Cadilhac Dominique A, Kim Joosup, Wilson Alastair, Berge Eivind, Patel Anita, Ali Myzoon, Saver Jeffrey, Christensen Hanne, Cuche Matthieu, Crews Sean, Wu Olivia, Provoyeur Marine, McMeekin Peter, Durand-Zaleski Isabelle, Ford Gary A, Muhlemann Natalia, Bath Philip M, Abdul-Rahim Azmil H, Sunnerhagen Katharina, Meretoja Atte, Thijs Vincent, Weimar Christian, Massaro Ayrton, Ranta Annemarei, Lees Kennedy R
Stroke and Ageing Research, School of Clinical Sciences at Monash Health, Monash University.
Stroke Division, the Florey Institute of Neuroscience and Mental Health.
Eur Stroke J. 2020 Jun;5(2):184-192. doi: 10.1177/2396987319897466. Epub 2020 Jan 27.
Approaches to economic evaluations of stroke therapies are varied and inconsistently described. An objective of the European Stroke Organisation (ESO) Health Economics Working Group is to standardise and improve the economic evaluations of interventions for stroke.
The ESO Health Economics Working Group and additional experts were contacted to develop a protocol and a guidance document for data collection for economic evaluations of stroke therapies. A modified Delphi approach, including a survey and consensus processes, was used to agree on content. We also asked the participants about resources that could be shared to improve economic evaluations of interventions for stroke.
Of 28 experts invited, 16 (57%) completed the initial survey, with representation from universities, government, and industry. More than half of the survey respondents endorsed 13 specific items to include in a standard resource use questionnaire. Preferred functional/quality of life outcome measures to use for economic evaluations were the modified Rankin Scale (14 respondents, 88%) and the EQ-5D instrument (11 respondents, 69%). Of the 12 respondents who had access to data used in economic evaluations, 10 (83%) indicated a willingness to share data. A protocol template and a guidance document for data collection were developed and are presented in this article.
The protocol template and guidance document for data collection will support a more standardised and transparent approach for economic evaluations of stroke care.
中风治疗的经济学评估方法多种多样，且描述不一致。欧洲中风组织（ESO）卫生经济学工作组的一个目标是规范并改进中风干预措施的经济学评估。
联系ESO卫生经济学工作组及其他专家，制定中风治疗经济学评估数据收集的方案和指导文件。采用改良的德尔菲法，包括调查和共识达成过程，就内容达成一致。我们还询问了参与者关于可共享哪些资源以改进中风干预措施的经济学评估。
在邀请的28位专家中，16位（57%）完成了初始调查，他们来自大学、政府和行业。超过一半的调查受访者认可13项具体内容应纳入标准资源使用问卷。用于经济学评估的首选功能/生活质量结局指标是改良Rankin量表（14位受访者，88%）和EQ-5D工具（11位受访者，69%）。在12位能够获取经济学评估所用数据的受访者中，10位（83%）表示愿意共享数据。本文制定并展示了一个方案模板和数据收集指导文件。
数据收集的方案模板和指导文件将支持采用更标准化、更透明的方法进行中风护理的经济学评估。
