The state of cost-utility analysis in India: A systematic review

Aims: Cost-utility studies are crucial tools that help policy-makers promote appropriate resource allocation. The objective of this study was to evaluate the extent and quality of cost-utility analysis (CUA) in India through a systematic literature review. Methods: Comprehensive database search was...

Full description

Bibliographic Details
Main Authors: Tanu Khurana, Amit Gupta, Hemant Rathi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Perspectives in Clinical Research
Subjects:
Online Access:http://www.picronline.org/article.asp?issn=2229-3485;year=2021;volume=12;issue=4;spage=179;epage=183;aulast=Khurana
_version_ 1818722084774215680
author Tanu Khurana
Amit Gupta
Hemant Rathi
author_facet Tanu Khurana
Amit Gupta
Hemant Rathi
author_sort Tanu Khurana
collection DOAJ
description Aims: Cost-utility studies are crucial tools that help policy-makers promote appropriate resource allocation. The objective of this study was to evaluate the extent and quality of cost-utility analysis (CUA) in India through a systematic literature review. Methods: Comprehensive database search was conducted to identify the relevant literature published from November 2009 to November 2019. Gray literature and hand searches were also performed. Two researchers independently reviewed and assessed study quality using Consolidated Health Economic Evaluation Reporting Standards checklist. Results: Thirty-five studies were included in the final review. Thirteen studies used Markov model, five used decision tree model, four used a combination of decision tree and Markov model and one each used microsimulation and dynamic compartmental model. The primary therapeutic areas targeted in CUA were infectious diseases (n = 12), ophthalmology (n = 5), and endocrine disorders (n = 4). Five studies were carried out in Tamil Nadu, four in Goa, three in Punjab, two each in Delhi, Maharashtra, and Uttar Pradesh, and one each in West Bengal and Karnataka. Twenty-three, eight, and four studies were found to be of excellent, very good, and good quality, respectively. The average quality score of the studies was 19.21 out of 24. Conclusions: This systematic literature review identified the published CUA studies in India. The overall quality of the included studies was good; however, features such as subgroup analyses and explicit study perspective were missing in several evaluations.
first_indexed 2024-12-17T20:49:00Z
format Article
id doaj.art-0f95c8e3d67948d29ce5ec32c6ab198a
institution Directory Open Access Journal
issn 2229-3485
language English
last_indexed 2024-12-17T20:49:00Z
publishDate 2021-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Perspectives in Clinical Research
spelling doaj.art-0f95c8e3d67948d29ce5ec32c6ab198a2022-12-21T21:33:05ZengWolters Kluwer Medknow PublicationsPerspectives in Clinical Research2229-34852021-01-0112417918310.4103/picr.PICR_256_20The state of cost-utility analysis in India: A systematic reviewTanu KhuranaAmit GuptaHemant RathiAims: Cost-utility studies are crucial tools that help policy-makers promote appropriate resource allocation. The objective of this study was to evaluate the extent and quality of cost-utility analysis (CUA) in India through a systematic literature review. Methods: Comprehensive database search was conducted to identify the relevant literature published from November 2009 to November 2019. Gray literature and hand searches were also performed. Two researchers independently reviewed and assessed study quality using Consolidated Health Economic Evaluation Reporting Standards checklist. Results: Thirty-five studies were included in the final review. Thirteen studies used Markov model, five used decision tree model, four used a combination of decision tree and Markov model and one each used microsimulation and dynamic compartmental model. The primary therapeutic areas targeted in CUA were infectious diseases (n = 12), ophthalmology (n = 5), and endocrine disorders (n = 4). Five studies were carried out in Tamil Nadu, four in Goa, three in Punjab, two each in Delhi, Maharashtra, and Uttar Pradesh, and one each in West Bengal and Karnataka. Twenty-three, eight, and four studies were found to be of excellent, very good, and good quality, respectively. The average quality score of the studies was 19.21 out of 24. Conclusions: This systematic literature review identified the published CUA studies in India. The overall quality of the included studies was good; however, features such as subgroup analyses and explicit study perspective were missing in several evaluations.http://www.picronline.org/article.asp?issn=2229-3485;year=2021;volume=12;issue=4;spage=179;epage=183;aulast=Khuranaconsolidated health economic evaluation reporting standards checklistcost-effectivenesscost-utilityeconomic evaluationindiasystematic literature review
spellingShingle Tanu Khurana
Amit Gupta
Hemant Rathi
The state of cost-utility analysis in India: A systematic review
Perspectives in Clinical Research
consolidated health economic evaluation reporting standards checklist
cost-effectiveness
cost-utility
economic evaluation
india
systematic literature review
title The state of cost-utility analysis in India: A systematic review
title_full The state of cost-utility analysis in India: A systematic review
title_fullStr The state of cost-utility analysis in India: A systematic review
title_full_unstemmed The state of cost-utility analysis in India: A systematic review
title_short The state of cost-utility analysis in India: A systematic review
title_sort state of cost utility analysis in india a systematic review
topic consolidated health economic evaluation reporting standards checklist
cost-effectiveness
cost-utility
economic evaluation
india
systematic literature review
url http://www.picronline.org/article.asp?issn=2229-3485;year=2021;volume=12;issue=4;spage=179;epage=183;aulast=Khurana
work_keys_str_mv AT tanukhurana thestateofcostutilityanalysisinindiaasystematicreview
AT amitgupta thestateofcostutilityanalysisinindiaasystematicreview
AT hemantrathi thestateofcostutilityanalysisinindiaasystematicreview
AT tanukhurana stateofcostutilityanalysisinindiaasystematicreview
AT amitgupta stateofcostutilityanalysisinindiaasystematicreview
AT hemantrathi stateofcostutilityanalysisinindiaasystematicreview