Cost–Utility Analysis
Authors: Gary C. Brown, Melissa M. Brown, Sanjay Sharma
Journal: Annals of Internal Medicine (2001)

Letters3 April 2001Cost–Utility AnalysisGary C. Brown, MD, MBA, Melissa M. Brown, MD, MN, MBA, and Sanjay Sharma, MD, MScGary C. Brown, MD, MBACenter for Evidence-Based Health Care Economics; Flourtown, PA 19031 (Brown, Brown)The Cost-Effective Ocular Health Policy Unit; Kingston, Ontario K7L 5G2, Canada (Sharma)Search for more papers by this author, Melissa M. Brown, MD, MN, MBACenter for Evidence-Based Health Care Economics; Flourtown, PA 19031 (Brown, Brown)The Cost-Effective Ocular Health Policy Unit; Kingston, Ontario K7L 5G2, Canada (Sharma)Search for more papers by this author, and Sanjay Sharma, MD, MScCenter for Evidence-Based Health Care Economics; Flourtown, PA 19031 (Brown, Brown)The Cost-Effective Ocular Health Policy Unit; Kingston, Ontario K7L 5G2, Canada (Sharma)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-134-7-200104030-00021 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:Neumann and colleagues (1) recognize the problem of the diversity of economic and clinical assumptions that make up the present status of cost–utility methods. Of particular importance is that fact that utility values used to compare interventions lack standardization. Using the time-tradeoff method yields results vastly different from those seen with standard-gamble methods (2, 3), as does using utilities from different groups, such as patients, the general public, health care providers, or other surrogate responders (4). Utilities derived from patients who are in a given health state should be, in most instances, the “gold standard” (4).In ...References1. Neumann PJ, Stone PW, Chapman RH, Sandberg EA, Bell CM. The quality of reporting in published cost–utility analyses, 1976–1997. Ann Intern Med. 2000;132:964-72. [PMID: 10858180] LinkGoogle Scholar2. Wakker P, Stiggelbout A. Explaining distortions in utility elicitation through the rank-dependent model for risky choices. Med Decis Making. 1995;15:180-6. [PMID: 0007783579] CrossrefMedlineGoogle Scholar3. Brown GC. Vision and quality-of-life. Trans Am Ophthalmol Soc. 1999;97:473-511. [PMID: 0010703139] MedlineGoogle Scholar4. Brown GC, Brown MM, Sharma S. Difference between ophthalmologists' and patients' perceptions of quality of life associated with age-related macular degeneration. Can J Ophthalmol. 2000;35:127-33. [PMID: 0010812481] CrossrefMedlineGoogle Scholar5. Gold MR, Petrick CL, Torrance GW, Fryback DC, Hadorn DC, Kamlet MS, et al . Identifying and valuing outcomes.. In: Gold MR, Siegel JE, Russell LB, Weinstein MC, eds. Cost-Effectiveness in Health and Medicine. New York: Oxford Univ Pr; 1996:82-134. Google Scholar Author, Article, and Disclosure InformationAuthors: Gary C. Brown, MD, MBA; Melissa M. Brown, MD, MN, MBA; Sanjay Sharma, MD, MScAffiliations: Center for Evidence-Based Health Care Economics; Flourtown, PA 19031 (Brown, Brown)The Cost-Effective Ocular Health Policy Unit; Kingston, Ontario K7L 5G2, Canada (Sharma) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Quality of Reporting in Published Cost-Utility Analyses, 1976–1997 Peter J. Neumann , Patricia W. Stone , Richard H. Chapman , Eileen A. Sandberg , and Chaim M. Bell Cost–Utility Analysis Peter J. Neumann , Richard H. Chapman , and Patricia W. Stone Metrics Cited byValue-Based Medicine: A New Paradigm to Evaluate Treatments for Vitreoretinal Diseases and Other Medical InterventionsHealth Care Economic Analyses and Value-Based Medicine 3 April 2001Volume 134, Issue 7Page: 625-626KeywordsHealth care providersQuality of life ePublished: 3 April 2001 Issue Published: 3 April 2001 Copyright & PermissionsCopyright © 2001 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...