Evidence mapPaperPMID 33451278Full record

ArticleMedical decision making : an international journal of the Society for Medical Decision Making2021

Differences in the Selection of Health State Utility Values by Sponsorship in Published Cost-Effectiveness Analyses.

Nathaniel Hendrix, David D Kim, Krishna S Patel, Beth Devine

Abstract read
In one paragraph

Article in Medical decision making : an international journal of the Society for Medical Decision Making, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Nathaniel HendrixThe Comparative Health Outcomes, Policy, and Economics (CHOICE) Institute, University of Washington, Seattle, WA, USA.ORCID 0000-0001-8154-0276
David D KimCenter for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA.ORCID 0000-0002-3383-8972
Krishna S PatelSchool of Pharmacy, University of Washington, Seattle, WA, USA.
Beth DevineThe Comparative Health Outcomes, Policy, and Economics (CHOICE) Institute, University of Washington, Seattle, WA, USA.

Funding

Developing Data-Driven Cancer ResearchersT32CA009168 · UNIVERSITY OF WASHINGTON · 1985 to 2025
$3.0M
Health Services Research Training at Univ of WashingtonT32HS013853 · UNIVERSITY OF WASHINGTON · 2003 to 2005
AHRQ HHS T32 HS013853NCI NIH HHS T32 CA009168
6 · The paper itself

Abstract

backgroundHealth state utility values (HSUVs) are among the most influential attributes of cost-effectiveness analyses (CEAs). Our objective was to evaluate whether industry-funded studies select systematically different HSUVs as compared with studies without industry funding.

methodsAmong 10 diseases with high disease burden in the United States, we further identified 31 progressive health states. We then searched the Tufts Medical Center's CEA Registry to identify studies that included HSUVs and were submitted to the registry between 2002 and 2019. Two reviewers mapped the free-text descriptions of health states onto the 31 predefined health states. We analyzed the effect of industry funding on the point estimates of these HSUVs with a beta regression. We also analyzed the difference between related health states within studies by funding source with a linear regression.

resultsAfter identifying 26,222 HSUVs from 4198 CEAs, we matched 2573 HSUVs to the 31 predefined health states. We observed large variations within each health state: 12 of 31 health states included a range of HSUVs greater than 0.5. The point estimate model showed 1 statistically significant difference of 31 comparisons between studies with any industry funding and those without. The utility difference model found 3 significant differences out of 39 comparisons between CEAs with any industry funding and those without. LIMITATIONS: Inclusion of unpublished CEAs may have affected our conclusions about the effect of industry funding on selection of HSUVs. We also relied on free-text descriptions of health states available in the CEA Registry and did not include adjustment for multiple comparisons.

conclusionLimited evidence exists that industry-funded studies select different HSUVs compared to non-industry-funded studies for the health states we considered.

Indexed as

Quality of LifeCost-Benefit AnalysisHumansRegistriescost-effectiveness analysispublicationsregression analysisutility theory

Identifiers

PMID33451278
PMCPMC7987800

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.