Pharmacoeconomic Guidelines Around The World

Country: Baltic (Latvia, Lithuania, Estonia), Region: Northern Europe

PE guidelines
Guideline for economic evaluation of pharmaceuticals, 2002

PE guidelines Source:
Baltic guideline for economic evaluation of pharmaceuticalsin English

References:


PE guidelines Key Features:
Key Features:  
Title and year of the DocumentGuideline for economic evaluation of pharmaceuticals, 2002 
Affiliation of authorsExperts from health authorities of the Baltic countries 
Main policy objectiveDrug reimbursement and other state funding decisions 
Standard reporting format includedNo 
DisclosureYes 
Target audience of funding/ author’s interestsPharmaceutical companies. Baltic states’ health authority 
PerspectiveMainly health care perspective. If relevant, societal 
IndicationApproved one(s) 
Target populationYes 
Subgroup analysisYes 
Choice of comparatorMost commonly used alternative or practice. Be justified. 
Time horizonTo model a sufficient analysis period when trial data provide too short a time frame 
Assumptions requiredNot stated 
Preferred analytical techniqueAny one of CMA, CEA, CUA. Need justification. 
Costs to be includedOnly direct health care costs. If relevant, include all costs outside healthcare system, presented separately. 
Source of costsAdapt local cost. Be specified. 
ModelingYes, requires details 
Systematic review of evidencesEncourage meta-analysis 
Preference for effectiveness over efficacyPrefer data from RCTs 
Preferred outcome measureChange in the health state. Absolute risk difference calculated 
Preferred method to derive utilityEuroQol, Health Utility Index 
Equity issues statedNot stated 
Discounting costsYes, 5% justify for other rates 
Discounting outcomesYes, 5% 
Sensitivity analysis-parameters and rangeMain assumption variables, confidence interval 
Sensitivity analysis-methodsDetails of the statistical tests performed 
Presenting resultsC/E ratio, ICER, total annual cost and benefit 
Incremental analysisYes 
Total C/EYes 
Portability of results (Generalizability)Adjustment needed 
Financial impact analysisNo 
Mandatory or recommended or voluntary 

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