Evidence map›Paper›PMID 41247581›Full record

SynthesisPharmacoEconomics2026

A Systematic Review of Decision-Analytic Modelling Approaches in Economic Evaluations of Post-traumatic Stress Disorder Treatments.

Sheradyn R Matthews, Laura C Edney, Reginald D V Nixon

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in PharmacoEconomics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sheradyn R MatthewsCollege of Education, Psychology and Social Work, Flinders Institute for Mental Health and Wellbeing, Flinders University, G.P.O. Box 2100, Adelaide, SA, 5001, Australia. sheradyn.matthews@flinders.edu.au.
Laura C EdneyCollege of Education, Psychology and Social Work, Flinders Institute for Mental Health and Wellbeing, Flinders University, G.P.O. Box 2100, Adelaide, SA, 5001, Australia.
Reginald D V NixonCollege of Education, Psychology and Social Work, Flinders Institute for Mental Health and Wellbeing, Flinders University, G.P.O. Box 2100, Adelaide, SA, 5001, Australia. reg.nixon@flinders.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-traumatic stress disorder (PTSD) is a debilitating condition that arises after exposure to a traumatic event and leads to significant impairment in daily functioning if left untreated. Economic evaluations are essential for understanding the comparative value of PTSD treatments and ultimately supporting their implementation. Several model-based economic evaluations exist in this area; however, these can differ in their methodological approaches and parameter inputs, which can influence conclusions drawn.

objectiveThis systematic review aimed to explore model structures and parameter inputs employed in model-based economic evaluations of PTSD treatment.

methodsA literature search was carried out in the following databases: MEDLINE, PsycINFO, SCOPUS, Econlit, CINAHL, Web of Science Core Collection, and Cochrane Collaboration Library between 1 January 2000 and 1 May 2025. Studies were eligible if they presented a full economic evaluation of a treatment for PTSD using a decision-analytic model. Data relating to the model structure and parameter inputs were extracted and quality assessment was conducted.

resultsThis review identified 14 model-based studies, of which two used decision trees, six used a Markov model, four used a combined decision tree and Markov model, and two used an agent-based model. There was significant variation across model parameters, including in disease conceptualisation and progression, data sources utilised, assumptions reported, and costs included. The quality assessment revealed the following key areas of concern: insufficient consideration of methodological uncertainty and heterogeneity, internal consistency, and incorporation of relevant disease and intervention characteristics.

conclusionsThis paper highlights important variations in current model-based economic evaluations of PTSD treatment. Future work should seek to generate evidence to support consistency in future economic evaluations of PTSD treatment options.

Indexed as

Decision Support TechniquesModels, EconomicStress Disorders, Post-TraumaticCost-Benefit AnalysisDecision TreesHumansMarkov Chains

Identifiers

What OpenQuestion holds

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Registered trials

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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.