Stochastic league tables: an application to diabetes interventions in the Netherlands

Health Economics
Raymond C W HutubessyFrans F Rutten

Abstract

The aim of this paper is to discuss the use of stochastic league tables approach in cost-effectiveness analysis of diabetes interventions. It addresses the common grounds and differences with other methods of presenting uncertainty to decision-makers. This comparison uses the cost-effectiveness results of medical guidelines for Dutch diabetes type 2 patients in primary and secondary care. Stochastic league tables define the optimum expansion pathway as compared to baseline, starting with the least costly and most cost-effective intervention mix. Multi-intervention cost-effectiveness acceptability curves are used as a way to represent uncertainty information on the cost-effectiveness of single interventions as compared to a single alternative. The stochastic league table for diabetes interventions shows that in case of low budgets treatment of secondary care patients is the most likely optimum choice. Current care options of diabetes complications are shown to be inefficient compared to guidelines treatment. With more resources available one may implement all guidelines and improve efficiency. The stochastic league table approach and multi-intervention cost-effectiveness acceptability curves in uncertainty analysis lead to simil...Continue Reading

References

Jan 1, 1990·Medical Decision Making : an International Journal of the Society for Medical Decision Making·D M EddyR Shachter
Jan 1, 1990·International Journal of Technology Assessment in Health Care·D M EddyR Shachter
Sep 1, 1994·Health Economics·B A van HoutF F Rutten
Sep 1, 1995·Health Economics·P Wakker, M P Klaassen
May 5, 1998·Medical Decision Making : an International Journal of the Society for Medical Decision Making·A A Stinnett, J Mullahy
Jul 29, 1998·Medical Decision Making : an International Journal of the Society for Medical Decision Making·M G HuninkM C Weinstein
Sep 4, 1996·Journal of Health Economics·A A Stinnett, A D Paltiel
Dec 8, 1997·Journal of Health Economics·P Dolan
Sep 3, 1999·BMJ : British Medical Journal·A H Briggs, A M Gray
May 3, 2000·Health Economics·C J MurrayR M Baltussen
Sep 8, 2000·PharmacoEconomics·A H Briggs

❮ Previous
Next ❯

Citations

Jan 26, 2006·Diabetic Medicine : a Journal of the British Diabetic Association·R F DijkstraR T P M Grol
Oct 7, 2011·Cost Effectiveness and Resource Allocation : C/E·Talitha L FeenstraCaroline A Baan
Mar 1, 2012·Medical Decision Making : an International Journal of the Society for Medical Decision Making·H KoffijbergT L Feenstra

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
Catherine De AngelisInternational Committee of Medical Journal Editors
Diabetic Medicine : a Journal of the British Diabetic Association
Rob F DijkstraRichard Grol
© 2021 Meta ULC. All rights reserved