Economic Evaluation and Catheter-related Bloodstream Infections

Catheter-related bloodstream infections are a serious problem. Many interventions reduce risk, and some have been evaluated in cost-effectiveness studies. We review the usefulness and quality of these economic studies. Evidence is incomplete, and data required to inform a coherent policy are missing...

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Main Authors: Kate Halton, Nicholas Graves
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2007-06-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/13/6/07-0048_article
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author Kate Halton
Nicholas Graves
author_facet Kate Halton
Nicholas Graves
author_sort Kate Halton
collection DOAJ
description Catheter-related bloodstream infections are a serious problem. Many interventions reduce risk, and some have been evaluated in cost-effectiveness studies. We review the usefulness and quality of these economic studies. Evidence is incomplete, and data required to inform a coherent policy are missing. The cost-effectiveness studies are characterized by a lack of transparency, short time-horizons, and narrow economic perspectives. Data quality is low for some important model parameters. Authors of future economic evaluations should aim to model the complete policy and not just single interventions. They should be rigorous in developing the structure of the economic model, include all relevant economic outcomes, use a systematic approach for selecting data sources for model parameters, and propagate the effect of uncertainty in model parameters on conclusions. This will inform future data collection and improve our understanding of the economics of preventing these infections.
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spelling doaj.art-5ceb0fa45fa54bca86a9c53b41331c8f2022-12-22T03:36:52ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592007-06-0113681582310.3201/eid1306.070048Economic Evaluation and Catheter-related Bloodstream InfectionsKate HaltonNicholas GravesCatheter-related bloodstream infections are a serious problem. Many interventions reduce risk, and some have been evaluated in cost-effectiveness studies. We review the usefulness and quality of these economic studies. Evidence is incomplete, and data required to inform a coherent policy are missing. The cost-effectiveness studies are characterized by a lack of transparency, short time-horizons, and narrow economic perspectives. Data quality is low for some important model parameters. Authors of future economic evaluations should aim to model the complete policy and not just single interventions. They should be rigorous in developing the structure of the economic model, include all relevant economic outcomes, use a systematic approach for selecting data sources for model parameters, and propagate the effect of uncertainty in model parameters on conclusions. This will inform future data collection and improve our understanding of the economics of preventing these infections.https://wwwnc.cdc.gov/eid/article/13/6/07-0048_articleCatheterization, central venous catheters, intensive care, costs and cost analysis, decision makingdecision support, techniques, models, economic, perspectiveAustralia
spellingShingle Kate Halton
Nicholas Graves
Economic Evaluation and Catheter-related Bloodstream Infections
Emerging Infectious Diseases
Catheterization, central venous catheters, intensive care, costs and cost analysis, decision making
decision support, techniques, models, economic, perspective
Australia
title Economic Evaluation and Catheter-related Bloodstream Infections
title_full Economic Evaluation and Catheter-related Bloodstream Infections
title_fullStr Economic Evaluation and Catheter-related Bloodstream Infections
title_full_unstemmed Economic Evaluation and Catheter-related Bloodstream Infections
title_short Economic Evaluation and Catheter-related Bloodstream Infections
title_sort economic evaluation and catheter related bloodstream infections
topic Catheterization, central venous catheters, intensive care, costs and cost analysis, decision making
decision support, techniques, models, economic, perspective
Australia
url https://wwwnc.cdc.gov/eid/article/13/6/07-0048_article
work_keys_str_mv AT katehalton economicevaluationandcatheterrelatedbloodstreaminfections
AT nicholasgraves economicevaluationandcatheterrelatedbloodstreaminfections