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Community Guide Economic Reviews of Cardiovascular Disease Prevention Interventions: Tailoring Methods to Ensure Utility of Findings
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Dec 2017
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Source: Am J Prev Med. 53(6 Suppl 2):S155-S163.
[PDF-336.60 KB]
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Alternative Title:Am J Prev Med
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Description:Context:
The Community Preventive Services Task Force recommended five interventions for cardiovascular disease (CVD) prevention between 2012 and 2015. Systematic economic reviews of these interventions faced challenges that made it difficult to generate meaningful policy and programmatic conclusions.
Objectives:
This paper describes the methods used to assess, synthesize, and evaluate the economic evidence to generate valid, reliable, and useful economic conclusions and address the comparability of economic findings across interventions.
Methods:
Steps were taken to assess completeness of data and identify the components and drivers of cost and benefit. Except for intervention cost of self-measured blood pressure monitoring (SMBP) intervention, either alone or with patient support, all cost and benefit estimates were standardized as per patient per year. When possible, intermediate outcomes were converted to quality-adjusted life year (QALY). Differences within and between interventions were considered to generate economic conclusions and inform their comparability.
Results.
Intervention cost per patient per year was highest for team-based care (TBC), either alone or in combination with other interventions. TBC, SMBP with patient support, and SMBP within TBC were found to be cost-effective; however their cost-effectiveness estimates were not comparable because of differences in the intervention characteristics. Lack of enough data and/or incomplete information made it difficult to reach an overall economic finding for the other interventions.
Conclusions:
Appropriate methods to handle the complexity of systematic economic reviews can help to draw transparent and valid economic conclusions for public health interventions to prevent or control CVD and inform judgment about their comparability.
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Pubmed ID:29153116
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Pubmed Central ID:PMC6173312
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Volume:53
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