Methodological challenges and potential solutions for economic evaluations of palliative and end-of-life care: A systematic review

被引:5
作者
Fischer, Claudia [1 ,3 ]
Bednarz, Damian [1 ]
Simon, Judit [1 ,2 ]
机构
[1] Med Univ Vienna, Ctr Publ Hlth, Dept Hlth Econ, Vienna, Austria
[2] Ludwig Boltzmann Inst Appl Diagnost, Vienna, Austria
[3] Med Univ Vienna, Ctr Publ Hlth, Dept Hlth Econ, Kinderspitalgasse 15-1, A-1090 Vienna, Austria
基金
欧盟地平线“2020”;
关键词
Economic evaluation; end of life care; methodology; palliative care; systematic review; COST-EFFECTIVENESS; HEALTH-CARE; LAST YEAR; FAMILY CAREGIVERS; UNPAID CARE; QUALITY; CANCER; IMPACT; OUTCOMES; INTERVENTIONS;
D O I
10.1177/02692163231214124
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Given the increasing demand for palliative and end-of-life care, along with the introduction of costly new treatments, there is a pressing need for robust evidence on value. However, comprehensive guidance is missing on methods for conducting economic evaluations in this field. Aim: To identify and summarise existing information on methodological challenges and potential solutions/recommendations for economic evaluations of palliative and end-of-life care. Design: We conducted a systematic review of publications on methodological considerations for economic evaluations of adult palliative and end-of-life care as per our PROSPERO protocol CRD42020148160. Following initial searches, we conducted a two-stage screening process and quality appraisal. Information was thematically synthesised, coded, categorised into common themes and aligned with the items specified in the Consolidated Health Economic Evaluation Reporting Standards statement. Data sources: The databases Medline, Embase, HTADatabase, NHSEED and grey literature were searched between 1 January 1999 and 5 June 2023. Results: Out of the initial 6502 studies, 81 were deemed eligible. Identified challenges could be grouped into nine themes: ambiguous and inaccurate patient identification, restricted generalisability due to poor geographic transferability of evidence, narrow costing perspective applied, difficulties defining comparators, consequences of applied time horizon, ambiguity in the selection of outcomes, challenged outcome measurement, non-standardised measurement and valuation of costs as well as challenges regarding a reliable preference-based outcome valuation. Conclusion: Our review offers a comprehensive context-specific overview of methodological considerations for economic evaluations of palliative and end-of-life care. It also identifies the main knowledge gaps to help prioritise future methodological research specifically for this field.
引用
收藏
页码:85 / 99
页数:15
相关论文
共 50 条
  • [21] Promoting and Maintaining Skin Integrity in End-of-Life Care: A Systematic Review
    Raepsaet, Charlotte
    Blomberg, Karin
    Falk-Brynhildsen, Karin
    Gethin, Georgina
    Beeckman, Dimitri
    [J]. ADVANCES IN SKIN & WOUND CARE, 2022, 35 (11) : 617 - 631
  • [22] Ethical challenges around thirst in end-of-life care -experiences of palliative care physicians
    Friedrichsen, Maria
    Lythell, Caroline
    Waldreus, Nana
    Jaarsma, Tiny
    Angstrom, Helene
    Milovanovic, Micha
    Karlsson, Marit
    Milberg, Anna
    Thulesius, Hans
    Hedman, Christel
    Schaller, Anne Soderlund
    Jaarsma, Pier
    [J]. BMC MEDICAL ETHICS, 2023, 24 (01)
  • [23] Novel Data Linkages to Characterize Palliative and End-Of-Life Care: Challenges and Considerations
    McDermott, Cara L.
    Engelberg, Ruth A.
    Woo, Cossette
    Li, Li
    Fedorenko, Catherine
    Ramsey, Scott D.
    Curtis, J. Randall
    [J]. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2019, 58 (05) : 851 - 856
  • [24] Social media for palliative and end-of-life care research: a systematic review
    Wang, Yijun
    Koffman, Jonathan
    Gao, Wei
    Zhou, Yuxin
    Chukwusa, Emeka
    Curcin, Vasa
    [J]. BMJ SUPPORTIVE & PALLIATIVE CARE, 2024, 14 (02) : 149 - 162
  • [25] End-of-Life Care, Palliative Care Consultation, and Palliative Care Referral in the Emergency Department: A Systematic Review
    Wilson, Jennifer G.
    English, Diana P.
    Owyang, Clark G.
    Chimelski, Erica A.
    Grudzen, Corita R.
    Wong, Hong-nei
    Aslakson, Rebecca A.
    Ast, Katherine
    Carroll, Thomas
    Dzeng, Elizabeth
    Harrison, Krista L.
    Kaye, Erica C.
    LeBlanc, Thomas W.
    Lo, Shelly S.
    McKenna, Kelly
    Nageswaran, Savithri
    Powers, James
    Rotella, Joseph
    Ullrich, Christina
    Vickey, Theresa
    [J]. JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2020, 59 (02) : 372 - +
  • [26] End-of-life care in schizophrenia: a systematic review
    Baruth, Joshua M.
    Ho, Jacqueline B.
    Mohammad, Sohail, I
    Lapid, Maria, I
    [J]. INTERNATIONAL PSYCHOGERIATRICS, 2021, 33 (02) : 129 - 147
  • [27] Staff Training Interventions to Improve End-of-Life Care of Nursing Home Residents: A Systematic Review
    Lamppu, Pauli J.
    Pitkala, Kaisu H.
    [J]. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2021, 22 (02) : 268 - 278
  • [28] Associations Among End-of-Life Discussions, Health-Care Utilization, and Costs in Persons With Advanced Cancer: A Systematic Review
    Starr, Lauren T.
    Ulrich, Connie M.
    Corey, Kristin L.
    Meghani, Salimah H.
    [J]. AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, 2019, 36 (10) : 913 - 926
  • [29] Effect of Living Wills on End-of-Life Care: A Systematic Review
    Higel, Thomas
    Alaoui, Anna
    Bouton, Celine
    Fournier, Jean-Pascal
    [J]. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2019, 67 (01) : 164 - 171
  • [30] Systematic Review for the Quality of End-of-Life Care for Patients With Dementia in the Hospital Setting
    Moon, Felicity
    McDermott, Fiona
    Kissane, David
    [J]. AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, 2018, 35 (12) : 1572 - 1583