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Relevance of trial-based economic analyses 

Relevance of trial-based economic analyses
Chapter:
Relevance of trial-based economic analyses
Author(s):

Dr. Henry A. Glick

, Dr. Jalpa A. Doshi

, Dr. Seema S. Sonnad

, and Dr. Daniel Polsky

DOI:
10.1093/med/9780199685028.003.0011
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date: 17 August 2019

This chapter describes nine approaches to designing economic evaluations in clinical trials that will make the results of these studies more relevant to the policy debate about whether a safe and effective therapy provides sufficient value for its cost to justify its use. These include adoption of a cost-effective comparator, adoption of a final outcome such as QALYs, enrolment of a representative sample of the patient population who will use the therapy, adoption of a sufficiently long period of follow-up, enrolment of a sufficient number of participants to adequately power the trial, collection of data on a sufficiently broad set of medical services, not overly prescribing medical care, collection of data to assess/improve transferability, and observation of a sufficiently large or small treatment benefit. It also discusses whether there is a role for these evaluations that exceeds providing inputs to decision models, and the roles played by trial-based and model-based economic evidence.

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