Economic evaluations in shoulder pathologies: A systematic review of the literature

Ifedayo O. Kuye, Nitin B. Jain, Lauren Warner, James H. Herndon, Jon J.P. Warner

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

Background: Economic evaluations provide decision makers with a tool for reducing health care costs because they assess both the costs and consequences of health care interventions. This study reviewed the quality of published economic evaluations for shoulder pathologies. Materials and method: A MEDLINE search was conducted to identify articles published from 1980 to 2010 that contained " cost" or " economic" combined with terms for several shoulder disorders and treatments. We selected studies that fit the definition of 1 of the 4 routinely performed economic evaluations: cost-minimization, cost-effectiveness, cost-utility, and cost-benefit analyses. Study quality was determined by measuring adherence to 6 established health economic principles, as described in the literature. Results: The search retrieved 942 studies. Of these, 32 were determined to be economic evaluations, and 53% of the economic evaluations were published from 2005 to 2010. Only 8 of the 32 studies (25%) adhered to all 6 health economic principles. Publication in a nonsurgical journal (P < .05) or in more recent years (P < .01) was significantly associated with higher quality. Conclusion: Future health care resource allocation will likely be based on the economic feasibility of treatments. Although the number and quality of economic evaluations of shoulder disorders have risen in recent years, the current state of the literature is poor. Given that availability of such data may factor in private and public reimbursement decisions, there is a clear demand for more rigorous economic evaluations.

Original languageEnglish (US)
Pages (from-to)367-375
Number of pages9
JournalJournal of Shoulder and Elbow Surgery
Volume21
Issue number3
DOIs
StatePublished - Mar 1 2012
Externally publishedYes

Keywords

  • Cost-effectiveness
  • Cost-minimization
  • Cost-utility
  • Economic evaluation
  • Health economics
  • Level IV
  • Shoulder pathology
  • Shoulder surgery
  • Systematic Review of Economic and Decision Analyses

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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