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Country/Region: Slovak Republic

PE Guidelines
Guidelines for Economic Evaluation of Health Care Interventions (December 2011) (December 2011)

PE Guidelines Source:
Ministry of Health of the Slovak Republic

Additional Information:

Last Webpage Update: Tuesday, April 3, 2018

PE Guidelines Key Features:

Key Features:  
Title and year of the documentGuidelines for Economic Evaluation of Health Care Interventions (December 2011) 
Affiliation of authorsMoH, ISPOR  
Purpose of the documentProvide methodological and reporting guidelines for PE evaluations and evaluation of medical devices. 
Standard reporting format includedYes 
Target audience of funding/ author's interestsDecision makers, researchers, pharmaceutical companies 
PerspectiveCosts: Health care payer; Outcomes: society (for health-related quality of life: health state descriptions by patients, valuations from general public). 
IndicationApproved indication 
Target populationRelevant groups or sub-groups need to be defined. 
Subgroup analysisYes 
Choice of comparatorThe most relevant alternative treatment which is either the the treatment that is most likely to be replaced by the new treatment or, in case of add-on treatments, the current treatment without the add-on product. 
Time horizonLifetime (chronic conditions or acute conditions with long term sequelae), duration of the treatment or disease and its consequences (acute conditions without long term effects) or 5 years. 
Assumptions requiredYes 
Preferred analytical techniqueCost-utility analysis (CUA) if the treatment has an impact on health-related QoL that is significant to the patient or if there are multiple patient-relevant clinical outcome parameters expressed in different units. 
Costs to be includedDirect health care costs should be included. These encompass costs directly related to the treatment of the disease as well as direct health care costs related to the disease in life years gained. 
Source of costsThe identification, measurement and valuation of costs should be consistent with the perspective of the Slovak health care payer. Relevant sources should be used for unit costs. 
ModelingYes, based on observational data from trials comparing the study medication and the comparator, observational databases and literature. 
Systematic review of evidencesYes, systematic review of the existing clinical and economic studies on the intervention, including unpublished studies and studies with negative results. The search strategy should be reproducible and selection criteria and procedures clearly presented. 
Preference for effectiveness over efficacyYes 
Preferred outcome measureFinal outcome parameters: life years gained (CEA) or QALYs gained (CUA) for chronic conditions or other relevant outcome variable, as in the clinical file, for acute conditions. 
Preferred method to derive utilityTTO or SG (VAS). 
Equity issues statedA QALY is a QALY, no matter to whom it accrues. 
Discounting costsFuture costs should be discounted at a rate of 5 %.  
Discounting outcomesFuture benefits should be discounted at a rate of 5 %.  
Sensitivity analysis-parameters and rangeInterval estimates should be presented for each parameter in the economic evaluation. All different aspects of uncertainty in the evaluation should be addressed. Confidence interval around the ICER; Cost-effectiveness plane; cost-effectiveness acceptability curve; Tornado diagrams. 
Sensitivity analysis-methodsProbabilistic sensitivity analyses should be performed on all uncertain parameters in a model. 
Presenting resultsResults should be presented in a defined form, it should contain the discounted costs, outcomes, incremental costs and incremental outcomes in a disaggregated form and separately for the study intervention and the comparator. 
Incremental analysisYes 
Total costs vs effectiveness (cost/effectiveness ratio)Yes 
Portability of results (Generalizability)The patient population to which the pharmaco-economic evaluation applies should be consistent with the patient population defined in the clinical part of the reimbursement request submission. 
Financial impact analysisIt is required for 5 years period under different scenarios. 
Mandatory or recommended or voluntaryMandatory 

Acknowledgement: Dr. Tomas Tesar highly contributed to the key feature form (Tesar Tomas, PharmD, PhD, MBA, Union Health Insurance Fund, Bratislava, Slovakia)

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