Resources Repository
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BriefPublication 2023Dynamic Mortality Modeling: Incorporating Predictions of Future General Population Mortality into CEA
This study addresses the limitations of conventional static approaches in health economic modeling by proposing …
This study addresses the limitations of conventional static approaches in health economic modeling by proposing a dynamic general population mortality modeling method. Using a replication of the axicabtagene ciloleucel model from NICE appraisal TA559, the authors demonstrate the potential impact of this approach on estimating life-years and cost-effectiveness. The model utilizes national mortality projections and updates mortality rates annually, considering different assumptions around age distribution. Results show that incorporating dynamic calculations increases undiscounted life-years attributed…
Cost-Effectiveness Analysis | Europe | Mathematical Models | Health/Medicine -
ArticlePublication 2023Evolving Nature of Health Technology Assessment: A Critical Appraisal of NICE's New Methods Manual
The National Institute for Health and Care Excellence (NICE) updated its Health Technology Evaluation manual …
The National Institute for Health and Care Excellence (NICE) updated its Health Technology Evaluation manual in 2022, merging processes from all 4 Health Technology Evaluation programs into a single document. Key changes include introducing a new disease severity modifier while maintaining existing methods on health inequality, discounting, unrelated healthcare costs, and value of information. Changes were categorized by importance, with most being modest updates or clarifications aligning with existing principles. The methods involved a 2-stage…
Technology Assessment | Europe | Health/Medicine -
Tutorial/PrimerPublication, Teaching Resource 2023Survival Extrapolation Incorporating General Population Mortality Using Excess Hazard and Cure Models: Tutorial
The study examines the utility of excess hazard (EH) methods in reducing model uncertainty when …
The study examines the utility of excess hazard (EH) methods in reducing model uncertainty when estimating long-term survival in cost-effectiveness analyses. Using a case study of breast cancer patients, standard parametric survival models were compared with EH methods incorporating general population mortality rates, with and without a cure parameter. Results showed substantial variability in survival extrapolations across standard models, while EH methods, particularly EH cure models, significantly reduced uncertainty. Long-term treatment effects approached null for…
Cost-Effectiveness Analysis | Europe | Mathematical Models | Chronic Disease/Risk | Health/Medicine -
ArticlePublication 2023Top and Bottom Longevity of Nations
Similar to the study of the distribution of income within countries, population-level health disparities can …
Similar to the study of the distribution of income within countries, population-level health disparities can be examined by analyzing the distribution of age at death. This article exposes a characterization of the age-at-death distribution across populations with a focus on the lower and upper tails of the distribution. These metrics, specifically the gap measures in age and share across the 10th and 90th percentiles of the distribution, enable a systematic comparison of national performances, which…
Priority Setting/Ethics | Europe | North America -
ArticlePublication 2022Emerging Therapies for COVID-19: The Value of Information From More Clinical Trials
The COVID-19 pandemic necessitated time-sensitive policy and implementation decisions regarding new therapies in the face …
The COVID-19 pandemic necessitated time-sensitive policy and implementation decisions regarding new therapies in the face of uncertainty. This study aimed to quantify consequences of approving therapies or pursuing further research. The authors used a cohort state-transition model for hospitalized patients with COVID-19 to estimate quality-adjusted life-years (QALYs) and costs associated with multiple drug regimens and usual care. For each they assessed immediate approval, use only in research, emergency use authorization or reject. They conducted cost-effectiveness…
Benefit-Cost Analysis | Europe | Value of Information | State-Transition | Infectious Diseases | Policy/Regulation | Economics/Finance | North America -
ArticlePublication 2018DALYS and QALYs – Does the Choice of Measure Matter?
This article discusses the measurement of health benefits as a key issue in health economic …
This article discusses the measurement of health benefits as a key issue in health economic evaluations. Authors adapted two previously published models, a Markov model for human papilloma virus (HPV) vaccination, and a pneumococcal vaccination deterministic model (PNEUMO) that reported outputs in QALYs to estimate DALYs in 3 settings, Argentina, Chile, and the United Kingdom. While the authors found that QALY gains were larger than DALYs avoided in all countries for HPV, differences using QALYs…
Cost-Effectiveness Analysis | Europe | Infectious Diseases | Policy/Regulation | Health/Medicine | Latin America & Caribbean -
ArticlePublication 2016Cost-Effectiveness of Collaborative Care for Depression and Comorbid Diabetes or CVD
This article, published in BMJ Open, presents an economic model that combines a decision tree …
This article, published in BMJ Open, presents an economic model that combines a decision tree and a Markov cohort model to investigate the long-term cost-effectiveness of collaborative care versus usual care for individuals with depression and comorbid diabetes and/or cardiovascular disease. Data from the COINCIDE trial informs the model input parameters. The COINCIDE trial is a randomized controlled trial of collaborative care versus usual care that enrolled 387 participants from 36 primary care general practices…
Cost-Effectiveness Analysis | Europe | State-Transition | Chronic Disease/Risk | Mental Health | Health/Medicine -
Resource PortalPublication, Teaching Resource 2016Health Technology Assessment on the Net: 2016
This guide has been developed by the information specialists at the Institute of Health Economics …
This guide has been developed by the information specialists at the Institute of Health Economics in Edmonton Alberta and is intended to facilitate searching for health technology assessments (HTAs) or systematic reviews by providing the list of current and reliable internet-based resources based on previously performed searches.
Technology Assessment | Europe | Health/Medicine | Science/Technology | Global | North America | College | Graduate | Doctoral | Professional | Policy Translation -
ArticlePublication 2016Estimating the Cost-Effectiveness of Implementation: Is Sufficient Evidence Available?
Timely implementation of recommended interventions can provide health benefits to patients and cost savings to …
Timely implementation of recommended interventions can provide health benefits to patients and cost savings to the health service provider. Effective approaches to increase the implementation of guidance are needed. Since investment in activities that improve implementation competes for funding against other health generating interventions, it should be assessed in term of its costs and benefits. In 2010, the National Institute for Health and Care Excellence released a clinical guideline recommending natriuretic peptide (NP) testing in…
Cost-Effectiveness Analysis | Europe | Health Outcomes | Operations Research | Chronic Disease/Risk | Health Systems | Clinical Care | Economics/Finance | Health/Medicine