Guidelines for Utility Measurement for Economic Analysis: The Brazilian Policy

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dc.contributor.authorSantos, Marisa
dc.contributor.authorMonteiro, Andrea Liborio
dc.contributor.authorBiz, Aline Navega
dc.contributor.authorGuerra, Augusto
dc.contributor.authorCramer, Helena
dc.contributor.authorCanuto, Vania
dc.contributor.authorCruz, Luciane
dc.contributor.authorPinto, Marcia
dc.contributor.authorViegas, Monica
dc.contributor.authorFernandes, Ricardo
dc.contributor.authorZimmermann, Ivan
dc.date.accessioned2024-10-22T19:32:39Z
dc.date.available2024-10-22T19:32:39Z
dc.date.issued2022
dc.description.abstractIntroduction: 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.
dc.identifier.citationSantos 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
dc.identifier.otherDOI: 10.1016/j.vhri.2022.03.004
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/522
dc.language.isoen
dc.publisherValue Health Reg Issues
dc.subjecthealth economicsen
dc.subjectpublic healthen
dc.subjectpublic policyen
dc.subjectquality-adjusted life-yearen
dc.subjectutilityen
dc.titleGuidelines for Utility Measurement for Economic Analysis: The Brazilian Policy
dc.typeArticle
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