Considerations and preliminary proposals for defining a reference case for economic evaluations in ankylosing spondylitis

Nick Bansback, Andreas Maetzel, Mike Drummond, Aslam Anis, Carlo Marra, Peter Conway, Maarten Boers, Peter Tugyvell, Annelies Boonen

Research output: Contribution to journalArticlepeer-review

Abstract

Since healthcare resources are scarce, choices have to be made on how they will be allocated. The use of economic evaluations using cost-effectiveness analyses has increased rapidly as policymakers have realized their value in maximizing the population's benefits (in terms of length of life and health status) within a given budget. Following efforts by OMERACT to create reference case definitions for the conduct of economic evaluation in rheumatoid arthritis, osteoporosis, and osteoarthritis, we review various methodological areas and research decisions that could benefit from a consensus between researchers, clinicians, and drug developers in terms of an ankylosing spondylitis (AS) reference case. Ten methodological issues are presented that will be important for future development of evaluations. Tentative proposals to define the issues in a reference case for AS are made, along with recommendations for further research.

Original languageEnglish
Pages (from-to)1178-1183
Number of pages6
JournalThe Journal of Rheumatology
Volume34
Issue number5
Publication statusPublished - May 2007

Keywords

  • ankylosing spondylitis
  • economics
  • cost effectiveness
  • ANTI-TNF THERAPY
  • ANTITUMOR NECROSIS FACTOR
  • DISEASE-ACTIVITY INDEX
  • COST EFFICACY ANALYSIS
  • QUALITY-OF-LIFE
  • RHEUMATOID-ARTHRITIS
  • TECHNOLOGY-ASSESSMENT
  • SENSITIVITY-ANALYSIS
  • CONTROLLED TRIAL
  • INFLIXIMAB

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