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Estudos de avaliação econômica de tecnologias em saúde: roteiro para análise crítica

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Date
2014
Author
Silva, Everton Nunes da
Galvão, Taís Freire
Pereira, Maurício Gomes
Silva, Marcus Tolentino
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Abstract
OBJETIVO: Propor uma ferramenta para análise crítica de estudos de avaliação econômica a partir da síntese de roteiros existentes na literatura. MÉTODOS: Foram realizadas buscas em: MEDLINE, Embase, Centre for Reviews and Dissemination e International Society for Pharmacoeconomics and Outcomes Research. Dois pesquisadores selecionaram independentemente os estudos e extraíram os dados de interesse. Quantificou-se o número de perguntas que os roteiros continham sobre os seguintes domínios: delineamento do estudo; mensuração dos custos e dos desfechos em saúde; análise e interpretação dos resultados; e informações gerais. Após elaboração da matriz contendo os itens de cada domínio por estudo, os autores construíram um instrumento para análise crítica. RESULTADOS: Foram localizados 406 artigos não duplicados, dos quais 19 foram incluídos. No total, foram identificadas 566 perguntas nos roteiros desses estudos. Dessas, 109 (19%) tratavam de desfechos em saúde, 93 (16%) de quantificação dos custos, 73 (13%) de modelagem, 54 (10%) de generalização dos resultados e 52 (9%) de incertezas. O roteiro de análise crítica resultante contém 32 perguntas organizadas em quatro domínios: delineamento do estudo, mensuração dos custos e dos desfechos em saúde, análise e interpretação dos resultados e informações gerais. CONCLUSÕES: O instrumento de análise crítica proposto pode auxiliar na uniformização do julgamento da qualidade da evidência de todos os tipos de avaliação econômica.(AU)
 
OBJECTIVE: To propose a tool for critical analysis of economic evaluation studies based on a synthesis of checklists and guidelines available in the literature. METHODS: The following databases were searched: MEDLINE, Embase, Centre for Reviews and Dissemination, and International Society for Pharmacoeconomics and Outcomes Research. Two investigators independently selected the studies and extracted the data of interest. The number of questions that the checklists contained were counted on the following domains: study design, measurement of costs and health outcomes, analysis and interpretation of results, and general information. A matrix containing the items in each domain was constructed, and a tool for critical analysis was built based on that matrix. RESULTS: The literature search retrieved 406 non-duplicated articles, 19 of which were included in the study. Five hundred sixty-six questions were identified in the checklists employed in these studies: 109 (19%) dealt with health outcomes, 93 (16%) with quantification of costs, 73 (13%) with modeling, 54 (10%) with generalization of findings, and 52 (9%) with uncertainty. The resulting critical analysis checklist contains 32 questions organized into four domains: study design, measurement of costs and health outcomes, analysis and interpretation of results, and general information. CONCLUSIONS: The proposed critical analysis checklist is useful to standardize the assessment of the quality of evidence in all types of economic evaluations.(AU)
 
Series
Rev Panam Salud Publica;35(3),mar. 2014
Subject
Economia da Saúde; Saúde Pública; Avaliação da tecnologia biomédica; Avaliação da pesquisa em saúde; Health Economics; Public Health; Technology assessment, biomedical; Health Research Evaluation
URI
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000300009
https://iris.paho.org/handle/10665.2/8266
Citation
Silva, Everton Nunes da,Galvão, Taís Freire,Pereira, Maurício Gomes,Silva, Marcus Tolentino (2014) Estudos de avaliação econômica de tecnologias em saúde: roteiro para análise crítica. Rev Panam Salud Publica;35(3) 219-227,mar. 2014. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000300009
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  • Pan American Journal of Public Health

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