Improving economic evaluations in stroke: A report from the ESO Health Economics Working Group

Dominique A. Cadilhac, Joosup Kim, Alastair Wilson, Eivind Berge, Anita Patel, Myzoon Ali, Jeffrey Saver, Hanne Christensen, Matthieu Cuche, Sean Crews, Olivia Wu, Marine Provoyeur, Peter McMeekin, Isabelle Durand-Zaleski, Gary A. Ford, Natalia Muhlemann, Philip M. Bath, Azmil H. Abdul-Rahim, Katharina Sunnerhagen, Atte MeretojaVincent Thijs, Christian Weimar, Ayrton Massaro, Annemarei Ranta, Kennedy R. Lees, on behalf of the ESO Health Economics Working group

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Introduction: Approaches to economic evaluations of stroke therapies are varied and inconsistently described. An objective of the European Stroke Organisation (ESO) Health Economics Working Group is to standardise and improve the economic evaluations of interventions for stroke. Methods: The ESO Health Economics Working Group and additional experts were contacted to develop a protocol and a guidance document for data collection for economic evaluations of stroke therapies. A modified Delphi approach, including a survey and consensus processes, was used to agree on content. We also asked the participants about resources that could be shared to improve economic evaluations of interventions for stroke. Results: Of 28 experts invited, 16 (57%) completed the initial survey, with representation from universities, government, and industry. More than half of the survey respondents endorsed 13 specific items to include in a standard resource use questionnaire. Preferred functional/quality of life outcome measures to use for economic evaluations were the modified Rankin Scale (14 respondents, 88%) and the EQ-5D instrument (11 respondents, 69%). Of the 12 respondents who had access to data used in economic evaluations, 10 (83%) indicated a willingness to share data. A protocol template and a guidance document for data collection were developed and are presented in this article. Conclusion: The protocol template and guidance document for data collection will support a more standardised and transparent approach for economic evaluations of stroke care.

Original languageEnglish
Pages (from-to)184-192
Number of pages9
JournalEuropean Stroke Journal
Volume5
Issue number2
DOIs
Publication statusPublished - 1 Jun 2020

Keywords

  • economic evaluation
  • EuroQol
  • health outcomes
  • health policy
  • modified Rankin Scale
  • Stroke

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