Blank Madeleine M, Chen Lilian, Papageorge Marianna, Driscoll Daniel, Graham Roger, Chatterjee Abhishek
Tufts University School of Medicine, 145 Harrison Avenue, Boston, MA 02111, USA.
Tufts University School of Medicine, 145 Harrison Avenue, Boston, MA 02111, USA; Department of Surgery, Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA.
J Plast Reconstr Aesthet Surg. 2018 Mar;71(3):366-376. doi: 10.1016/j.bjps.2017.12.008. Epub 2017 Dec 21.
Cost-analysis research can influence healthcare policies and practices. There is inherent bias depending on the chosen cost perspective (hospital, third-party payer, societal), and conclusions can change based on the perspective used. These perspectives may or may not be well declared or justified when performing cost-analysis research. The goal of this study was to perform a literature review of cost-analysis research in the Plastic Surgery literature to determine the prevalence of studies declaring and justifying their perspective, and to inform the reader on why such declarations are important in understanding potential bias.
A systematic review was completed to retrieve cost-utility and cost-effectiveness research within the scope of Plastic Surgery. The search was limited to English-language studies in North America and Europe published between 2006 and 2016. Articles were selected using predefined data fields and specific inclusion criteria.
A total of 2304 abstracts were identified, of which 47 met inclusion criteria. Seventy-two percent of studies (n = 34) declared a cost perspective. Of the studies that identified a cost perspective, 32% incorrectly identified the cost perspective. Only 49% of all studies (n = 23) both accurately declared and justified their chosen perspective.
Only half of studies correctly declare their cost perspective and justify why the perspective was chosen. Not doing so potentially hides bias from the reader. Future efforts when performing cost-analysis studies should require a clear declaration and justification of the cost perspective taken. A table of our recommendations for reporting cost perspective is provided.
成本分析研究可影响医疗保健政策与实践。取决于所选择的成本视角（医院、第三方支付方、社会视角）存在固有偏差，且结论可能因所采用的视角而改变。在进行成本分析研究时，这些视角可能会也可能不会得到充分说明或论证。本研究的目的是对整形外科学术文献中的成本分析研究进行文献综述，以确定声明并论证其视角的研究的比例，并告知读者为何此类声明对于理解潜在偏差很重要。
完成了一项系统综述，以检索整形外科学范围内的成本效用和成本效益研究。检索限于2006年至2016年在北美和欧洲发表的英文研究。使用预定义的数据字段和特定纳入标准选择文章。
共识别出2304篇摘要，其中47篇符合纳入标准。72%的研究（n = 34）声明了成本视角。在声明了成本视角的研究中，32%错误地识别了成本视角。在所有研究中，只有49%（n = 23）准确声明并论证了其选择的视角。
只有一半的研究正确声明其成本视角并论证选择该视角的原因。不这样做可能会向读者隐藏偏差。在进行成本分析研究时，未来的工作应要求对所采用的成本视角进行明确声明和论证。提供了我们关于报告成本视角的建议表。
