Critical appraisal:Eloubeidi MA, Homan RK, Martz MD, Theobald KE, Provenzale D 1999

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Critical Appraisal

Article being appraised

Eloubeidi MA, Homan RK, Martz MD, Theobald KE, Provenzale D. A cost analysis of outpatient care for patients with Barrett's esophagus in a managed care setting. Am J Gastroenterol 1999 Aug;94(8):2033-6 Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/10445524.


Applicable clinical question

Key Facts

Study Design

health economic study

Number of Patients:

53


Includes an economic evaluation

yes

Evidence ratings

Risk of bias assessment: health economic study

Study design
The research question is stated
Yes
The economic importance of the research question is stated
Yes
The viewpoint(s) of the analysis are clearly stated and justified
Yes
The rationale for choosing alternative programmes or interventions compared is stated
Yes
The alternatives being compared are clearly described
Yes
The form of economic evaluation used is stated
Yes
The choice of form of economic evaluation is justified in relation to the questions addressed
Yes
Data collection
The source(s) of effectiveness estimates used are stated
Yes
Details of the design and results of effectiveness study are given (if based on a single study)
Not appropriate
Details of the methods of synthesis or meta-analysis of estimates are given (if based on a synthesis of a number of effectiveness studies)
Not appropriate
The primary outcome measure(s) for the economic evaluation are clearly stated
Yes
Methods to value benefits are stated
Not appropriate
Details of the subjects from whom valuations were obtained were given
Yes
Productivity changes (if included) are reported separately
Not appropriate
The relevance of productivity changes to the study question is discussed
Not appropriate
Quantities of resource use are reported separately from their unit costs
No
Methods for the estimation of quantities and unit costs are described
Yes
Currency and price data are recorded
Yes
Details of currency of price adjustments for inflation or currency conversion are given
No
Details of any model used are given
Not appropriate
The choice of model used and the key parameters on which it is based are justified
Not appropriate
Analysis and interpretation of results
Time horizon of costs and benefits is stated
No
The discount rate(s) is stated
No
The choice of discount rate(s) is justified
No
An explanation is given if costs and benefits are not discounted
No
Details of statistical tests and confidence intervals are given for stochastic data
Not appropriate
The approach to sensitivity analysis is given
Not appropriate
The choice of variables for sensitivity analysis is justified
Not appropriate
The range over which the variables are varied is justified
Not appropriate
Relevant alternatives are compared
Not appropriate
Incremental analysis is reported
Not appropriate
Major outcomes are presented in a desegregated as well as aggregated form
Not clear
The answer to the study question is given
Yes
Conclusions follow from the data reported
Yes
Conclusions are accompanied by the appropriate caveats
Yes
Size of effect
5 Reason for decision: No data on clinical outcomes.
Relevance of evidence
6 Additional comments: Study of the economic costs of management (including endoscopy) of patients with Barrett's oesophagus.
Result of appraisal

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Completed by

Dr Bradley Kendall MBBS, FRACP


Jutta's tick icon.png This appraisal has been completed.


Article
Eloubeidi MA, Homan RK, Martz MD, Theobald KE, Provenzale D. A cost analysis of outpatient care for patients with Barrett's esophagus in a managed care setting. Am J Gastroenterol 1999 Aug;94(8):2033-6 Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/10445524.
Assigned to
User:Brad.kendall
Topic area
Guidelines:Barrett's
Clinical question
Form
Form:Critical appraisal


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