Indirectness (transferability) is critical when considering existing economic evaluations for GRADE clinical practice guidelines: a systematic review

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dc.creatorJohn Riva
dc.creatorMeha Bhatt
dc.creatorCarolina de Castro Martins
dc.creatorDavid Brunarski
dc.creatorJason Busse
dc.creatorFeng Xie
dc.creatorHolger Schünemann
dc.creatorJan Brozek
dc.date.accessioned2024-05-03T18:55:18Z
dc.date.accessioned2025-09-09T00:05:06Z
dc.date.available2024-05-03T18:55:18Z
dc.date.issued2022-08
dc.identifier.doihttps://doi.org/10.1016/j.jclinepi.2022.04.011
dc.identifier.issn1878-5921
dc.identifier.urihttps://hdl.handle.net/1843/68070
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of Clinical Epidemiology
dc.rightsAcesso Restrito
dc.subjectCost-benefit analysis
dc.subjectEconomics
dc.subjectHealth care costs
dc.subjectEvidence-based medicine
dc.subjectPractice guideline
dc.subjectEpidemiologic research design
dc.subjectGRADE Approach
dc.subject.otherCost-benefit analysis
dc.subject.otherEconomics
dc.subject.otherHealth care costs
dc.subject.otherEvidence-based medicine
dc.subject.otherPractice guidelines
dc.subject.otherEpidemiological research design
dc.titleIndirectness (transferability) is critical when considering existing economic evaluations for GRADE clinical practice guidelines: a systematic review
dc.typeArtigo de periódico
local.citation.epage92
local.citation.spage81
local.citation.volume148
local.description.resumoObjectives: Grading of Recommendations Assessment, Development and Evaluation (GRADE) practice guideline developers often perform systematic reviews of potential economic evaluations to inform recommendation decision-making. We aimed to identify indirectness characteristics of economic evaluations, related to GRADE evidence-to-decision (EtD) theoretical frameworks, that influence selection of these articles. Study Design and Setting: MEDLINE, EMBASE, CINAHL, and EconLit were systematically searched to May 2020 to identify indirectness characteristics relevant for economic evaluation transferability to GRADE EtD theoretical frameworks. Four reviewers screened citations to identify articles of any type that explored study characteristics most important or relevant to economic evaluation transferability, restricted to English language we generated frequencies of article features, used thematic analysis to summarize study characteristics, and assessed certainty in the evidence using GRADE-CERQual. Results: We included 57 articles, with a dearth of empirical literature—some may have been missed. We identified eight general themes and 28 subthemes most important to transferability from 41% of articles. Moderate-to-high confidence evidence suggested that GRADE EtD domains of population, intervention and comparison research question elements, resource use estimation and methodology, and provider and decision maker acceptability are most important indirectness study characteristics that economists consider when choosing economic evaluation outcomes for use in recommendation decision-making. Conclusion: We have identified factors important for guideline developers to consider when selecting economic evaluations as research evidence. An economic competency on the development team facilitates these endeavors. This supports the GRADE Working Group’s tenant of transparent reporting or availability of sufficient information elsewhere to assess indirectness.
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOPEDIATRIA E ORTODONTIA
local.publisher.initialsUFMG
local.url.externahttps://www.sciencedirect.com/science/article/pii/S0895435622000944

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