Discipline of Prosthetics and Orthotics, Department of Physiotherapy, Podiatry, Prosthetics and Orthotics, School of Allied Health, Human Services and Sports, La Trobe University, Melbourne, Victoria, Australia.
The Australian Orthotic Prosthetic Association, Camberwell, VIC, Australia.
Prosthet Orthot Int. 2021 Jun 1;45(3):221-234. doi: 10.1097/PXR.0000000000000003.
Health economic evaluations (HEEs) in orthotics are in their infancy. Identification of evidence gaps and method design issues will inform the design of future HEEs that advance knowledge and contributes to policy and investment decisions.
The aim of this systematic review was to critically appraise the existing orthotic/prosthetic health economic evaluation literature and therefore determine evidence gaps, critical method design issues, and the extent to which the literature informs orthotic policy and investment decisions.
Systematic review.
A range of databases were searched using intervention- and HEE-related terms. The Consolidated Health Economic Checklist-Extended and the Checklist for Health Economic Evaluation Reporting Standards were used to identify issues with method design and reporting.
Nine orthotic HEEs were narrowly focused on the cost-effectiveness of low-cost orthotic devices (eg, ankle orthoses for ankle sprains). Method design (eg, cost identification and valuation) and reporting issues (eg, lack of detail about the study population) limited the extent to which this literature can inform policy and investment decisions.
HEEs comparing a wider variety of interventions are required, particularly for commonly used orthoses (eg, ankle-foot orthoses) and clinical presentations (eg, post-stroke). There are opportunities to strengthen future orthotic HEEs by adopting method design features (eg, microcosting and sensitivity analyses) as recommended by HEE appraisal and reporting tools.
矫形器的健康经济评价（HEE）仍处于起步阶段。确定证据差距和方法设计问题将为未来的 HEE 设计提供信息，从而推进知识，并为政策和投资决策做出贡献。
本系统评价的目的是批判性地评估现有的矫形器/假肢健康经济评价文献，从而确定证据差距、关键方法设计问题，以及文献在多大程度上为矫形器政策和投资决策提供信息。
系统评价。
使用干预和 HEE 相关术语搜索了一系列数据库。使用扩展后的综合健康经济清单和健康经济评价报告标准清单来确定方法设计和报告方面的问题。
9 项矫形器 HEE 研究主要集中在低成本矫形器装置（例如，用于治疗踝关节扭伤的踝部矫形器）的成本效益上。方法设计（例如，成本识别和估值）和报告问题（例如，缺乏对研究人群的详细描述）限制了该文献在多大程度上为政策和投资决策提供信息。
需要进行比较各种干预措施的 HEE 研究，特别是对于常用的矫形器（例如，踝足矫形器）和临床表现（例如，中风后）。通过采用 HEE 评估和报告工具推荐的方法设计特征（例如，微观成本核算和敏感性分析），有机会加强未来的矫形器 HEE。
