Dhruv S Kazi,Abdul R Abdullah,Suzanne V Arnold,Anirban Basu,Brandon K Bellows,Khadijah Breathett,Derek S Chew,David J Cohen,Colette DeJong,Paul A Heidenreich,Susan Hennessy,Inmaculada Hernandez,Nicolas Isaza,Karen E Joynt Maddox,Ann Marie Navar,Ankur Pandya,Kendra D Sims,Merilyn S Varghese,Liesl Zühlke
{"title":"2025 AHA/ACC关于临床实践指南成本/价值方法学的声明(2014年声明的更新):美国心脏病学会/美国心脏协会临床实践指南联合委员会的报告。","authors":"Dhruv S Kazi,Abdul R Abdullah,Suzanne V Arnold,Anirban Basu,Brandon K Bellows,Khadijah Breathett,Derek S Chew,David J Cohen,Colette DeJong,Paul A Heidenreich,Susan Hennessy,Inmaculada Hernandez,Nicolas Isaza,Karen E Joynt Maddox,Ann Marie Navar,Ankur Pandya,Kendra D Sims,Merilyn S Varghese,Liesl Zühlke","doi":"10.1161/cir.0000000000001377","DOIUrl":null,"url":null,"abstract":"AIM\r\nThe \"2025 AHA/ACC Statement on Cost/Value Methodology in Clinical Practice Guidelines (Update From 2014 Statement)\" describes a systematic approach for consistent implementation of \"economic value statements\" across ACC/AHA guidelines. It updates the cost-effectiveness threshold and proposes a new level of certainty framework that summarizes the strength of the available evidence. Additionally, it describes how cost-effectiveness analyses (CEAs) can help advance equity in population cardiovascular health.\r\n\r\nMETHODS\r\nA focused literature search was conducted from January 9, 2024, to February 2, 2024, encompassing English-language publications related to CEA methodology in PubMed, EMBASE, and the Cochrane Library, with publication dates ranging from 1973 to the present. Additional relevant studies published during the writing process (through June 25, 2024) were also considered by the writing committee.\r\n\r\nSTRUCTURE\r\nThis Cost/Value Methodology Statement updates prior guidance regarding the incorporation of evidence from published CEAs into clinical guidelines. It provides guidance for identifying and synthesizing relevant high-quality evidence, developing economic value statements, and communicating level of certainty in such statements. It defines the US cost-effectiveness threshold as $120 000 per quality-adjusted life year gained, highlights special considerations related to cardiovascular drugs and devices, emphasizes health equity considerations when interpreting CEAs, and defines a reference case for future CEAs.","PeriodicalId":10331,"journal":{"name":"Circulation","volume":"38 1","pages":""},"PeriodicalIF":38.6000,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"2025 AHA/ACC Statement on Cost/Value Methodology in Clinical Practice Guidelines (Update From 2014 Statement): A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.\",\"authors\":\"Dhruv S Kazi,Abdul R Abdullah,Suzanne V Arnold,Anirban Basu,Brandon K Bellows,Khadijah Breathett,Derek S Chew,David J Cohen,Colette DeJong,Paul A Heidenreich,Susan Hennessy,Inmaculada Hernandez,Nicolas Isaza,Karen E Joynt Maddox,Ann Marie Navar,Ankur Pandya,Kendra D Sims,Merilyn S Varghese,Liesl Zühlke\",\"doi\":\"10.1161/cir.0000000000001377\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"AIM\\r\\nThe \\\"2025 AHA/ACC Statement on Cost/Value Methodology in Clinical Practice Guidelines (Update From 2014 Statement)\\\" describes a systematic approach for consistent implementation of \\\"economic value statements\\\" across ACC/AHA guidelines. 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2025 AHA/ACC Statement on Cost/Value Methodology in Clinical Practice Guidelines (Update From 2014 Statement): A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
AIM
The "2025 AHA/ACC Statement on Cost/Value Methodology in Clinical Practice Guidelines (Update From 2014 Statement)" describes a systematic approach for consistent implementation of "economic value statements" across ACC/AHA guidelines. It updates the cost-effectiveness threshold and proposes a new level of certainty framework that summarizes the strength of the available evidence. Additionally, it describes how cost-effectiveness analyses (CEAs) can help advance equity in population cardiovascular health.
METHODS
A focused literature search was conducted from January 9, 2024, to February 2, 2024, encompassing English-language publications related to CEA methodology in PubMed, EMBASE, and the Cochrane Library, with publication dates ranging from 1973 to the present. Additional relevant studies published during the writing process (through June 25, 2024) were also considered by the writing committee.
STRUCTURE
This Cost/Value Methodology Statement updates prior guidance regarding the incorporation of evidence from published CEAs into clinical guidelines. It provides guidance for identifying and synthesizing relevant high-quality evidence, developing economic value statements, and communicating level of certainty in such statements. It defines the US cost-effectiveness threshold as $120 000 per quality-adjusted life year gained, highlights special considerations related to cardiovascular drugs and devices, emphasizes health equity considerations when interpreting CEAs, and defines a reference case for future CEAs.
期刊介绍:
Circulation is a platform that publishes a diverse range of content related to cardiovascular health and disease. This includes original research manuscripts, review articles, and other contributions spanning observational studies, clinical trials, epidemiology, health services, outcomes studies, and advancements in basic and translational research. The journal serves as a vital resource for professionals and researchers in the field of cardiovascular health, providing a comprehensive platform for disseminating knowledge and fostering advancements in the understanding and management of cardiovascular issues.