Defourny Noémie, Dunscombe Peter, Perrier Lionel, Grau Cai, Lievens Yolande
European Society for Radiotherapy and Oncology, Brussels, Belgium.
University of Calgary, Calgary, Canada.
Radiother Oncol. 2016 Dec;121(3):468-474. doi: 10.1016/j.radonc.2016.12.002.
Although economic evidence is becoming mandatory to support health care decision-making, challenges remain in generating high quality cost data, especially for complex and rapidly evolving treatment modalities, such as radiotherapy. The overall aim of this systematic literature review was to critically analyse the type and quality of radiotherapy cost information available in cost calculation studies, from the health care provider's perspective, published since 1981. A selection process, based on strict and explicit criteria, yielded 52 articles. In spite of meeting our criteria these studies displayed large heterogeneity in scope, costing method, inputs and outputs. The limited use of conventional costing methodologies along with insufficient information on resource inputs hampered comparability across studies. A consistent picture of radiotherapy costs, based on methodologically sound costing studies, has yet to emerge. These results call for developing a well-defined and generally accepted cost methodology for performing economic evaluation studies in radiotherapy.
尽管经济证据对于支持医疗保健决策已变得不可或缺，但在生成高质量成本数据方面仍存在挑战，尤其是对于复杂且迅速发展的治疗方式，如放射治疗。本系统文献综述的总体目标是，从医疗保健提供者的角度，批判性地分析自1981年以来发表的成本计算研究中可用的放射治疗成本信息的类型和质量。基于严格且明确的标准进行的筛选过程产生了52篇文章。尽管符合我们的标准，但这些研究在范围、成本计算方法、投入和产出方面表现出很大的异质性。传统成本计算方法的使用有限，以及资源投入信息不足，阻碍了各项研究之间的可比性。基于方法合理的成本计算研究得出的放射治疗成本的一致情况尚未出现。这些结果呼吁开发一种明确且普遍接受的成本计算方法，用于进行放射治疗的经济评估研究。
