Systematic Review of Economic Evaluations of Primary Caries Prevention in 2- to 5-Year-Old Preschool Children

Aug 1, 2020, 00:00
10.1016/j.jval.2020.04.1823
https://www.valueinhealthjournal.com/article/S1098-3015(20)32048-9/fulltext
Title : Systematic Review of Economic Evaluations of Primary Caries Prevention in 2- to 5-Year-Old Preschool Children
Citation : https://www.valueinhealthjournal.com/action/showCitFormats?pii=S1098-3015(20)32048-9&doi=10.1016/j.jval.2020.04.1823
First page : 1109
Section Title : SYSTEMATIC LITERATURE REVIEW
Open access? : Yes
Section Order : 1109

Objectives

To describe and summarize evidence on economic evaluations (EEs) of primary caries prevention in preschool children aged 2 to 5 years and to evaluate the reporting quality of full EE studies using a quality assessment tool.

Methods

A systematic literature search was conducted in several databases. Full and partial EEs were included. The reporting quality of full EE studies was assessed using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist.

Results

A total of 808 studies were identified, and 39 were included in the review. Most papers were published between 2000 and 2017 and originated in the United States and the United Kingdom. The most common type of intervention investigated was a complex multicomponent intervention, followed by water fluoridation. Cost analysis and cost-effectiveness analysis were the most frequently used types of EE. One study employed cost-utility analysis. The proportion of full EEs increased over time. The parameters not reported well included study perspective, baseline year, sensitivity analysis, and discount rate. The CHEERS items that were most often unmet were characterizing uncertainty, study perspective, study parameters, and estimating resources and costs.

Conclusions

Within the past 2 decades, there has been an increase in the number of EEs of caries prevention interventions in preschool children. There was inconsistency in how EEs were conducted and reported. Lack of preference-based health-related quality-of-life measure utilization in the field was identified. The use of appropriate study methodologies and greater attention to recommended EE design are required to further improve quality.

Categories :
  • Cost-comparison, Effectiveness, Utility, Benefit Analysis
  • Economic Evaluation
  • Literature Review & Synthesis
  • Pediatrics
  • Sensory System Disorders
  • Specific Diseases & Conditions
  • Study Approaches
Tags :
  • cost-effectiveness
  • dental caries
  • dentistry
  • economic evaluation
  • oral health
  • pediatric
  • preschool child
  • systematic review
Regions :
  • Global
ViH Article Tags :