Level of Evidence in Economic Evaluations of Left Atrial Appendage Closure Devices: A Systematic Review

Applied Health Economics and Health Policy
Etienne NédellecNicolas Martelli

Abstract

The objective of the present work was to assess the level of evidence in economic evaluations of percutaneous left atrial appendage closure devices, and to test the complementarity of three different tools for assessing the quality of economic evaluations. We conducted a systematic review of articles in English or French listed in MEDLINE, Embase, Cochrane, the Cost-Effectiveness Analysis registry and the National Health Service Economic Evaluation Database. We included only economic evaluations concerning left atrial appendage closure devices. Data were extracted from articles by two authors working independently and using three analysis grids to measure the quality of economic evaluations [the British Medical Journal (BMJ) checklist, the hierarchy scale developed by Cooper et al. (J Health Serv Res Policy 10:245-50, 2005) and the Quality of Health Economic Studies (QHES) instrument]. Seven economic evaluations met our inclusion criteria. All were published between 2013 and 2016. All were cost-utility analyses, and fully complied with the BMJ checklist. According to the hierarchy scale developed by Cooper et al., the quality of data used was heterogeneous. Finally, the mean score for the seven economic studies was 90/100 with ...Continue Reading

References

Nov 2, 2005·Journal of Health Services Research & Policy·Nicola CooperAlexander Sutton
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Jan 14, 2009·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Michael DrummondRosanna Tarricone
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Jul 4, 2015·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Andrew MicieliSheldon M Singh
Dec 1, 2015·Journal of the American College of Cardiology·Vivek Y ReddyDavid R Holmes

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Citations

Jul 4, 2020·International Journal of Technology Assessment in Health Care·Sarah FontenayNicolas Martelli
Aug 7, 2021·International Journal of Technology Assessment in Health Care·Aurélie EtangsaleNicolas Martelli
Oct 16, 2021·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Giuseppe D AnconaHüseyin Ince

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