Evidence map›Paper›PMID 31657184›Full record

ArticleInternational journal of health policy and management2019

Problems and Promises of Health Technologies: The Role of Early Health Economic Modeling.

Janneke P C Grutters, Tim Govers, Jorte Nijboer, Marcia Tummers, Gert Jan van der Wilt, Maroeska M Rovers

Abstract read
In one paragraph

Article in International journal of health policy and management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing 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

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

  1. Economic Evaluations of Magnetic Resonance Image-Guided Radiotherapy (MRIgRT): A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  2. Article
  3. Review
  4. Cost-utility of focused ultrasound compared to radiotherapy for Dutch patients with uncomplicated non-spinal bone metastases.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  5. Review
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  7. Article
  8. Article
  9. Article
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  11. Article
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  14. Article
  15. Health Technology Assessment in the Early Phases of Development of Medical Devices: A Catalyst for Sustainable Growth and Innovation.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Predicting response to immunotherapy in lung cancer: an early HTA of predictive tests.International journal of technology assessment in health care · 2025
    Article
  20. Supporting translation with early health technology assessment: from definition to action.International journal of technology assessment in health care · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Janneke P C GruttersDepartment for Health Evidence, Radboud Institute for Health Sciences, Radboudumc, Nijmegen, The Netherlands.ORCID 0000-0002-2579-1561
Tim GoversMedvalue, Radboudumc, Nijmegen, The Netherlands.ORCID 0000-0002-4877-3198
Jorte NijboerMedvalue, Radboudumc, Nijmegen, The Netherlands.
Marcia TummersDepartment for Health Evidence, Radboud Institute for Health Sciences, Radboudumc, Nijmegen, The Netherlands.ORCID 0000-0001-5913-4554
Gert Jan van der WiltDepartment for Health Evidence, Donders Institute for Brain, Cognition and Behaviour, Radboudumc, Nijmegen, The Netherlands.ORCID 0000-0002-5856-762X
Maroeska M RoversDepartment of Operating Rooms, Radboud Institute for Health Sciences, Radboudumc, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo assess whether early health economic modeling helps to distinguish those healthcare innovations that are potentially cost-effective from those that are not potentially cost-effective. We will also study what information is retrieved from the health economic models to inform further development, research and implementation decisions.

methodsWe performed secondary analyses on an existing database of 32 health economic modeling assessments of 30 innovations, performed by our group. First, we explored whether the assessments could distinguish innovations with potential cost-effectiveness from innovations without potential cost-effectiveness. Second, we explored which recommendations were made regarding development, implementation and further research of the innovation.

resultsOf the 30 innovations, 1 (3%) was an idea that was not yet being developed and 14 (47%) were under development. Eight (27%) innovations had finished development, and another 7 (23%) innovations were on the market. Although all assessments showed that the innovation had the potential to become cost-effective, due to improved patient outcomes, cost savings or both, differences were found in the magnitude of the potential benefits, and the likelihood of reaching this potential. The assessments informed how the innovation could be further developed or positioned to maximize its cost-effectiveness, and informed further research.

conclusionThe early health economic assessments provided insight in the potential cost-effectiveness of an innovation in its intended context, and the associated uncertainty. None of the assessments resulted in a firm 'no-go' recommendation, but recommendations could be provided on further research and development in order to maximize value for money.

Indexed as

Cost-Benefit AnalysisModels, EconomicTechnology Assessment, BiomedicalEarly AssessmentHealth Economic ModelingHealth Technology AssessmentInnovationInnovation Policy

Identifiers

PMID31657184
PMCPMC6819627

What OpenQuestion holds

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LicenceCC BY
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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.