INCORPORATING ECONOMIC EVIDENCE INTO COCHRANE REVIEWS- AN UPDATED METHODS FRAMEWORK AND A WORKED EXAMPLE IN A REVIEW OF INTERVENTIONS FOR INCREASING UPTAKE OF DIABETIC RETINOPATHY SCREENING

Author(s)

Aluko PO1, Vale L1, Shemilt I2, On behalf of the Campbell and Cochrane Economic methods Group -1
1Newcastle University, Newcastle upon Tyne, UK, 2University College London, London, UK

OBJECTIVES: Health care decisions are made in the context of constrained budgets. Thus, evidence on the health effects of interventions is often not sufficient for decision-making as it also requires evidence on resource use, costs, and their cost-effectiveness. Extending the scope of Cochrane Intervention Reviews (CIRs) to incorporate economic evidence can increase their usefulness in decision-making. We developed a methods framework for conducting a full systematic review of economic evidence which was piloted in a new Cochrane review of interventions for increasing the uptake of Diabetic Retinopathy Screening (DRS). The framework focused on helping end-users help understand key economic trade-offs between alternatives. METHODS: Following the framework, searches were conducted to identify full economic evaluations, cost analyses, or comparative resource utilization studies conducted alongside eligible randomised controlled trials (RCTs). These studies were next classified according to the type of economic evaluation and analytic framework used. Characteristics of included studies and their results were extracted. Risk of bias and overall methodological quality were assessed using the Cochrane Risk of Bias Tool v.1.0 and the CHEERS statement plus CHEC criteria. RESULTS:

Conference/Value in Health Info

2017-05, ISPOR 2017, Boston, MA, USA

Value in Health, Vol. 20, No. 5 (May 2017)

Code

PMD120

Topic

Health Technology Assessment

Topic Subcategory

Decision & Deliberative Processes

Disease

Diabetes/Endocrine/Metabolic Disorders

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