A systematic review and critical assessment of health state utilities: weight change and type 2 diabetes mellitus.

Abstract:

OBJECTIVE:The study aimed to conduct a systematic literature search to identify health state utilities for weight change in type 2 diabetes mellitus (T2DM) and to review those values for appropriateness for inclusion in a submission to the National Institute for Health and Clinical Excellence (NICE). METHODS:The search was conducted using keywords and Medical Subject Heading (MeSH) terms designed to exhaustively capture health state utility values across a variety of known economic, health technology assessment and peer-reviewed publication databases. The values were then critically reviewed from the perspective of the NICE reference case (2008 methods guide). RESULTS:The search resulted in a large number of repeat references across databases suggesting good sensitivity. Thirty-three articles were selected for inclusion and subjected to a critical review including their methodological quality, symmetry with the NICE reference case, sample size and country source. This critical review led to a shortlist of nine utility studies, all of which had potential for inclusion in cost-utility models or a meta-analysis. CONCLUSIONS:A relatively large number of utilities have been collected in weight change and T2DM. Many of these utility values are not suitable for inclusion in a NICE submission. A better way of reviewing the methodological quality of utilities is needed.

journal_name

Pharmacoeconomics

journal_title

PharmacoEconomics

authors

Doyle S,Lloyd A,Moore L,Ray J,Gray A

doi

10.2165/11599420-000000000-00000

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

1133-43

issue

12

eissn

1170-7690

issn

1179-2027

journal_volume

30

pub_type

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