Evidence map›Paper›PMID 15294010›Full record

ArticlePharmacoEconomics2004

Incorporation of statistical uncertainty in health economic modelling studies using second-order Monte Carlo simulations.

Mark J C Nuijten

Abstract read
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In one paragraph

Article in PharmacoEconomics, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Cost-effectiveness of primary prevention of paediatric asthma: a decision-analytic model.The European journal of health economics : HEPAC : health economics in prevention and care · 2014
    Article
  4. Article
  5. Review
  6. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

Mark J C NuijtenMEDTAP International, Amsterdam, The Netherlands. nuijten@medtap.nl

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health economic modelling studies are of interest to many parties with different responsibilities and diverging interests. Therefore, it is obvious that recognising the relevance of statistical uncertainty and dealing with it appropriately are required to obtain unbiased results from health economic modelling studies, especially when those data are being used for reimbursement decisions. In this manuscript we explore the relevance of the incorporation of statistical uncertainty in a health economic model and identify various types of statistical uncertainty. The concepts were applied to a hypothetical Markov model for a hypothetical antiparkinsonian (AP) product. The method was based on the incorporation of probability distributions in the input variables using a second-order Monte Carlo simulation and the definition of minimum relevant differences for clinical and economic input variables and outcomes. Our paper shows that the outcomes of a health economic model might be severely biased when statistical uncertainty is not taken into account, which justifies the need for the incorporation of statistical uncertainty in a health economic model.

Indexed as

Models, EconomicMonte Carlo MethodUncertaintyAntiparkinson AgentsBiasClinical Trials as TopicCohort StudiesCost-Benefit AnalysisEconomics, PharmaceuticalHumansParkinson DiseaseQuality-Adjusted Life YearsAntiparkinson Agents

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.