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Economic evaluations of medical devices in paediatrics: a systematic review and a quality appraisal of the literature

2024Journal article Open access
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dc.contributor.authorMascarenhas, Edgar
dc.contributor.authorMiguel, Luís Lopes Madureira Silva
dc.contributor.authorOliveira, Mónica D.
dc.contributor.authorFernandes, Ricardo M.
dc.date.accessioned2024-07-23T14:01:12Z
dc.date.available2024-07-23T14:01:12Z
dc.date.issued2024
dc.description© The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.pt_PT
dc.description.abstractBackground: Although economic evaluations (EEs) have been increasingly applied to medical devices, little discussion has been conducted on how the different health realities of specific populations may impact the application of methods and the ensuing results. This is particularly relevant for pediatric populations, as most EEs on devices are conducted in adults, with specific aspects related to the uniqueness of child health often being overlooked. This study provides a review of the published EEs on devices used in paediatrics, assessing the quality of reporting, and summarising methodological challenges. Methods: A systematic literature search was performed to identify peer-reviewed publications on the economic value of devices used in paediatrics in the form of full EEs (comparing both costs and consequences of two or more devices). After the removal of duplicates, article titles and abstracts were screened. The remaining full-text articles were retrieved and assessed for inclusion. In-vitro diagnostic devices were not considered in this review. Study descriptive and methodological characteristics were extracted using a structured template. The Consolidated Health Economic Evaluation Reporting Standards (CHEERS) 2022 checklist was used to assess the quality of reporting. A narrative synthesis of the results was conducted followed by a critical discussion on the main challenges found in the literature. Results: 39 full EEs were eligible for review. Most studies were conducted in high-income countries (67%) and focused on high-risk therapeutic devices (72%). Studies comprised 25 cost-utility analyses, 13 cost-effectiveness analyses and 1 cost-benefit analysis. Most of the studies considered a lifetime horizon (41%) and a health system perspective (36%). Compliance with the CHEERS 2022 items varied among the studies. Conclusions: Despite the scant body of evidence on EEs focusing on devices in paediatrics results highlight the need to improve the quality of reporting and advance methods that can explicitly incorporate the multiple impacts related to the use of devices with distinct characteristics, as well as consider specific child health realities. The design of innovative participatory approaches and instruments for measuring outcomes meaningful to children and their families should be sought in future research.pt_PT
dc.description.sponsorshipEM was financially supported under an individual PhD grant (reference: SFRH/BD/137955/2018) attributed by the Portuguese Foundation for Science and Technology (FCT) and in collaboration with the MEDI-VALUE FCT project (PTDC/EGE-OGE/29699/2017). MO contribution is made within the scope of the MEDI-VALUE FCT project (PTDC/EGE-OGE/29699/2017).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationCost Eff Resour Alloc. 2024 Apr 27;22(1):33pt_PT
dc.identifier.doi10.1186/s12962-024-00537-0pt_PT
dc.identifier.eissn1478-7547
dc.identifier.urihttp://hdl.handle.net/10451/65416
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Naturept_PT
dc.relationSFRH/BD/137955/2018pt_PT
dc.relationPTDC/EGE-OGE/29699/2017pt_PT
dc.relation.publisherversionhttps://resource-allocation.biomedcentral.com/pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCost-effectivenesspt_PT
dc.subjectEconomic evaluationpt_PT
dc.subjectHealth technology assessmentpt_PT
dc.subjectMedical devicespt_PT
dc.subjectPediatricspt_PT
dc.subjectSystematic reviewpt_PT
dc.titleEconomic evaluations of medical devices in paediatrics: a systematic review and a quality appraisal of the literaturept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.titleCost Effectiveness and Resource Allocationpt_PT
oaire.citation.volume22pt_PT
person.familyNameSanches Mascarenhas
person.familyNameLopes Madureira Silva Miguel
person.familyNameOliveira
person.familyNameFernandes
person.givenNameEdgar José
person.givenNameLuís
person.givenNameMónica Duarte
person.givenNameRicardo
person.identifier309018
person.identifier.ciencia-id471C-FEB2-958A
person.identifier.ciencia-idC912-35D4-1509
person.identifier.ciencia-id5419-FA56-A76D
person.identifier.orcid0000-0002-5375-0644
person.identifier.orcid0000-0003-4363-7389
person.identifier.orcid0000-0003-4053-9214
person.identifier.orcid0000-0002-7253-6475
person.identifier.ridT-7970-2018
person.identifier.ridC-7501-2015
person.identifier.scopus-author-id8969894200
person.identifier.scopus-author-id24436565500
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication2477f405-33ce-470a-9ce4-544cdfa086a0
relation.isAuthorOfPublication20578e56-5da2-4ef5-9f66-c9c0a6339c6a
relation.isAuthorOfPublication27200750-3825-40d3-b0a7-58f0c025ffff
relation.isAuthorOfPublication862be38f-2247-424c-b26c-d3bdda4474be
relation.isAuthorOfPublication.latestForDiscovery2477f405-33ce-470a-9ce4-544cdfa086a0

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