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Global Patterns of QALY and DALY Use in Surgical Cost-Utility Analyses: A Systematic Review

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  • Arturo J Rios-Diaz
  • Jimmy Lam
  • Margarita S Ramos
  • Andrea V Moscoso
  • Patrick Vaughn
  • Cheryl K Zogg
  • Edward J Caterson

Abstract

Background: Surgical interventions are being increasingly recognized as cost-effective global priorities, the utility of which are frequently measured using either quality-adjusted (QALY) or disability-adjusted (DALY) life years. The objectives of this study were to: (1) identify surgical cost-effectiveness studies that utilized a formulation of the QALY or DALY as a summary measure, (2) report on global patterns of QALY and DALY use in surgery and the income characteristics of the countries and/or regions involved, and (3) assess for possible associations between national/regional-income levels and the relative prominence of either measure. Study Design: PRISMA-guided systematic review of surgical cost-effectiveness studies indexed in PubMed or EMBASE prior to December 15, 2014, that used the DALY and/or QALY as a summary measure. National locations were used to classify publications based on the 2014 World Bank income stratification scheme into: low-, lower-middle-, upper-middle-, or high-income countries. Differences in QALY/DALY use were considered by income level as well as for differences in geographic location and year using descriptive statistics (two-sided Chi-squared tests, Fischer’s exact tests in cell counts

Suggested Citation

  • Arturo J Rios-Diaz & Jimmy Lam & Margarita S Ramos & Andrea V Moscoso & Patrick Vaughn & Cheryl K Zogg & Edward J Caterson, 2016. "Global Patterns of QALY and DALY Use in Surgical Cost-Utility Analyses: A Systematic Review," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-13, February.
  • Handle: RePEc:plo:pone00:0148304
    DOI: 10.1371/journal.pone.0148304
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    References listed on IDEAS

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