Guidelines for Utility Measurement for Economic Analysis: The Brazilian Policy
Guidelines for Utility Measurement for Economic Analysis: The Brazilian Policy
Data
2022
Autores
Santos, Marisa
Monteiro, Andrea Liborio
Biz, Aline Navega
Guerra, Augusto
Cramer, Helena
Canuto, Vania
Cruz, Luciane
Pinto, Marcia
Viegas, Monica
Fernandes, Ricardo
Journal Title
Journal ISSN
Volume Title
Publisher
Value Health Reg Issues
Resumo
Introduction: Health-related quality of life is expressed in utilities, also referred to as utility estimates or parameters. Con-
siderations about the source and type of utility values are especially important in a modeling context, where the lack of
transparency, including the lack of a hierarchy for utility data sources, is a major issue to any estimation and can potentially
compromise model reliability.
Objectives: This document aims to present the first version of the Brazilian guidelines for utility measurement to support
economic analysis.
Methods: A virtual workshop and a modified Delphi panel with 10 health technology specialists followed a rapid evaluation of
110 technical documents and indexed publications. The recommendations are based on the proposition that has received the
most votes, although contentious issues are addressed in the suggestion or discussion. The rationale for the final decision is
included in the text.
Results: The consensus includes 50 recommendations with the following topics: Transparency and Reliability, Model Design,
Conditions Under Which Generic Questionnaires Are Not Sensible or Valid, Utility Evidence Hierarchy, Utility Data Searching,
Modeling Utility Values, Extrapolating Quality Adjusted Life-Years for Models With Lifetime Horizons, Caregiver Utility, Utility
Data Synthesis, Quality/Certainty of the Evidence, and Utility Estimates in End-of-Life Conditions.
Conclusions: The goal of this project is to create unified national standards for using utility metrics in economic analysis in
Brazil. This set of recommendations is not obligatory, but it is meant to serve as a guide and lead to the development of better
and more transparent economic models in the country.
Description
Palavras-chave
health economics, public health, public policy, quality-adjusted life-year, utility
Citação
Santos M, Monteiro AL, Biz AN, Guerra A, Cramer H, Canuto V, Cruz L, Pinto M, Viegas M, Fernandes R, Zimmermann I. Guidelines for Utility Measurement for Economic Analysis: The Brazilian Policy. Value Health Reg Issues. 2022 Sep;31:67-73. doi: 10.1016/j.vhri.2022.03.004