Cost-utility studies in upper limb orthopaedic surgery: a systematic review of published literature.
Bone Joint J
; 100-B(11): 1416-1423, 2018 11.
Article
en En
| MEDLINE
| ID: mdl-30418054
ABSTRACT
AIMS:
The aim of this study was to assess the quality and scope of the current cost-effectiveness analysis (CEA) literature in the field of hand and upper limb orthopaedic surgery. MATERIALS ANDMETHODS:
We conducted a systematic review of MEDLINE and the CEA Registry to identify CEAs that were conducted on or after 1 January 1997, that studied a procedure pertaining to the field of hand and upper extremity surgery, that were clinical studies, and that reported outcomes in terms of quality-adjusted life-years. We identified a total of 33 studies that met our inclusion criteria. The quality of these studies was assessed using the Quality of Health Economic Analysis (QHES) scale.RESULTS:
The mean total QHES score was 82 (high-quality). Over time, a greater proportion of these studies have demonstrated poorer QHES quality (scores < 75). Lower-scoring studies demonstrated several deficits, including failures in identifying reference perspectives, incorporating comparators and sensitivity analyses, discounting costs and utilities, and disclosing funding.CONCLUSION:
It will be important to monitor the ongoing quality of CEA studies in orthopaedics and ensure standards of reporting and comparability in accordance with Second Panel recommendations. Cite this article Bone Joint J 2018;100-B1416-23.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_financiamento_saude
Asunto principal:
Procedimientos Ortopédicos
/
Extremidad Superior
Tipo de estudio:
Guideline
/
Health_economic_evaluation
/
Prognostic_studies
/
Systematic_reviews
Aspecto:
Patient_preference
Límite:
Humans
Idioma:
En
Revista:
Bone Joint J
Año:
2018
Tipo del documento:
Article
País de afiliación:
Estados Unidos