Department of Health Research Methods, Evidence and Impact, Faculty of Health Sciences, McMaster University, 1280 Main Street West, Hamilton, Ontario, L8S4L8, Canada.
Department of Medicine, Faculty of Health Sciences, McMaster University, Canada.
J Plast Reconstr Aesthet Surg. 2021 Oct;74(10):2458-2466. doi: 10.1016/j.bjps.2021.05.017. Epub 2021 Jun 21.
Economic evaluations in healthcare are designed to inform decisions by the estimation of cost and effect trade-off of two or more interventions. This review identified and appraised the quality of reporting of economic evaluations in plastic surgery based on the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement.
Electronic databases were searched: MEDLINE, EMBASE, The Cochrane Library, Ovid Health Star, and Business Source Complete from January 1, 2012 to November 30, 2019. Data extracted included: the type of economic evaluation (i.e., cost-utility analysis (CUA), cost-effectiveness analysis (CEA), cost-benefit analysis (CBA), cost-minimization analysis (CMA)), domain of plastic surgery, journal, year, and country of publication. The CHEERS checklist (with 24 items) was used to appraise the quality of reporting.
Ninety-two economic evaluations were identified; CUA (10%), CEA (31%), CBA (4%), and CMA (50%). Breast surgery was the top domain (48%). Most were conducted in the USA (61%) and published in Plastic and Reconstructive Surgery journal (28%). One-third were published in the last two years. The average CHEERS checklist compliance score was 15 (63%). The average CHEERS checklist compliance score per type of evaluation was 19 (77%) for CUA, 17 (70%) for CEA, 13 (52%) for CBA, and 14 (57%) for CMA. The least reported CHEERS checklist items included: time horizon (15%), discount rate (18%), and assessment of heterogeneity (15%). Thirty-two percent of studies were inappropriately titled (i.e., methodologically incorrect).
Quality of reporting of economic evaluations is suboptimal. The CHEERS checklist should be consulted when performing and reporting economic evaluations in plastic surgery.
医疗保健中的经济评估旨在通过估计两种或多种干预措施的成本和效果权衡来为决策提供信息。本研究根据统一健康经济评估报告标准（CHEERS）声明，确定并评估了整形外科中经济评估报告的质量。
检索电子数据库：MEDLINE、EMBASE、Cochrane 图书馆、Ovid Health Star 和 Business Source Complete，检索时间从 2012 年 1 月 1 日至 2019 年 11 月 30 日。提取的数据包括：经济评估类型（即成本效用分析（CUA）、成本效果分析（CEA）、成本效益分析（CBA）、成本最小化分析（CMA））、整形外科领域、期刊、年份和出版国家。使用 CHEERS 清单（共 24 项）评估报告质量。
共确定了 92 项经济评估；CUA（10%）、CEA（31%）、CBA（4%）和 CMA（50%）。乳房手术是最大的领域（48%）。大多数研究在美国（61%）进行，发表在《整形与重建外科杂志》（28%）。三分之一的研究是在过去两年发表的。CHEERS 清单的平均合规评分是 15 分（63%）。每种评估类型的 CHEERS 清单平均合规评分分别为：CUA 19 分（77%）、CEA 17 分（70%）、CBA 13 分（52%）和 CMA 14 分（57%）。报告最少的 CHEERS 清单项目包括：时间范围（15%）、贴现率（18%）和异质性评估（15%）。32%的研究标题不当（即方法不正确）。
整形外科中经济评估报告的质量不尽如人意。在进行和报告整形外科中的经济评估时，应参考 CHEERS 清单。
