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Published on: October 24, 2019
Methodological Approaches to Cost-Effectiveness Analysis in Saudi Arabia: What Can We Learn? A Systematic Review
Fatma Maraiki1, Shouki Bazarbashi2, Paul Scuffham3
1Department of Pharmacy, King Faisal Hospital and Research Centre, Riyadh, Saudi Arabia.
Economic evaluations in Saudi Arabia are limited due to data gaps and unclear reporting. Developing country-specific health technology assessment (HTA) guidelines and capacity building are crucial for improving future analyses.
Area of Science:
- Health Economics
- Health Technology Assessment
- Saudi Arabia
Background:
- The Kingdom of Saudi Arabia (KSA) has established a health technology assessment (HTA) entity, increasing the need for economic evaluations.
- Understanding the quality and limitations of existing economic evaluations in the KSA is essential for informing healthcare decision-making.
Purpose of the Study:
- To evaluate the technical approaches used in published economic evaluations in the KSA.
- To identify limitations in these studies that may hinder future economic evaluations in the KSA.
Main Methods:
- A systematic literature review of economic evaluations in the KSA over the past 10 years was conducted.
- PubMed, EMBASE, and Cochrane databases were searched.
- The CHEERS checklist was used to assess reporting quality, and limitations were categorized.
Main Results:
- Twelve economic evaluations were identified, predominantly cost-effectiveness analyses (92%).
- Significant data gaps and unclear reporting were noted across various domains, including perspectives, comparators, and cost estimations.
- Fifty percent of analyses lacked an established country-specific willingness-to-pay threshold.
Conclusions:
- Economic evaluations in the KSA currently exhibit limitations in data quality and reporting clarity.
- Capacity building and the development of country-specific HTA guidelines are recommended to enhance the quality and impact of future economic evaluations.
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