Skip to main content
Top
Published in: The European Journal of Health Economics 3/2003

01-09-2003 | Editorial

When should decision-analytic modeling be used in the economic evaluation of health care?

Author: Uwe Siebert MDH, MPH

Published in: The European Journal of Health Economics | Issue 3/2003

Login to get access

Excerpt

More than a quarter of a century ago Weinstein and Stason [1] introduced to the medical community the concept and methods of cost-effectiveness analysis. Although economic evaluations were not widely used at first, today they are a standard tool in the assessment of health care technologies. Health care resources continue to be limited, and new and more effective technologies often come with increased costs and bear different risks than the "standard" technology. Therefore the application of formal methods considering all dimensions relevant to the patient and society will continue to be of paramount importance in the future. …
Literature
1.
go back to reference Weinstein MC, Stason WB (1977) Foundations of cost-effectiveness analysis for health and medical practices. N Engl J Med 296:716–721PubMed Weinstein MC, Stason WB (1977) Foundations of cost-effectiveness analysis for health and medical practices. N Engl J Med 296:716–721PubMed
2.
go back to reference Raiffa H (1968) Decision analysis: introductory lectures on choices under uncertainty, 1st edn. Addison Wesley: Reading Raiffa H (1968) Decision analysis: introductory lectures on choices under uncertainty, 1st edn. Addison Wesley: Reading
3.
go back to reference Pauker SG, Kassirer JP (1975) Therapeutic decision making: a cost-benefit analysis. N Engl J Med 293:229–234PubMed Pauker SG, Kassirer JP (1975) Therapeutic decision making: a cost-benefit analysis. N Engl J Med 293:229–234PubMed
4.
go back to reference Weinstein MC, Fineberg HV, Elstein AS et al. (1980) Clinical decision analysis, 1st edn. Saunders: Philadelphia Weinstein MC, Fineberg HV, Elstein AS et al. (1980) Clinical decision analysis, 1st edn. Saunders: Philadelphia
5.
go back to reference Keeney RL (1982) Decision analysis: an overview. Operations Res 30:803–838 Keeney RL (1982) Decision analysis: an overview. Operations Res 30:803–838
6.
go back to reference Kassirer JP, Moskowitz AJ, Lau J, Pauker SG (1987) Decision analysis: a progress report. Ann Intern Med 106:275–291PubMed Kassirer JP, Moskowitz AJ, Lau J, Pauker SG (1987) Decision analysis: a progress report. Ann Intern Med 106:275–291PubMed
7.
go back to reference Sox H, Blatt MA, Higgins MC, Marton KI (1988) Medical decision making. Butterworths: Boston Sox H, Blatt MA, Higgins MC, Marton KI (1988) Medical decision making. Butterworths: Boston
8.
go back to reference Chapman GB, Sonnenberg FA (2000) Decision making in health care: theory, psychology, and applications. Cambridge Series on Judgment and Decision Making. Cambridge University Press: New York Chapman GB, Sonnenberg FA (2000) Decision making in health care: theory, psychology, and applications. Cambridge Series on Judgment and Decision Making. Cambridge University Press: New York
9.
go back to reference Hunink MG, Glasziou PP, Siegel JE et al. (2001) Decision making in health and medicine. Integrating evidence and values. Cambridge University Press: Cambridge Hunink MG, Glasziou PP, Siegel JE et al. (2001) Decision making in health and medicine. Integrating evidence and values. Cambridge University Press: Cambridge
10.
go back to reference Buxton MJ, Drummond MF, Van Hout BA et al. (1997) Modelling in economic evaluation: an unavoidable fact of life. Health Econ 6:217–227 Buxton MJ, Drummond MF, Van Hout BA et al. (1997) Modelling in economic evaluation: an unavoidable fact of life. Health Econ 6:217–227
11.
go back to reference Weinstein MC, Toy EL, Sandberg EA et al. (2001) Modeling for health care and other policy decisions: uses, roles, and validity. Value Health 4:348–361CrossRefPubMed Weinstein MC, Toy EL, Sandberg EA et al. (2001) Modeling for health care and other policy decisions: uses, roles, and validity. Value Health 4:348–361CrossRefPubMed
12.
go back to reference Sheldon TA (1996) Problems of using modelling in the economic evaluation of health care. Health Econ 5:1–11 Sheldon TA (1996) Problems of using modelling in the economic evaluation of health care. Health Econ 5:1–11
13.
go back to reference Weinstein MC, O'Brien B, Hornberger J et al. (2003) Principles of good practice for decision analytic modeling in health-care evaluation: report of the ISPOR Task Force on Good Research Practices-Modeling Studies. Value Health 6:9–17CrossRefPubMed Weinstein MC, O'Brien B, Hornberger J et al. (2003) Principles of good practice for decision analytic modeling in health-care evaluation: report of the ISPOR Task Force on Good Research Practices-Modeling Studies. Value Health 6:9–17CrossRefPubMed
14.
go back to reference National Research Council (1991) Improving information for social policy decisions: the uses of microsimulation modelling, vol 1. National Academy Press: Washington National Research Council (1991) Improving information for social policy decisions: the uses of microsimulation modelling, vol 1. National Academy Press: Washington
15.
go back to reference Box GEP, Hunter WG, Hunter JS (1978) Statistics for experimenters: an introduction to design, data analysis, and model building. Wiley: New York Box GEP, Hunter WG, Hunter JS (1978) Statistics for experimenters: an introduction to design, data analysis, and model building. Wiley: New York
16.
go back to reference Eddy DM (1990) Clinical decision making: from theory to practice. Designing a practice policy. Standards, guidelines and options. JAMA 263:3077CrossRefPubMed Eddy DM (1990) Clinical decision making: from theory to practice. Designing a practice policy. Standards, guidelines and options. JAMA 263:3077CrossRefPubMed
17.
go back to reference Richardson WS, Detsky AS (1995) Users' guides to the medical literature. VII. How to use a clinical decision analysis. A. Are the results of the study valid? Evidence Based Medicine Working Group. JAMA 273:1292–1295CrossRefPubMed Richardson WS, Detsky AS (1995) Users' guides to the medical literature. VII. How to use a clinical decision analysis. A. Are the results of the study valid? Evidence Based Medicine Working Group. JAMA 273:1292–1295CrossRefPubMed
18.
go back to reference Drummond MF, O'Brien B, Stoddart GL, Torrance GW (1997) Methods for the economic evaluation of health care programmes, 2nd edn. Oxford University Press: New York Drummond MF, O'Brien B, Stoddart GL, Torrance GW (1997) Methods for the economic evaluation of health care programmes, 2nd edn. Oxford University Press: New York
19.
go back to reference Beck JR, Pauker SG (1983) The Markov process in medical prognosis. Med Decis Making 3:419–458PubMed Beck JR, Pauker SG (1983) The Markov process in medical prognosis. Med Decis Making 3:419–458PubMed
20.
go back to reference Sonnenberg FA, Beck JR (1993) Markov models in medical decision making: a practical guide. Med Decis Making 13:322–338PubMed Sonnenberg FA, Beck JR (1993) Markov models in medical decision making: a practical guide. Med Decis Making 13:322–338PubMed
21.
go back to reference Anderson RM, May RM (1991) Infectious diseases of humans: dynamics and control. Oxford University Press: New York Anderson RM, May RM (1991) Infectious diseases of humans: dynamics and control. Oxford University Press: New York
22.
go back to reference Gold MR, Siegel JE, Russell LB, Weinstein MC (1996) Cost-effectiveness in health and medicine. Oxford University Press: New York Gold MR, Siegel JE, Russell LB, Weinstein MC (1996) Cost-effectiveness in health and medicine. Oxford University Press: New York
23.
go back to reference Tengs TO, Adams ME, Pliskin JS et al. (1995) Five-hundred life-saving interventions and their cost-effectiveness. Risk Anal 15:369–390PubMed Tengs TO, Adams ME, Pliskin JS et al. (1995) Five-hundred life-saving interventions and their cost-effectiveness. Risk Anal 15:369–390PubMed
24.
go back to reference Deuffic S, Buffat L, Poynard T, Valleron AJ (1999) Modeling the hepatitis C virus epidemic in France. Hepatology 29:1596–1601PubMed Deuffic S, Buffat L, Poynard T, Valleron AJ (1999) Modeling the hepatitis C virus epidemic in France. Hepatology 29:1596–1601PubMed
25.
go back to reference Wong JB, McQuillan GM, McHutchison JG, Poynard T (2000) Estimating future hepatitis C morbidity, mortality, and costs in the United States. Am J Public Health 90:1562–1569PubMed Wong JB, McQuillan GM, McHutchison JG, Poynard T (2000) Estimating future hepatitis C morbidity, mortality, and costs in the United States. Am J Public Health 90:1562–1569PubMed
26.
go back to reference Salomon JA, Weinstein MC, Hammitt JK, Goldie SJ (2002) Empirically calibrated model of hepatitis C virus infection in the United States. Am J Epidemiol 156:761–773CrossRefPubMed Salomon JA, Weinstein MC, Hammitt JK, Goldie SJ (2002) Empirically calibrated model of hepatitis C virus infection in the United States. Am J Epidemiol 156:761–773CrossRefPubMed
27.
go back to reference Freeman AJ, Law MG, Kaldor JM, Dore GJ (2003) Predicting progression to cirrhosis in chronic hepatitis C virus infection. J Viral Hepat 10:285–293PubMed Freeman AJ, Law MG, Kaldor JM, Dore GJ (2003) Predicting progression to cirrhosis in chronic hepatitis C virus infection. J Viral Hepat 10:285–293PubMed
28.
go back to reference Manns MP, McHutchison JG, Gordon SC et al. (2001) Peginterferon alfa-2b plus ribavirin compared with interferon alfa-2b plus ribavirin for initial treatment of chronic hepatitis C: a randomised trial. Lancet 358 958–965 Manns MP, McHutchison JG, Gordon SC et al. (2001) Peginterferon alfa-2b plus ribavirin compared with interferon alfa-2b plus ribavirin for initial treatment of chronic hepatitis C: a randomised trial. Lancet 358 958–965
29.
go back to reference Fried M, Shiffman M, Reddy R et al. (2002) Peginterferon alfa-2a plus ribavirin for chronic hepatitis C virus infection. N Engl J Med 347:975–982CrossRefPubMed Fried M, Shiffman M, Reddy R et al. (2002) Peginterferon alfa-2a plus ribavirin for chronic hepatitis C virus infection. N Engl J Med 347:975–982CrossRefPubMed
30.
go back to reference Krahn MD, Mahoney JE, Eckman MH et al. (1994) Screening for prostate cancer. A decision analytic view. JAMA 272:773–780PubMed Krahn MD, Mahoney JE, Eckman MH et al. (1994) Screening for prostate cancer. A decision analytic view. JAMA 272:773–780PubMed
31.
go back to reference Coley CM, Barry MJ, Fleming C et al. (1997) Early detection of prostate cancer. II. Estimating the risks, benefits, and costs. Ann Intern Med 126:468–479PubMed Coley CM, Barry MJ, Fleming C et al. (1997) Early detection of prostate cancer. II. Estimating the risks, benefits, and costs. Ann Intern Med 126:468–479PubMed
32.
go back to reference Harris R, Lohr KN (2002) Screening for prostate cancer: an update of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med 137:917–929PubMed Harris R, Lohr KN (2002) Screening for prostate cancer: an update of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med 137:917–929PubMed
33.
go back to reference Neumann PJ, Hermann RC, Kuntz KM et al. (1999) Cost-effectiveness of donepezil in the treatment of mild or moderate Alzheimer's disease. Neurology 52:1138–1145PubMed Neumann PJ, Hermann RC, Kuntz KM et al. (1999) Cost-effectiveness of donepezil in the treatment of mild or moderate Alzheimer's disease. Neurology 52:1138–1145PubMed
34.
go back to reference Rogers SL, Farlow MR, Doody RS et al. (1998) A 24-week, double-blind, placebo-controlled trial of donepezil in patients with Alzheimer's disease. Donepezil Study Group. Neurology 50:136–145PubMed Rogers SL, Farlow MR, Doody RS et al. (1998) A 24-week, double-blind, placebo-controlled trial of donepezil in patients with Alzheimer's disease. Donepezil Study Group. Neurology 50:136–145PubMed
35.
go back to reference Greiner W, Schöffski O, Graf von der Schulenburg JM (2000) Transferability of international results on national research questions (in German). In: Schöffski O, Graf von der Schulenburg JM (eds) Gesundheitsökonomische Evaluationen, 2nd edn. Springer: Berlin Heidelberg New York, pp 403–420 Greiner W, Schöffski O, Graf von der Schulenburg JM (2000) Transferability of international results on national research questions (in German). In: Schöffski O, Graf von der Schulenburg JM (eds) Gesundheitsökonomische Evaluationen, 2nd edn. Springer: Berlin Heidelberg New York, pp 403–420
36.
go back to reference Graham DY, Agrawal NM, Roth SH (1988) Prevention of NSAID-induced gastric ulcer with misoprostol: multicentre, double-blind, placebo-controlled trial. Lancet II 1277–1280 Graham DY, Agrawal NM, Roth SH (1988) Prevention of NSAID-induced gastric ulcer with misoprostol: multicentre, double-blind, placebo-controlled trial. Lancet II 1277–1280
37.
go back to reference Hillman AL, Bloom BS (1989) Economic effects of prophylactic use of misoprostol to prevent gastric ulcer in patients taking nonsteroidal anti-inflammatory drugs. Arch Intern Med 149:2061–2065CrossRefPubMed Hillman AL, Bloom BS (1989) Economic effects of prophylactic use of misoprostol to prevent gastric ulcer in patients taking nonsteroidal anti-inflammatory drugs. Arch Intern Med 149:2061–2065CrossRefPubMed
38.
go back to reference Baltussen R, Ament A, Leidl R (1996) Making cost assessments based on RCTs more useful to decision-makers. Health Policy 37:163–183PubMed Baltussen R, Ament A, Leidl R (1996) Making cost assessments based on RCTs more useful to decision-makers. Health Policy 37:163–183PubMed
39.
go back to reference Baltussen R, Leidl R, Ament A (1996) The impact of age on cost-effectiveness ratios and its control in decision making. Health Econ 5:227–239 Baltussen R, Leidl R, Ament A (1996) The impact of age on cost-effectiveness ratios and its control in decision making. Health Econ 5:227–239
40.
go back to reference Leidl R, von der Schulenburg J-M, Wasem J (1999) Approaches and methods of economic evaluation-an international perspective (in German). Health Technology Assessment, vol 9. Nomos: Baden-Baden Leidl R, von der Schulenburg J-M, Wasem J (1999) Approaches and methods of economic evaluation-an international perspective (in German). Health Technology Assessment, vol 9. Nomos: Baden-Baden
41.
go back to reference Bennett WG, Inoue Y, Beck JR et al. (1997) Estimates of the cost-effectiveness of a single course of interferon-alpha 2b in patients with histologically mild chronic hepatitis C. Ann Intern Med 127:855–865PubMed Bennett WG, Inoue Y, Beck JR et al. (1997) Estimates of the cost-effectiveness of a single course of interferon-alpha 2b in patients with histologically mild chronic hepatitis C. Ann Intern Med 127:855–865PubMed
42.
go back to reference Wong JB, Poynard T, Ling MH et al. (2000) Cost-effectiveness of 24 or 48 weeks of interferon alpha-2b alone or with ribavirin as initial treatment of chronic hepatitis C. International Hepatitis Interventional Therapy Group. Am J Gastroenterol 95:1524–1530CrossRefPubMed Wong JB, Poynard T, Ling MH et al. (2000) Cost-effectiveness of 24 or 48 weeks of interferon alpha-2b alone or with ribavirin as initial treatment of chronic hepatitis C. International Hepatitis Interventional Therapy Group. Am J Gastroenterol 95:1524–1530CrossRefPubMed
43.
go back to reference Sennfält K, Reichard O, Hultkrantz R et al. (2001) Cost-effectiveness of interferon alfa-2b with and without ribavirin as therapy for chronic hepatitis C in Sweden. Scand J Gastroenterol 36:870–876CrossRefPubMed Sennfält K, Reichard O, Hultkrantz R et al. (2001) Cost-effectiveness of interferon alfa-2b with and without ribavirin as therapy for chronic hepatitis C in Sweden. Scand J Gastroenterol 36:870–876CrossRefPubMed
44.
go back to reference Sagmeister M, Wong JB, Mullhaupt B, Renner EL (2001) A pragmatic and cost-effective strategy of a combination therapy of interferon alpha-2b and ribavirin for the treatment of chronic hepatitis C. Eur J Gastroenterol Hepatol 13:483–488CrossRefPubMed Sagmeister M, Wong JB, Mullhaupt B, Renner EL (2001) A pragmatic and cost-effective strategy of a combination therapy of interferon alpha-2b and ribavirin for the treatment of chronic hepatitis C. Eur J Gastroenterol Hepatol 13:483–488CrossRefPubMed
45.
go back to reference Stein K, Rosenberg W, Wong J (2002) Cost effectiveness of combination therapy for hepatitis C: a decision analytic model. Gut 50:253–258CrossRefPubMed Stein K, Rosenberg W, Wong J (2002) Cost effectiveness of combination therapy for hepatitis C: a decision analytic model. Gut 50:253–258CrossRefPubMed
46.
go back to reference Wong JB, Nevens F (2002) Cost-effectiveness of peginterferon alfa-2b plus ribavirin compared to interferon alfa-2b plus ribavirin as initial treatment of chronic hepatitis C in Belgium. Acta Gastroenterol Belg 65:110–111PubMed Wong JB, Nevens F (2002) Cost-effectiveness of peginterferon alfa-2b plus ribavirin compared to interferon alfa-2b plus ribavirin as initial treatment of chronic hepatitis C in Belgium. Acta Gastroenterol Belg 65:110–111PubMed
47.
go back to reference Siebert U, Sroczynski G, Rossol S et al. (2003) Cost effectiveness of peginterferon alpha-2b plus ribavirin versus interferon alpha-2b plus ribavirin for initial treatment of chronic hepatitis C. Gut 52:425–432CrossRefPubMed Siebert U, Sroczynski G, Rossol S et al. (2003) Cost effectiveness of peginterferon alpha-2b plus ribavirin versus interferon alpha-2b plus ribavirin for initial treatment of chronic hepatitis C. Gut 52:425–432CrossRefPubMed
48.
go back to reference Buti M, Medina M, Casado MA et al. (2003) A cost-effectiveness analysis of peginterferon alfa-2b plus ribavirin for the treatment of naive patients with chronic hepatitis C. Aliment Pharmacol Ther 17:687–694PubMed Buti M, Medina M, Casado MA et al. (2003) A cost-effectiveness analysis of peginterferon alfa-2b plus ribavirin for the treatment of naive patients with chronic hepatitis C. Aliment Pharmacol Ther 17:687–694PubMed
49.
go back to reference Canadian Coordinating Office for Health Technology Assessment (1997) Guidelines for economic evaluation of pharmaceuticals, 2nd edn. CCOHTA: Ottawa Canadian Coordinating Office for Health Technology Assessment (1997) Guidelines for economic evaluation of pharmaceuticals, 2nd edn. CCOHTA: Ottawa
50.
go back to reference Schulenburg JM Graf von der, Hoffmann C (2000) Review of European guidelines for economic evaluation of medical technologies and pharmaceuticals. Eur J Health Econ 1:2–8 Schulenburg JM Graf von der, Hoffmann C (2000) Review of European guidelines for economic evaluation of medical technologies and pharmaceuticals. Eur J Health Econ 1:2–8
51.
go back to reference Mason J, Drummond MF, Torrance G (1993) Some guidelines on the use of cost effectiveness league tables. BMJ 306:570–572PubMed Mason J, Drummond MF, Torrance G (1993) Some guidelines on the use of cost effectiveness league tables. BMJ 306:570–572PubMed
52.
go back to reference Pauker SP, Pauker SG (1987) The amniocentesis decision: ten years of decision analytic experience. Birth defects. Original Article Series 23:151–169 Pauker SP, Pauker SG (1987) The amniocentesis decision: ten years of decision analytic experience. Birth defects. Original Article Series 23:151–169
53.
go back to reference Pauker SP, Pauker SG (1979) The amniocentesis decision: an explicit guide for parents. Birth defects. Original Article Series 15:289–324 Pauker SP, Pauker SG (1979) The amniocentesis decision: an explicit guide for parents. Birth defects. Original Article Series 15:289–324
54.
go back to reference Krahn MD, Mahoney JE, Eckman MH et al. (1994) Screening for prostate cancer. A decision analytic view. JAMA 272:773–780PubMed Krahn MD, Mahoney JE, Eckman MH et al. (1994) Screening for prostate cancer. A decision analytic view. JAMA 272:773–780PubMed
55.
go back to reference Sonnenberg A, Delco F (2002) Cost-effectiveness of a single colonoscopy in screening for colorectal cancer. Arch Intern Med 162:163–168CrossRefPubMed Sonnenberg A, Delco F (2002) Cost-effectiveness of a single colonoscopy in screening for colorectal cancer. Arch Intern Med 162:163–168CrossRefPubMed
56.
go back to reference Eddy DM (1987) The frequency of cervical cancer screening. Comparison of a mathematical model with empirical data. Cancer 60:1117–22PubMed Eddy DM (1987) The frequency of cervical cancer screening. Comparison of a mathematical model with empirical data. Cancer 60:1117–22PubMed
57.
go back to reference Goldie SJ, Kuhn L, Denny L et al. (2001) Policy analysis of cervical cancer screening strategies in low-resource settings: clinical benefits and cost-effectiveness. JAMA 285:3107–3115 (erratum appears in 286:1026) Goldie SJ, Kuhn L, Denny L et al. (2001) Policy analysis of cervical cancer screening strategies in low-resource settings: clinical benefits and cost-effectiveness. JAMA 285:3107–3115 (erratum appears in 286:1026)
58.
go back to reference Bech GJ, De Bruyne B, Pijls NH et al. (2001) Fractional flow reserve to determine the appropriateness of angioplasty in moderate coronary stenosis: a randomized trial. Circulation 103:2928–2934PubMed Bech GJ, De Bruyne B, Pijls NH et al. (2001) Fractional flow reserve to determine the appropriateness of angioplasty in moderate coronary stenosis: a randomized trial. Circulation 103:2928–2934PubMed
59.
go back to reference Kuntz KM, Fleischmann KE, Hunink MGM, Douglas PS (1999) Cost-effectiveness of diagnostic strategies for patients with chest pain. Ann Intern Med 130:709–718PubMed Kuntz KM, Fleischmann KE, Hunink MGM, Douglas PS (1999) Cost-effectiveness of diagnostic strategies for patients with chest pain. Ann Intern Med 130:709–718PubMed
60.
go back to reference McHutchison JG, Manns M, Patel K et al. (2002) Adherence to combination therapy enhances sustained response in genotype-1-infected patients with chronic hepatitis C. Gastroenterology 123:1061–1089CrossRefPubMed McHutchison JG, Manns M, Patel K et al. (2002) Adherence to combination therapy enhances sustained response in genotype-1-infected patients with chronic hepatitis C. Gastroenterology 123:1061–1089CrossRefPubMed
61.
go back to reference Claxton K, Neumann PJ, Araki S, Weinstein MC (2001) Bayesian value-of-information analysis. An application to a policy model of Alzheimer's disease. Int J Technol Assess Health Care 17:38–55CrossRefPubMed Claxton K, Neumann PJ, Araki S, Weinstein MC (2001) Bayesian value-of-information analysis. An application to a policy model of Alzheimer's disease. Int J Technol Assess Health Care 17:38–55CrossRefPubMed
62.
go back to reference Weinstein MC, Coxson PG, Williams LW et al. (1987) Forecasting coronary heart disease incidence, mortality, and cost: the Coronary Heart Disease Policy Model. Am J Public Health 77:1417–1426PubMed Weinstein MC, Coxson PG, Williams LW et al. (1987) Forecasting coronary heart disease incidence, mortality, and cost: the Coronary Heart Disease Policy Model. Am J Public Health 77:1417–1426PubMed
63.
go back to reference Goldman L, Weinstein MC, Williams LW (1989) Relative impact of targeted versus populationwide cholesterol interventions on the incidence of coronary heart disease. Projections of the Coronary Heart Disease Policy Model. Circulation 80:254–260PubMed Goldman L, Weinstein MC, Williams LW (1989) Relative impact of targeted versus populationwide cholesterol interventions on the incidence of coronary heart disease. Projections of the Coronary Heart Disease Policy Model. Circulation 80:254–260PubMed
64.
go back to reference Edelson JT, Weinstein MC, Tosteson AN et al. (1990) Long-term cost-effectiveness of various initial monotherapies for mild to moderate hypertension. JAMA 263:407–413CrossRefPubMed Edelson JT, Weinstein MC, Tosteson AN et al. (1990) Long-term cost-effectiveness of various initial monotherapies for mild to moderate hypertension. JAMA 263:407–413CrossRefPubMed
65.
go back to reference Goldman L, Weinstein MC, Goldman PA, Williams LW (1991) Cost-effectiveness of HMG-CoA reductase inhibition for primary and secondary prevention of coronary heart disease. JAMA 265:1145–1151CrossRefPubMed Goldman L, Weinstein MC, Goldman PA, Williams LW (1991) Cost-effectiveness of HMG-CoA reductase inhibition for primary and secondary prevention of coronary heart disease. JAMA 265:1145–1151CrossRefPubMed
66.
go back to reference Tsevat J, Weinstein MC, Williams LW et al. (1991) Expected gains in life expectancy from various coronary heart disease risk factor modifications. Circulation 83:1194–1201PubMed Tsevat J, Weinstein MC, Williams LW et al. (1991) Expected gains in life expectancy from various coronary heart disease risk factor modifications. Circulation 83:1194–1201PubMed
67.
go back to reference Hunink MG, Goldman L, Tosteson AN et al. (1997) The recent decline in mortality from coronary heart disease, 1980–1990. The effect of secular trends in risk factors and treatment. JAMA 277:535–542CrossRefPubMed Hunink MG, Goldman L, Tosteson AN et al. (1997) The recent decline in mortality from coronary heart disease, 1980–1990. The effect of secular trends in risk factors and treatment. JAMA 277:535–542CrossRefPubMed
68.
go back to reference Tosteson AN, Weinstein MC, Hunink MG et al. (1997) Cost-effectiveness of populationwide educational approaches to reduce serum cholesterol levels. Circulation 95:24–30PubMed Tosteson AN, Weinstein MC, Hunink MG et al. (1997) Cost-effectiveness of populationwide educational approaches to reduce serum cholesterol levels. Circulation 95:24–30PubMed
69.
go back to reference Goldman L, Coxson P, Hunink MG et al. (1999) The relative influence of secondary versus primary prevention using the National Cholesterol Education Program Adult Treatment Panel II guidelines. J Am Coll Cardiol 34:768–776CrossRefPubMed Goldman L, Coxson P, Hunink MG et al. (1999) The relative influence of secondary versus primary prevention using the National Cholesterol Education Program Adult Treatment Panel II guidelines. J Am Coll Cardiol 34:768–776CrossRefPubMed
70.
go back to reference Prosser LA, Stinnett AA, Goldman PA et al. (2000) Cost-effectiveness of cholesterol-lowering therapies according to selected patient characteristics. Ann Intern Med 132:769–779PubMed Prosser LA, Stinnett AA, Goldman PA et al. (2000) Cost-effectiveness of cholesterol-lowering therapies according to selected patient characteristics. Ann Intern Med 132:769–779PubMed
71.
go back to reference Phillips KA, Shlipak MG, Coxson P et al. (2000) Health and economic benefits of increased beta-blocker use following myocardial infarction. JAMA 284:2748–2754CrossRefPubMed Phillips KA, Shlipak MG, Coxson P et al. (2000) Health and economic benefits of increased beta-blocker use following myocardial infarction. JAMA 284:2748–2754CrossRefPubMed
72.
go back to reference Goldman L, Phillips KA, Coxson P et al. (2001) The effect of risk factor reductions between 1981 and 1990 on coronary heart disease incidence, prevalence, mortality and cost. J Am Coll Cardiol 38:1012–1017CrossRefPubMed Goldman L, Phillips KA, Coxson P et al. (2001) The effect of risk factor reductions between 1981 and 1990 on coronary heart disease incidence, prevalence, mortality and cost. J Am Coll Cardiol 38:1012–1017CrossRefPubMed
73.
go back to reference Tice JA, Ross E, Coxson PG et al. (2001) Cost-effectiveness of vitamin therapy to lower plasma homocysteine levels for the prevention of coronary heart disease: effect of grain fortification and beyond. JAMA 286:936–943CrossRefPubMed Tice JA, Ross E, Coxson PG et al. (2001) Cost-effectiveness of vitamin therapy to lower plasma homocysteine levels for the prevention of coronary heart disease: effect of grain fortification and beyond. JAMA 286:936–943CrossRefPubMed
74.
go back to reference Tsevat J (1992) Impact and cost-effectiveness of smoking interventions. Am J Med 93:43S–47SPubMed Tsevat J (1992) Impact and cost-effectiveness of smoking interventions. Am J Med 93:43S–47SPubMed
75.
go back to reference Goldman L, Gordon DJ, Rifkind BM et al. (1992) Cost and health implications of cholesterol lowering. Circulation 85:1960–1968PubMed Goldman L, Gordon DJ, Rifkind BM et al. (1992) Cost and health implications of cholesterol lowering. Circulation 85:1960–1968PubMed
76.
go back to reference Tosteson AN, Weinstein MC, Williams LW, Goldman L (1990) Long-term impact of smoking cessation on the incidence of coronary heart disease. Am J Public Health 80:1481–1486PubMed Tosteson AN, Weinstein MC, Williams LW, Goldman L (1990) Long-term impact of smoking cessation on the incidence of coronary heart disease. Am J Public Health 80:1481–1486PubMed
77.
go back to reference Goldman L, Goldman PA, Williams LW, Weinstein MC (1993) Cost-effectiveness considerations in the treatment of heterozygous familial hypercholesterolemia with medications. Am J Cardiol 72:75D–79DPubMed Goldman L, Goldman PA, Williams LW, Weinstein MC (1993) Cost-effectiveness considerations in the treatment of heterozygous familial hypercholesterolemia with medications. Am J Cardiol 72:75D–79DPubMed
78.
go back to reference Stinnett A, Mittleman A, Weinstein M et al. (1996) The cost-effectiveness of dietary and pharmacologic therapy for cholesterol reduction in adults. In: Gold MR, Siegel JE, Russell LB, Weinstein MC (eds) Cost-effectiveness in health and medicine: report on the panel of cost-effectiveness in health and medicine. Oxford University Press: New York, 349–391 Stinnett A, Mittleman A, Weinstein M et al. (1996) The cost-effectiveness of dietary and pharmacologic therapy for cholesterol reduction in adults. In: Gold MR, Siegel JE, Russell LB, Weinstein MC (eds) Cost-effectiveness in health and medicine: report on the panel of cost-effectiveness in health and medicine. Oxford University Press: New York, 349–391
79.
go back to reference Anonymous (1993) Summary of the second report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel II). JAMA 269:3015–3023PubMed Anonymous (1993) Summary of the second report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel II). JAMA 269:3015–3023PubMed
80.
go back to reference Tengs TO, Osgood ND, Lin TH (2001) Public health impact of changes in smoking behavior: results from the Tobacco Policy Model. Med Care 39:1131–1141CrossRefPubMed Tengs TO, Osgood ND, Lin TH (2001) Public health impact of changes in smoking behavior: results from the Tobacco Policy Model. Med Care 39:1131–1141CrossRefPubMed
81.
go back to reference Tengs TO, Osgood ND, Chen LL (2001) The cost-effectiveness of intensive national school-based anti-tobacco education: results from the tobacco policy model. Prev Med 33:558–570CrossRefPubMed Tengs TO, Osgood ND, Chen LL (2001) The cost-effectiveness of intensive national school-based anti-tobacco education: results from the tobacco policy model. Prev Med 33:558–570CrossRefPubMed
82.
go back to reference Perleth M, Busse R (2000) Health technology assessment in Germany. Status, challenges, and development. Int J Technol Assess Health Care 16:412–428CrossRefPubMed Perleth M, Busse R (2000) Health technology assessment in Germany. Status, challenges, and development. Int J Technol Assess Health Care 16:412–428CrossRefPubMed
83.
go back to reference Sassi F (2000) The European way to health technology assessment. Lessons from an evaluation of EUR-ASSESS. Int J Technol Assess Health Care 16:282–290CrossRefPubMed Sassi F (2000) The European way to health technology assessment. Lessons from an evaluation of EUR-ASSESS. Int J Technol Assess Health Care 16:282–290CrossRefPubMed
84.
go back to reference Russell LB, Gold MR, Siegel JE et al. (1996) The role of cost-effectiveness analysis in health and medicine. Panel on Cost-Effectiveness in Health and Medicine. JAMA 276:1172–1177PubMed Russell LB, Gold MR, Siegel JE et al. (1996) The role of cost-effectiveness analysis in health and medicine. Panel on Cost-Effectiveness in Health and Medicine. JAMA 276:1172–1177PubMed
85.
go back to reference Marckmann G, Siebert U (2002) Kosteneffektivität als Allokationskriterium in der Gesundheitsversorgung. Z Med Ethik 48:171–190 Marckmann G, Siebert U (2002) Kosteneffektivität als Allokationskriterium in der Gesundheitsversorgung. Z Med Ethik 48:171–190
Metadata
Title
When should decision-analytic modeling be used in the economic evaluation of health care?
Author
Uwe Siebert MDH, MPH
Publication date
01-09-2003
Publisher
Springer-Verlag
Published in
The European Journal of Health Economics / Issue 3/2003
Print ISSN: 1618-7598
Electronic ISSN: 1618-7601
DOI
https://doi.org/10.1007/s10198-003-0205-2

Other articles of this Issue 3/2003

The European Journal of Health Economics 3/2003 Go to the issue