Perspective and Costing in Cost-Effectiveness Analysis, 1974-2018.

ABSTRACT:

Objective

Our objective was to examine perspective and costing approaches used in cost-effectiveness analyses (CEAs) and the distribution of reported incremental cost-effectiveness ratios (ICERs).

Methods

We analyzed the Tufts Medical Center's CEA and Global Health CEA registries, containing 6907 cost-per-quality-adjusted-life-year (QALY) and 698 cost-per-disability-adjusted-life-year (DALY) studies published through 2018. We examined how often published CEAs included non-health consequences and their impact on ICERs. We also reviewed 45 country-specific guidelines to examine recommended analytic perspectives.

Results

Study authors often mis-specified or did not clearly state the perspective used. After re-classification by registry reviewers, a healthcare sector or p

SUBMITTER: Kim DD 

PROVIDER: S-EPMC7373843 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature