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Health State Utility Values for Age-Related Macular Degeneration: Review and Advice

Butt, T; Tufail, A; Rubin, G; (2017) Health State Utility Values for Age-Related Macular Degeneration: Review and Advice. Applied Health Economics and Health Policy , 15 (1) pp. 23-32. 10.1007/s40258-016-0275-9. Green open access

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Abstract

Health state utility values are a major source of uncertainty in economic evaluations of interventions for age-related macular degeneration (AMD). This review identifies and critiques published utility values and methods for eliciting de novo utility values in AMD. We describe how utility values have been used in healthcare decision making and provide guidance on the choice of utility values for future economic evaluations for AMD. Literature was searched using PubMed, and health technology assessments (HTA) were searched using HTA agency websites to identify articles reporting utility values or approaches to derive utility values in AMD and articles applying utilities for use in healthcare decision making relating to treatments for AMD. A total of 70 studies qualified for data extraction, 22 of which were classified as containing utility values and/or elicitation methods, and 48 were classified as using utility values in decision making. A large number of studies have elicited utility values for AMD, although those applied to decision making have focused on a few of these. There is an appreciation of the challenges in the measurement and valuation of health states, with recent studies addressing challenges such as the insensitivity of generic health-related quality of life (HRQoL) questionnaires and utility in the worse-seeing eye. We would encourage careful consideration when choosing utility values in decision making and an explicit critique of their applicability to the decision problem.

Type: Article
Title: Health State Utility Values for Age-Related Macular Degeneration: Review and Advice
Location: New Zealand
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s40258-016-0275-9
Publisher version: http://doi.org/10.1007/s40258-016-0275-9
Language: English
Additional information: © Springer International Publishing Switzerland 2016. The final publication is available at Springer via http://dx.doi.org/10.1007/s40258-016-0275-9
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology
URI: https://discovery.ucl.ac.uk/id/eprint/1518687
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