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A cost utility analysis of treatment options for gallstone disease: Methodological issues and results

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  • Johanna Cook
  • Jeff Richardson
  • Andrew Street

Abstract

The techniques of cost utility analysis (CUA) were used to evaluate the treatment of gallstone disease by open and laparoscopic cholecystectomy and by extracorporeal shockwave lithotripsy (ESWL). The application of the techniques in this context raised three methodological questions which are not satisfactorily resolved in the literature. The first is whether an ex ante or ex post perspective is best adopted for the measurement of quality of life (QoL). The second is the method for converting a short term deterioration in QoL followed by full health into QALYs and the reliability of the methods available. The third is the issue of indirect costs which, in the context of a temporary disease state, cannot be easily avoided. The economic evaluation found laparoscopic cholecystectomy to be generally superior than the competitor technologies (entailing lower costs and better outcomes). However, the results were sensitive to assumptions about the perspective for measuring benefits and the inclusion of indirect costs.

Suggested Citation

  • Johanna Cook & Jeff Richardson & Andrew Street, 1994. "A cost utility analysis of treatment options for gallstone disease: Methodological issues and results," Health Economics, John Wiley & Sons, Ltd., vol. 3(3), pages 157-168, May.
    • Handle: RePEc:wly:hlthec:v:3:y:1994:i:3:p:157-168
    DOI: 10.1002/hec.4730030305
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    1. Attema, Arthur E. & Brouwer, Werner B.F., 2012. "A test of independence of discounting from quality of life," Journal of Health Economics, Elsevier, vol. 31(1), pages 22-34.
    2. Victoria Brennan & Simon Dixon, 2014. "Response to Letter to Editor: Capturing Disutility from Waiting Time," PharmacoEconomics, Springer, vol. 32(4), pages 421-422, April.
    3. Victoria Brennan & Simon Dixon, 2013. "Incorporating Process Utility into Quality Adjusted Life Years: A Systematic Review of Empirical Studies," PharmacoEconomics, Springer, vol. 31(8), pages 677-691, August.
    4. Mirjam Locadia & Peep F. M. Stalmeier & Frans J. Oort & Martin H. Prins & Mirjam A. G. Sprangers & Patrick M. M. Bossuyt, 2004. "A Comparison of 3 Valuation Methods for Temporary Health States in Patients Treated with Oral Anticoagulants," Medical Decision Making, , vol. 24(6), pages 625-633, November.
    5. Kristina Secnik & Louis S. Matza & Suzi Cottrell & Eric Edgell & Dominic Tilden & Sally Mannix, 2005. "Health State Utilities for Childhood Attention-Deficit/Hyperactivity Disorder Based on Parent Preferences in the United Kingdom," Medical Decision Making, , vol. 25(1), pages 56-70, January.
    6. Kristina Boye & Louis Matza & Kimberly Walter & Kate Brunt & Andrew Palsgrove & Aodan Tynan, 2011. "Utilities and disutilities for attributes of injectable treatments for type 2 diabetes," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(3), pages 219-230, June.
    7. Richard Abreu Lourenco & Marion Haas & Jane Hall & Rosalie Viney, 2017. "Valuing Meta-Health Effects for Use in Economic Evaluations to Inform Reimbursement Decisions: A Review of the Evidence," PharmacoEconomics, Springer, vol. 35(3), pages 347-362, March.
    8. Kurinchi Gurusamy & Edward Wilson & Andrew Burroughs & Brian Davidson, 2012. "Intra-operative vs pre-operative endoscopic sphincterotomy in patients with gallbladder and common bile duct stones," Applied Health Economics and Health Policy, Springer, vol. 10(1), pages 15-29, January.
    9. John Brazier & Mark Deverill, 1999. "A checklist for judging preference‐based measures of health related quality of life: Learning from psychometrics," Health Economics, John Wiley & Sons, Ltd., vol. 8(1), pages 41-51, February.
    10. Dirksen, Carmen D. & Ament, AndreJ. H. & Go, Peter M. N., 1996. "Diffusion of six surgical endoscopic procedures in the Netherlands. Stimulating and restraining factors," Health Policy, Elsevier, vol. 37(2), pages 91-104, August.
    11. Karen Gerard & Katharine Johnston & Jackie Brown, 1999. "The role of a pre‐scored multi‐attribute health classification measure in validating condition‐specific health state descriptions," Health Economics, John Wiley & Sons, Ltd., vol. 8(8), pages 685-699, December.
    12. Uivaroşan Diana & Endres Laura & Tit Mirela & Bungau Simona, 2015. "The Economic Impact Of The Digestive Diseases Across The Eu Member States. The Costs Analysis In Cholecystectomy," Annals of Faculty of Economics, University of Oradea, Faculty of Economics, vol. 1(1), pages 338-342, July.
    13. Jing Shen & Sarah Hill & David Mott & Matthew Breckons & Luke Vale & Rob Pickard, 2019. "Conducting a Time Trade-Off Study Alongside a Clinical Trial: A Case Study and Recommendations," PharmacoEconomics - Open, Springer, vol. 3(1), pages 5-20, March.
    14. Peep F. M. Stalmeier, 2002. "Discrepancies between Chained and Classic Utilities Induced by Anchoring with Occasional Adjustments," Medical Decision Making, , vol. 22(1), pages 53-64, February.
    15. Diego Ossa & Andrew Briggs & Emma McIntosh & Warren Cowell & Tim Littlewood & Mark Sculpher, 2007. "Recombinant Erythropoietin for Chemotherapy-Related Anaemia," PharmacoEconomics, Springer, vol. 25(3), pages 223-237, March.
    16. J. Shannon Swan & William F. Lawrence & Jessica Roy, 2006. "Process Utility in Breast Biopsy," Medical Decision Making, , vol. 26(4), pages 347-359, July.
    17. Steven Alberts & Tiffany Yu & Robert Behrens & Lindsay Renfro & Geetika Srivastava & Gamini Soori & Shaker Dakhil & Rex Mowat & John Kuebler & George Kim & Miroslaw Mazurczak & John Hornberger, 2014. "Comparative Economics of a 12-Gene Assay for Predicting Risk of Recurrence in Stage II Colon Cancer," PharmacoEconomics, Springer, vol. 32(12), pages 1231-1243, December.

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