Methodological challenges surrounding QALY estimation for paediatric economic evaluation

Cost-utility analysis remains the preferred form of economic evaluation for health technology assessment, pricing and reimbursement authorities in several countries. The results of cost-utility analyses are commonly expressed in terms of incremental cost per quality-adjusted life year (QALY) gained...

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Main Author: Petrou, S
Format: Journal article
Language:English
Published: BioMed Central 2022
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author Petrou, S
author_facet Petrou, S
author_sort Petrou, S
collection OXFORD
description Cost-utility analysis remains the preferred form of economic evaluation for health technology assessment, pricing and reimbursement authorities in several countries. The results of cost-utility analyses are commonly expressed in terms of incremental cost per quality-adjusted life year (QALY) gained where the QALY combines length of life and health-related quality of life in a single metric. This commentary provides an overview of key methodological challenges surrounding QALY estimation for paediatric economic evaluation. These challenges include issues surrounding the relevant attributes to incorporate into measurement instruments, appropriate respondents for the measurement and valuation tasks, perspectives adopted when completing valuation tasks, potential sources of bias in the description and valuation processes, and the paucity of psychometric evidence for existing measures. In addition, the commentary considers methodological challenges raised by research aimed at assessing whether a QALY gain by a child should be valued equally to a QALY gain by an adult.
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spelling oxford-uuid:000cc02d-35b8-4180-87bb-c31a81a279282022-03-26T08:27:20ZMethodological challenges surrounding QALY estimation for paediatric economic evaluationJournal articlehttp://purl.org/coar/resource_type/c_6501uuid:000cc02d-35b8-4180-87bb-c31a81a27928EnglishSymplectic ElementsBioMed Central2022Petrou, SCost-utility analysis remains the preferred form of economic evaluation for health technology assessment, pricing and reimbursement authorities in several countries. The results of cost-utility analyses are commonly expressed in terms of incremental cost per quality-adjusted life year (QALY) gained where the QALY combines length of life and health-related quality of life in a single metric. This commentary provides an overview of key methodological challenges surrounding QALY estimation for paediatric economic evaluation. These challenges include issues surrounding the relevant attributes to incorporate into measurement instruments, appropriate respondents for the measurement and valuation tasks, perspectives adopted when completing valuation tasks, potential sources of bias in the description and valuation processes, and the paucity of psychometric evidence for existing measures. In addition, the commentary considers methodological challenges raised by research aimed at assessing whether a QALY gain by a child should be valued equally to a QALY gain by an adult.
spellingShingle Petrou, S
Methodological challenges surrounding QALY estimation for paediatric economic evaluation
title Methodological challenges surrounding QALY estimation for paediatric economic evaluation
title_full Methodological challenges surrounding QALY estimation for paediatric economic evaluation
title_fullStr Methodological challenges surrounding QALY estimation for paediatric economic evaluation
title_full_unstemmed Methodological challenges surrounding QALY estimation for paediatric economic evaluation
title_short Methodological challenges surrounding QALY estimation for paediatric economic evaluation
title_sort methodological challenges surrounding qaly estimation for paediatric economic evaluation
work_keys_str_mv AT petrous methodologicalchallengessurroundingqalyestimationforpaediatriceconomicevaluation