A scoping review of statistical methods for trial‐based economic evaluations: The current state of play

The statistical quality of trial‐based economic evaluations is often suboptimal, while a comprehensive overview of available statistical methods is lacking. Therefore, this review summarized and critically appraised available statistical methods for trial‐based economic evaluations. A literature sea...

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Bibliographic Details
Published in:Health economics 2022-12, Vol.31 (12), p.2680-2699
Main Authors: Alili, Mohamed, Dongen, Johanna M., Esser, Jonas L., Heymans, Martijn W., Tulder, Maurits W., Bosmans, Judith E.
Format: Article
Language:English
Subjects:
baseline imbalance
clinical trial
Cost analysis
Cost-Benefit Analysis
cost‐effectiveness analysis
Health economics
Humans
methodology
Missing data
multilevel analysis
multiple imputation
skewed costs
Statistical methods
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Summary:The statistical quality of trial‐based economic evaluations is often suboptimal, while a comprehensive overview of available statistical methods is lacking. Therefore, this review summarized and critically appraised available statistical methods for trial‐based economic evaluations. A literature search was performed to identify studies on statistical methods for dealing with baseline imbalances, skewed costs and/or effects, correlated costs and effects, clustered data, longitudinal data, missing data and censoring in trial‐based economic evaluations. Data was extracted on the statistical methods described, their advantages, disadvantages, relative performance and recommendations of the study. Sixty‐eight studies were included. Of them, 27 (40%) assessed methods for baseline imbalances, 39 (57%) assessed methods for skewed costs and/or effects, 27 (40%) assessed methods for correlated costs and effects, 18 (26%) assessed methods for clustered data, 7 (10%) assessed methods for longitudinal data, 26 (38%) assessed methods for missing data and 10 (15%) assessed methods for censoring. All identified methods were narratively described. This review provides a comprehensive overview of available statistical methods for dealing with the most common statistical complexities in trial‐based economic evaluations. Herewith, it can provide valuable input for researchers when deciding which statistical methods to use in a trial‐based economic evaluation.
ISSN:1057-9230
1099-1050
DOI:10.1002/hec.4603