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The Value of Further Research: The Added Value of Individual-Participant Level Data
Indexado
WoS WOS:000469029100002
Scopus SCOPUS_ID:85060599078
DOI 10.1007/S40258-019-00462-X
Año 2019
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Judgements based on average cost-effectiveness estimates may disguise significant heterogeneity in net health outcomes. Decisions about coverage of new interventions are often more efficient when they consider between-patient heterogeneity, which is usually operationalized as different selections for different subgroups. While most model-based cost-effectiveness studies are populated with aggregated-level sub-group estimates, individual-level data are recognized as the best source of evidence to produce unbiased and efficient estimates to explore this heterogeneity. This paper extends a previously published framework to assesses the added value of having access to individual-level data, compared to using aggregate-level data only, in the absence/presence of mutually exclusive population subgroups. Supported by a case study on the cost-effectiveness of interventions to increase uptake of smoke-alarms, the extended framework provided a quantification of the benefits foregone of not using individual-level data, pointed to the optimal number of subgroups and where further research should be undertaken. Although not indicating changes in reimbursement decisions, results showed that irrespective of using aggregate or individual-level data, no substantial additional gains are obtained if more than two subgroups are taken into account. However, depending on the evidence type used, different subgroups are revealed as warranting larger research funds. The use of individual-level data, rather than aggregate, may however influence not only the extent to which an appropriate understanding of existing heterogeneity is attained, but, more importantly, it may shape approval decisions for particular population subgroups and judgements of future research.

Métricas Externas



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Disciplinas de Investigación



WOS
Economics
Health Care Sciences & Services
Health Policy & Services
Scopus
Economics And Econometrics
Health Policy
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Saramago, Pedro Hombre Univ York - Reino Unido
University of York - Reino Unido
2 ESPINOZA-SEPULVEDA, MANUEL ANTONIO Hombre Pontificia Universidad Católica de Chile - Chile
3 Sutton, Alex J. Hombre Univ Leicester - Reino Unido
University of Leicester - Reino Unido
4 Manca, Andrea Mujer Univ York - Reino Unido
University of York - Reino Unido
5 Claxton, Karl Hombre Univ York - Reino Unido
University of York - Reino Unido

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Financiamiento



Fuente
Fundação para a Ciência e a Tecnologia
National Cancer Institute
Medical Research Council Capacity Building Grant
Portuguese Fundacao para a Ciencia e a Tecnologia

Muestra la fuente de financiamiento declarada en la publicación.

Agradecimientos



Agradecimiento
Pedro Saramago was funded through a Medical Research Council Capacity Building Grant (Grant number G0800139) and the Portuguese Fundacao para a Ciencia e a Tecnologia (Grant number SFRH/BD/61448/2009).
Pedro Saramago was funded through a Medical Research Council Capacity Building Grant (Grant number G0800139) and the Portuguese Fundacao para a Ciencia e a Tecnologia (Grant number SFRH/ BD/61448/2009).

Muestra la fuente de financiamiento declarada en la publicación.