A cost utility analysis of treatment options for gallstone disease: Methodological issues and results
- 1 May 1994
- journal article
- clinical trial
- Published by Wiley in Health Economics
- Vol. 3 (3), 157-168
- https://doi.org/10.1002/hec.4730030305
Abstract
The techniques of cost utility analysis (CUA) were used to evaluate the treatment of gallstone disease by open and laparoscopic cholecystectomy and by extracorporeal shockwave lithotripsy (ESWL). The application of the techniques in this context raised three methodological questions which are not satisfactorily resolved in the literature. The first is whether an ex ante or ex post perspective is best adopted for the measurement of quality of life (QoL). The second is the method for converting a short term deterioration in QoL followed by full health into QALYs and the reliability of the methods available. The third is the issue of indirect costs which, in the context of a temporary disease state, cannot be easily avoided. The economic evaluation found laparoscopic cholecystectomy to be generally superior than the competitor technologies (entailing lower costs and better outcomes). However, the results were sensitive to assumptions about the perspective for measuring benefits and the inclusion of indirect costs.Keywords
This publication has 11 references indexed in Scilit:
- Extracorporeal shock wave lithotripsy combined with litholytic therapy in the treatment of patients with symptomatic gallstones — the Melbourne experienceThe Medical Journal of Australia, 1993
- Social Evaluation of Health Care Versus Personal Evaluation of Health States:Evidence on the Validity of Four Health-state Scaling Instruments Using Norwegian and Australian SurveysInternational Journal of Technology Assessment in Health Care, 1993
- Towards a new approach for estimating indirect costs of diseaseSocial Science & Medicine, 1992
- THE NORMATIVE ECONOMICS OF HEALTH CARE FINANCE AND PROVISIONOxford Review of Economic Policy, 1989
- Measurement of health state utilities for economic appraisalJournal of Health Economics, 1986
- Philosophical Origins of the Economic Valuation of LifeThe Milbank Quarterly, 1986
- Prospect Theory: An Analysis of Decision under RiskEconometrica, 1979
- The magical number seven, plus or minus two: Some limits on our capacity for processing information.Psychological Review, 1956