Systematic reviews of health economic evaluations: a protocol for a systematic review of characteristics and methods applied

Abstract Background The number of systematic reviews of economic evaluations is steadily increasing. This is probably related to the continuing pressure on health budgets worldwide which makes an efficient resource allocation increasingly crucial. In particular in recent years, the introduction of s...

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Main Authors: Miriam Luhnen, Barbara Prediger, Edmund A. M. Neugebauer, Tim Mathes
Format: Article
Language:English
Published: BMC 2017-12-01
Series:Systematic Reviews
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13643-017-0639-8
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author Miriam Luhnen
Barbara Prediger
Edmund A. M. Neugebauer
Tim Mathes
author_facet Miriam Luhnen
Barbara Prediger
Edmund A. M. Neugebauer
Tim Mathes
author_sort Miriam Luhnen
collection DOAJ
description Abstract Background The number of systematic reviews of economic evaluations is steadily increasing. This is probably related to the continuing pressure on health budgets worldwide which makes an efficient resource allocation increasingly crucial. In particular in recent years, the introduction of several high-cost interventions presents enormous challenges regarding universal accessibility and sustainability of health care systems. An increasing number of health authorities, inter alia, feel the need for analyzing economic evidence. Economic evidence might effectively be generated by means of systematic reviews. Nevertheless, no standard methods seem to exist for their preparation so far. The objective of this study was to analyze the methods applied for systematic reviews of health economic evaluations (SR-HE) with a focus on the identification of common challenges. Methods/design The planned study is a systematic review of the characteristics and methods actually applied in SR-HE. We will combine validated search filters developed for the retrieval of economic evaluations and systematic reviews to identify relevant studies in MEDLINE (via Ovid, 2015-present). To be eligible for inclusion, studies have to conduct a systematic review of full economic evaluations. Articles focusing exclusively on methodological aspects and secondary publications of health technology assessment (HTA) reports will be excluded. Two reviewers will independently assess titles and abstracts and then full-texts of studies for eligibility. Methodological features will be extracted in a standardized, beforehand piloted data extraction form. Data will be summarized with descriptive statistical measures and systematically analyzed focusing on differences/similarities and methodological weaknesses. Discussion The systematic review will provide a detailed overview of characteristics of SR-HE and the applied methods. Differences and methodological shortcomings will be detected and their implications will be discussed. The findings of our study can improve the recommendations on the preparation of SR-HE. This can increase the acceptance and usefulness of systematic reviews in health economics for researchers and medical decision makers. Systematic review registration The review will not be registered with PROSPERO as it does not meet the eligibility criterion of dealing with clinical outcomes.
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spelling doaj.art-5871f21269d24579a58bc793dbf598132022-12-22T01:42:08ZengBMCSystematic Reviews2046-40532017-12-01611510.1186/s13643-017-0639-8Systematic reviews of health economic evaluations: a protocol for a systematic review of characteristics and methods appliedMiriam Luhnen0Barbara Prediger1Edmund A. M. Neugebauer2Tim Mathes3Department Health Care and Health Economics, Institute for Quality and Efficiency in Health Care (IQWiG)Institute for Research in Operative Medicine, Witten/Herdecke UniversityFaculty of Health, Brandenburg Medical School – Theodor FontaneInstitute for Research in Operative Medicine, Witten/Herdecke UniversityAbstract Background The number of systematic reviews of economic evaluations is steadily increasing. This is probably related to the continuing pressure on health budgets worldwide which makes an efficient resource allocation increasingly crucial. In particular in recent years, the introduction of several high-cost interventions presents enormous challenges regarding universal accessibility and sustainability of health care systems. An increasing number of health authorities, inter alia, feel the need for analyzing economic evidence. Economic evidence might effectively be generated by means of systematic reviews. Nevertheless, no standard methods seem to exist for their preparation so far. The objective of this study was to analyze the methods applied for systematic reviews of health economic evaluations (SR-HE) with a focus on the identification of common challenges. Methods/design The planned study is a systematic review of the characteristics and methods actually applied in SR-HE. We will combine validated search filters developed for the retrieval of economic evaluations and systematic reviews to identify relevant studies in MEDLINE (via Ovid, 2015-present). To be eligible for inclusion, studies have to conduct a systematic review of full economic evaluations. Articles focusing exclusively on methodological aspects and secondary publications of health technology assessment (HTA) reports will be excluded. Two reviewers will independently assess titles and abstracts and then full-texts of studies for eligibility. Methodological features will be extracted in a standardized, beforehand piloted data extraction form. Data will be summarized with descriptive statistical measures and systematically analyzed focusing on differences/similarities and methodological weaknesses. Discussion The systematic review will provide a detailed overview of characteristics of SR-HE and the applied methods. Differences and methodological shortcomings will be detected and their implications will be discussed. The findings of our study can improve the recommendations on the preparation of SR-HE. This can increase the acceptance and usefulness of systematic reviews in health economics for researchers and medical decision makers. Systematic review registration The review will not be registered with PROSPERO as it does not meet the eligibility criterion of dealing with clinical outcomes.http://link.springer.com/article/10.1186/s13643-017-0639-8Systematic reviewEconomic evaluationReimbursementMedical decision making
spellingShingle Miriam Luhnen
Barbara Prediger
Edmund A. M. Neugebauer
Tim Mathes
Systematic reviews of health economic evaluations: a protocol for a systematic review of characteristics and methods applied
Systematic Reviews
Systematic review
Economic evaluation
Reimbursement
Medical decision making
title Systematic reviews of health economic evaluations: a protocol for a systematic review of characteristics and methods applied
title_full Systematic reviews of health economic evaluations: a protocol for a systematic review of characteristics and methods applied
title_fullStr Systematic reviews of health economic evaluations: a protocol for a systematic review of characteristics and methods applied
title_full_unstemmed Systematic reviews of health economic evaluations: a protocol for a systematic review of characteristics and methods applied
title_short Systematic reviews of health economic evaluations: a protocol for a systematic review of characteristics and methods applied
title_sort systematic reviews of health economic evaluations a protocol for a systematic review of characteristics and methods applied
topic Systematic review
Economic evaluation
Reimbursement
Medical decision making
url http://link.springer.com/article/10.1186/s13643-017-0639-8
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