系统的方法检查医疗状况值在绿眼病成本效益分析的系统方法检查
Kevin Kennedy1, Gurkaran Sarohia2, Dominik Podbielski3
1School of Population and Public Health, University of British Columbia, 2206 E Mall, Vancouver, BC, V6T1Z3, Canada. kevin.kennedy@ubc.ca.
概括
这次审查发现,对眼干预的成本效益分析 (CUAs) 在报告健康状况效用值方面往往缺乏透明度. 改善报告实践对于评估新型青光眼治疗的价值至关重要.
科学领域:
- 卫生经济学 卫生经济学
- 眼科医生 眼科 眼科
- 医疗服务研究 医疗服务研究
背景情况:
- 成本效益分析 (CUA) 对于评估医疗干预措施至关重要,包括对玻璃眼的干预措施.
- 健康状态实用值是CUA的关键组成部分,影响了质量调整后生命年 (QALYs) 的计算.
- 报告实用值的透明度和有效性对于通用性和知情决策是必要的.
研究的目的:
- 描述目前在评估健康状况和报告公布的玻璃眼CUA中实用值的评估实践.
- 为了评估医疗公用事业在格劳科马经济评估中的报告质量.
- 确定需要改进的领域,以提高青光眼CUA报告的透明度和有效性.
主要方法:
- 在多个数据库 (例如,Medline,Embase,Web of Science) 进行了系统的文献搜索.
- 包括使用QALY作为主要结果的全文,英语CUA的青光眼干预措施.
- 提取了研究特征,健康状况定义,实用来源和报告质量 (使用SPRUCE检查表).
主要成果:
- 分析了43个CUA,使用了11个不同的卫生公用事业来源.
- 在类似的绿眼病健康状况 (例如,轻度,中度,严重) 中报告了实用值的广泛变化.
- 虽然大多数研究报告了基础和实用值的调整,但很少有详细的系统搜索策略或质量评估,报告质量并没有随着时间的推移而改善.
结论:
- 很少有CUAs为健康状态实用值的选择和使用提供了充分的理由.
- 关于实用值的搜索,评估,选择和包含的增强报告提高了透明度和有效性.
- 未来的研究应该标准化公用事业测量尺度,并考虑公用事业来源与研究背景和目的的相关性.
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