | Lognormal | Randomised controlled trial12, RR=0.45 (95% CI: 0.23 to 0.85)† |
Total programme cost per purchased ice cleat pair in 2018 Euros (c), log scale | 1.998 | 0.100 | Lognormal | Electronic survey sent to all Swedish municipalities (n=34 responses with cost data)* |
Benefit per averted injury in 2018 Euros | 329 783 | Not available | None | Swedish Transport Administration17 |
*Additional information on data and estimation is provided in the online supplemental file.
†RR for falls (with or without an injurious outcome). Estimate for injurious falls was 0.1 (95% CI: 0.02 to 0.53) but was only based on a total of 11 events (one in the treatment group and 10 in the control group). Our preferred estimate (for falls) is supported by more data and is more conservative.
RR, relative risk.