Reporting Quality of Cost-Effectiveness Analyses Conducted in Saudi Arabia: A Systematic Review

Algarni, Majed A.; Alqahtani, Saad S.; Alshehri, Ahmed M.; Alanazi, Abdullah Salah; Alzahrani, Mohammad S.; Alolayan, Sultan Othman; Alzarea, Abdulaziz Ibrahim

doi:10.1016/j.vhri.2020.12.012

Cited by 5 publications

(2 citation statements)

References 18 publications

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“…[ 142 ] Seven published cost-effectiveness analysis studies were conducted based on Saudi settings between 2015 and 2020, which reflect the need to develop a set of social utility values in Saudi Arabia. [ 143 ]…”

Section: Health Technology Assessment Trends On Dyslipidemia Treatmentsmentioning

confidence: 99%

2022 Saudi guidelines for the management of dyslipidemia

et al. 2023

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Section: Health Technology Assessment Trends On Dyslipidemia Treatmentsmentioning

confidence: 99%

2022 Saudi guidelines for the management of dyslipidemia

et al. 2023

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“…In a systematic review to assess the quality of CEA reporting in the KSA, the conclusion was drawn that there was a MDM Policy & Practice 7 (1) general absence of reporting specific details of a CEA. 21 This review identified some deficiencies in the published CEAs; however, there is a need to comprehensively review and better understand the reported limitations of CEAs and the challenges facing analysts in the KSA to improve the quality of future evaluations. Our systematic review aims to go in depth on CEA methodology and to navigate future research to inform decision making on ways to value technologies for HTA within the KSA health system.…”

Section: Introductionmentioning

confidence: 99%

Methodological Approaches to Cost-Effectiveness Analysis in Saudi Arabia: What Can We Learn? A Systematic Review

Maraiki

Bazarbashi

Scuffham

et al. 2022

MDM Policy & Practice

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Objective The recent establishment of the health technology assessment (HTA) entity in the Kingdom of Saudi Arabia (KSA) has resulted in increased interest in economic evaluation. The aim of this study is to evaluate the technical approaches used in published economic evaluations and the limitations reported by the authors of the respective studies that could affect the ability to perform economic evaluations in the KSA. Methods We conducted a systematic literature review of published economic evaluations performed for the KSA over the past 10 years. An electronic literature search of the PubMed, EMBASE, and Cochrane databases was performed. A CHEERS checklist was used to assess the quality of reporting. Reported limitations were classified into domains including the definition of perspectives, identification of comparators, estimation of costs and resources, and use of the incremental cost-effectiveness ratio threshold. Results Twelve evaluations were identified; most involved cost-effectiveness analysis (92%). Missing and unclear data were found within the CHEERS criteria. Regardless of the perspective used, most described the perspective as an “institutional” perspective (70%) and almost half were reclassified by the current reviewer (42%). Most did not clearly state the comparator (83%), and published model comparators were commonly used (50%). Resource estimation was mostly performed by the authors of the respective studies (67%), and costs were mostly obtained from hospital institutional data (75%). The lack of an established threshold for the country-specific willingness to pay was observed in 50% of the analyses. Conclusions Economic evaluations from the KSA are limited. Capacity building and country-specific HTA guidelines could improve the quality of evaluations to better inform decision making. Highlights Economic analysis of health technology should follow standard guidelines. Unfortunately, these guides are often underutilized, and our findings identify considerable missing, not clearly stated, or incomplete data within the analyses, which can weaken the impact of the recommendations. The limitations reported by the authors of the respective studies emphasize the suboptimal quality of the reporting. A lack of data was frequently identified and resulted in using “institutional” practice as a major source of data input for the analyses. In light of the call for the establishment of an HTA entity in the KSA, framing a standard analytic approach when conducting economic evaluations will support HTA in informing resource allocation decisions. We hope that our findings highlight the need for country-specific guidance to improve practice and enhance future research.

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Expanding the Global Outreach of Consolidated Health Economic Evaluation Reporting Standards 2022

Chaiyakunapruk

Tan

2022

Value in Health Regional Issues

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Reporting Quality of Cost-Effectiveness Analyses Conducted in Saudi Arabia: A Systematic Review

Cited by 5 publications

References 18 publications

2022 Saudi guidelines for the management of dyslipidemia

2022 Saudi guidelines for the management of dyslipidemia

Methodological Approaches to Cost-Effectiveness Analysis in Saudi Arabia: What Can We Learn? A Systematic Review

Expanding the Global Outreach of Consolidated Health Economic Evaluation Reporting Standards 2022

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