A methodological framework for assessing agreement between cost-effectiveness outcomes estimated using alternative sources of data on treatment costs and effects for trial-based economic evaluations.
File(s)
Published version
Author(s)
Type
Journal Article
Abstract
A new methodological framework for assessing agreement between cost-effectiveness endpoints generated using alternative sources of data on treatment costs and effects for trial-based economic evaluations is proposed. The framework can be used to validate cost-effectiveness endpoints generated from routine data sources when comparable data is available directly from trial case report forms or from another source. We illustrate application of the framework using data from a recent trial-based economic evaluation of the probiotic Bifidobacterium breve strain BBG administered to babies less than 31 weeks of gestation. Cost-effectiveness endpoints are compared using two sources of information; trial case report forms and data extracted from the National Neonatal Research Database (NNRD), a clinical database created through collaborative efforts of UK neonatal services. Focusing on mean incremental net benefits at £30,000 per episode of sepsis averted, the study revealed no evidence of discrepancy between the data sources (two-sided p values >0.4), low probability estimates of miscoverage (ranging from 0.039 to 0.060) and concordance correlation coefficients greater than 0.86. We conclude that the NNRD could potentially serve as a reliable source of data for future trial-based economic evaluations of neonatal interventions. We also discuss the potential implications of increasing opportunity to utilize routinely available data for the conduct of trial-based economic evaluations.
Date Issued
2017-02-09
Date Acceptance
2017-01-10
Citation
European Journal of Health Economics, 2017, 19 (1), pp.75-86
ISSN
1618-7601
Publisher
Springer Verlag (Germany)
Start Page
75
End Page
86
Journal / Book Title
European Journal of Health Economics
Volume
19
Issue
1
Copyright Statement
© 2017 The Author(s). Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
License URL
Sponsor
National Institute for Health Research
Identifier
PII: 10.1007/s10198-017-0868-8
Grant Number
N/A
Subjects
Agreement
Cost-effectiveness analysis
Economic evaluation
Electronic health records
Routine data
Medicines for Neonates Investigators
1402 Applied Economics
1117 Public Health And Health Services
Health Policy & Services
Publication Status
Published