健康状态效用值在成本效果模型中的识别、评价和应用:ISPOR 疗效研究实践报告
Identification, Review, and Use of Health State Utilities in Cost-Effectiveness Models: An ISPOR Good Practices for Outcomes Research Task Force Report.
机构信息
University of Sheffield, Sheffield, South Yorkshire, UK.
University of Sheffield, Sheffield, South Yorkshire, UK.
出版信息
Value Health. 2019 Mar;22(3):267-275. doi: 10.1016/j.jval.2019.01.004.
Cost-effectiveness models that present results in terms of cost per quality-adjusted life-year for health technologies are used to inform policy decisions in many parts of the world. Health state utilities (HSUs) are required to calculate the quality-adjusted life-years. Even when clinical studies assessing the effectiveness of health technologies collect data on HSUs to populate a cost-effectiveness model, which rarely happens, analysts typically need to identify at least some additional HSUs from alternative sources. When possible, HSUs are identified by a systematic review of the literature, but, again, this rarely happens. In 2014, ISPOR established a Good Practices for Outcome Research Task Force to address the use of HSUs in cost-effectiveness models. This task force report provides recommendations for researchers who identify, review, and synthesize HSUs for use in cost-effectiveness models; analysts who use the results in models; and reviewers who critically appraise the suitability and validity of the HSUs selected for use in models. The associated Minimum Reporting Standards of Systematic Review of Utilities for Cost-Effectiveness checklist created by the task force provides criteria to judge the appropriateness of the HSUs selected for use in cost-effectiveness models and is suitable for use in different international settings.
用于为世界许多地区的政策决策提供信息的成本效益模型,是以每质量调整生命年来呈现卫生技术成本效益的模型。需要健康状态效用(HSU)来计算质量调整生命年。即使评估卫生技术有效性的临床研究收集了用于填充成本效益模型的 HSU 数据,这种情况也很少发生,分析人员通常还需要从其他来源确定至少一些其他的 HSU。当有可能时,通过对文献进行系统审查来确定 HSU,但这种情况也很少发生。2014 年,ISPOR 成立了一个成果研究良好实践工作组,以解决成本效益模型中 HSU 的使用问题。该工作组报告为识别、审查和综合用于成本效益模型的 HSU 的研究人员、在模型中使用结果的分析人员以及批判性评估用于模型的 HSU 选择的适宜性和有效性的审查人员提供了建议。该工作组创建的与效用相关的、用于成本效益的系统评价最低报告标准清单,为判断用于成本效益模型的 HSU 的适宜性提供了标准,并且适用于不同的国际环境。