How have US cost-effectiveness thresholds modified over time? – Healthcare Economist






That’s the questions reply of their JAMA analysis letter revealed right now. They use 1990-2021 information from the Tufts Medical Middle CEA Registry. The outcomes are summarized within the graphs under.

First, we see the usage of a specific value effectiveness threshold growing over time, from solely 45% of revealed research to 91% of all research. Second, the cost-effectiveness thresholds have elevated over time. Whereas 43.6% of research reporting a CEA threshold used a $50,000/QALY threshold within the Nineteen Nineties, now solely 13.8% of research use that threshold; whereas 0% of research used $150,000/QALY threshold within the Nineteen Nineties, now 25.9% of research accomplish that.

The authors additionally observe that:

  • Most cancers-related CEAs referenced greater thresholds than non-cancer CEAs, which can counsel a view that interventions for illnesses related to larger mortality and morbidity warrant greater thresholds.
  • Authors of industry-funded analyses are inclined to reference greater thresholds.
https://jamanetwork.com/journals/jama/article-abstract/2803816
https://jamanetwork.com/journals/jama/article-abstract/2803816

You possibly can learn the complete paper .



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