Health Economic Decision Tree Models of Diagnostics for Dummies: A Pictorial Primer

作者: Tamlyn Rautenberg , Annette Gerritsen , Martin Downes

DOI: 10.3390/DIAGNOSTICS10030158

关键词: Structure (mathematical logic)Psychological interventionReimbursementComputer scienceHealth technologyTree (data structure)Decision treeDecision analysisManagement scienceHealth economics

摘要: Health economics is a discipline of applied to health care. One method used in decision tree modelling, which extrapolates the cost and effectiveness competing interventions over time. Such models are basis reimbursement decisions countries using technology assessment for making. In many instances, these diagnostic technologies. Despite wealth excellent resources describing analysis diagnostics, two critical errors persist: not including test accuracy structure trees treating sequential diagnostics as independent. These have consequences model results, thereby impact on This paper sets out overcome color link fundamental epidemiological calculations visually intuitively appealing pictorial format. The must-read modelers developing area first time makers reviewing models.

参考文章(26)
Alexander J. Sutton, Nicola J. Cooper, Steve Goodacre, Matthew Stevenson, Integration of Meta-analysis and Economic Decision Modeling for Evaluating Diagnostic Tests Medical Decision Making. ,vol. 28, pp. 650- 667 ,(2008) , 10.1177/0272989X08324036
Sabina Sanghera, Rosanna Orlando, Tracy Roberts, Economic evaluations and diagnostic testing: an illustrative case study approach. International Journal of Technology Assessment in Health Care. ,vol. 29, pp. 53- 60 ,(2013) , 10.1017/S0266462312000682
Charles E. Phelps, Alvin I. Mushlin, Focusing Technology Assessment Using Medical Decision Theory Medical Decision Making. ,vol. 8, pp. 279- 289 ,(1988) , 10.1177/0272989X8800800409
Patrick M Bossuyt, Les Irwig, Jonathan Craig, Paul Glasziou, Comparative accuracy: assessing new tests against existing diagnostic pathways BMJ. ,vol. 332, pp. 1089- 1092 ,(2006) , 10.1136/BMJ.332.7549.1089
Alvin I Mushlin, Hirsch S Ruchlin, Mark A Callahan, Costeffectiveness of diagnostic tests The Lancet. ,vol. 358, pp. 1353- 1355 ,(2001) , 10.1016/S0140-6736(01)06417-0
Thomas A. Trikalinos, Uwe Siebert, Joseph Lau, Decision-Analytic Modeling to Evaluate Benefits and Harms of Medical Tests: Uses and Limitations Medical Decision Making. ,vol. 29, ,(2009) , 10.1177/0272989X09345022
Nicola Novielli, Nicola J. Cooper, Alexander J. Sutton, Evaluating the Cost-Effectiveness of Diagnostic Tests in Combination: Is It Important to Allow for Performance Dependency? Value in Health. ,vol. 16, pp. 536- 541 ,(2013) , 10.1016/J.JVAL.2013.02.015
Carl van Walraven, Peter C. Austin, Alison Jennings, Alan J. Forster, Correlation between serial tests made disease probability estimates erroneous Journal of Clinical Epidemiology. ,vol. 62, pp. 1301- 1305 ,(2009) , 10.1016/J.JCLINEPI.2009.04.010
Roberta Longo, Paul Baxter, Peter Hall, Jenny Hewison, Mehran Afshar, Geoff Hall, Christopher McCabe, Methods for identifying the cost-effective case definition cut-off for sequential monitoring tests: an extension of Phelps and Mushlin. PharmacoEconomics. ,vol. 32, pp. 327- 334 ,(2014) , 10.1007/S40273-014-0134-1