COMMUNICATING TO DECISION MAKERS THE PARAMETER UNCERTAINTY IN THE IQWIG EFFICIENCY FRONTIER APPROACH

Author(s)

Stollenwerk B1, Briggs A2, Fenwick E2, Caro JJ3, Siebert U4, Lhachimi SK5, Gerber A61Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany, 2University of Glasgow, Glasgow, United Kingdom, 3United BioSource Corporation, Montreal, QC, Canada, 4UMIT/ Oncotyrol/ Harvard University, Hall i.T.;Innsbruck, Tyrol, Austria, 5Institute for Quality and Efficiency in Health Care (IQWiG), Cologne, Germany, 6Institute of Quality and Efficiency in Health Care (IQWiG), Köln, Germany

OBJECTIVES: The Institute for Quality and Efficiency in Health Care (IQWiG) developed—in a consultation process with an international expert panel—the efficiency frontier (EF) approach to satisfy the legal requirements for economic evaluation in Germany’s statutory health insurance system.  Here we evaluate established tools for assessing and communicating uncertainty in terms of their applicability to the EF approach and, where necessary, suggest adjustments to them. METHODS: Tools to dasplay uncertainty were applied to the EF approach with a simulated data set. The tools are (i) displays of overall uncertainty (scatter plots, confidence bands, contour plots); (ii) displays of uncertainty around the reimbursable price (confidence intervals, a modified cost effectiveness acceptability curve, the net health/ monetary benefit approach), and (iii) the ANCOVA approach. RESULTS: We found that, within the EF approach, the substantial implications of most tools was not always easy to interpret. Hence, we propose the use of price reimbursement acceptability curves or the net health benefit approach. CONCLUSIONS: This closes a gap for handling uncertainty in the economic evaluation approach of the IQWiG methods. However, the role of statistical testing in determining reimbursable prices is yet to be defined.

Conference/Value in Health Info

2012-11, ISPOR Europe 2012, Berlin, Germany

Value in Health, Vol. 15, No. 7 (November 2012)

Code

PRM21

Topic

Economic Evaluation

Topic Subcategory

Cost/Cost of Illness/Resource Use Studies

Disease

Multiple Diseases

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