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Quality of economic evaluations of ventricular assist devices: A systematic review
- Source :
- International journal of technology assessment in health care.
- Publication Year :
- 2020
-
Abstract
- ObjectiveBecause of a lack of suitable heart donors, alternatives to transplantation are required. These alternatives can have high costs. The aim of this study was to perform a systematic review of cost-effectiveness studies of ventricular assist devices (VADs) and to assess the level of evidence of relevant studies. The purpose was not to present economic findings.MethodsA systematic review was performed using four electronic databases to identify health economic evaluation studies dealing with VADs. The methodological quality and reporting quality of the studies was assessed using three different tools, the Drummond, Cooper, and CHEERS (Consolidated Health Economic Evaluation Reporting Standards) checklists.ResultsOf the 1,258 publications identified, thirteen articles were included in this review. Twelve studies were cost–utility analyses and one was a cost-effectiveness analysis. According to the Cooper hierarchy scale, the quality of the data used was heterogeneous. The level of evidence used for clinical effect sizes, safety data, and baseline clinical data was of poor quality. In contrast, cost data were of high quality in most studies. Quality of reporting varied between studies, with an average score of 17.4 (range 15–19) according to the CHEERS checklist.ConclusionThe current study shows that the quality of clinical data used in economic evaluations of VADs is rather poor in general. This is a concern that deserves greater attention in the process of health technology assessment of medical devices.
- Subjects :
- medicine.medical_specialty
business.industry
Health Policy
media_common.quotation_subject
Health technology
Evidence-based medicine
030204 cardiovascular system & hematology
Checklist
Transplantation
03 medical and health sciences
0302 clinical medicine
Scale (social sciences)
Economic evaluation
Medicine
Quality (business)
Medical physics
030212 general & internal medicine
business
Cost database
media_common
Subjects
Details
- ISSN :
- 14716348 and 02664623
- Database :
- OpenAIRE
- Journal :
- International journal of technology assessment in health care
- Accession number :
- edsair.doi.dedup.....b4e2091db41e5d5249910f23b1eda544