Evidence mapPaperPMID 39496369Full record

ArticleBMJ open2024

Thresholds for the value judgement of health technologies in the United Arab Emirates: a consensus approach through voting sessions.

Sara Aldallal, Mohamed Farghaly, Sahar Fahmy, Khalid A Alnaqbi, Wael Al Naeem, Mouza Alsaadi, Marleine Moukarzel, Ahmad Nader Fasseeh, Nada Korra, Sherif Abaza and 1 more

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Rare disease challenges and potential actions in the Middle East.International journal for equity in health · 2025
    Article
  4. Article
  5. Article
  6. 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

11 authors.

Sara AldallalDubai Health Authority, Dubai, UAE saaaldallal@dha.gov.ae.
Mohamed FarghalyDubai Health Insurance Corporation, Dubai, UAE.
Sahar FahmyDepartment of Health, Abu Dhabi, UAE.
Khalid A AlnaqbiRheumatology Division, Tawam Hospital, Al Ain, UAE.ORCID http://orcid.org/0000-0001-5875-4663
Wael Al NaeemAbu Dhabi Health Services Company (SEHA), Abu Dhabi, UAE.
Mouza AlsaadiEmirates Health Services, Dubai, UAE.
Marleine MoukarzelSheikh Shakhbout Medical City, Abu Dhabi, UAE.
Ahmad Nader FasseehFaculty of Pharmacy Alexandria University, Alexandria, Egypt.
Nada KorraSyreon Middle East, Alexandria, Egypt.ORCID http://orcid.org/0000-0003-0611-3789
Sherif AbazaSyreon Middle East, Alexandria, Egypt.
Zoltán KalóCenter for Health Technology Assessment, Semmelweis University, Budapest, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the evolving healthcare landscape of the United Arab Emirates (UAE), establishing cost-effectiveness thresholds (CETs) is pivotal to informing decision-makers about the value of health technologies.

objectiveThis study aimed to establish CETs for the UAE that harmonise with international standards while reflecting the nation's unique healthcare needs and economic context.

settingUnited Arab Emirates.

methodsA multitiered methodology was employed, involving a literature review, a panel of national experts and workshops with key stakeholders, including healthcare providers, government health departments and healthcare payers. The panel and workshops were integral in assessing global CET practices and their applicability to the UAE providing a preliminary framework for CET in the UAE. Structured voting sessions were then conducted allowing voting on crucial aspects of CET to determine the baseline threshold, multipliers for severity, rarity and health gain, and methodologies for quantifying disease severity.

resultsCETs were linked to the economic status of the UAE, with a baseline threshold of 0.75 times the gross domestic product per capita for one quality-adjusted life year gained. A multiplier system was introduced to reflect societal views on disease severity, disease rarity and the relative health benefit of health technologies. Based on the voting results, disease rarity was deemed the most crucial factor, receiving a maximum multiplier of 3X, while severity and health gain were assigned a maximum of 2X. The multiplier values for both disease severity and relative health gain would be determined on a continuous scale. The proportional or relative shortfall method would be used to assess disease severity.

conclusionsThe proposed CET framework for the UAE will be dependent on local generation of cost-effectiveness evidence. Periodic review of CETs based on initial experiences ensures the responsiveness of policymakers to the changing healthcare and economic environment.

Indexed as

ConsensusCost-Benefit AnalysisBiomedical TechnologyHealth PolicyHumansPoliticsQuality-Adjusted Life YearsTechnology Assessment, BiomedicalUnited Arab EmiratesVotinghealth economicshealth equityhealth policy

Identifiers

PMID39496369
PMCPMC11535693

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.