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。

IF 38.6 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
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
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引用次数: 0

摘要

“2025 AHA/ACC关于临床实践指南成本/价值方法学的声明(2014年声明更新)”描述了在ACC/AHA指南中一致实施“经济价值声明”的系统方法。它更新了成本效益阈值,并提出了一个新的确定性框架,总结了现有证据的强度。此外,它还描述了成本效益分析(cea)如何有助于促进人群心血管健康的公平性。方法以文献检索为重点,检索时间为2024年1月9日至2024年2月2日,包括PubMed、EMBASE和Cochrane图书馆中与CEA方法相关的英文出版物,出版日期为1973年至今。在撰写过程中(截至2024年6月25日)发表的其他相关研究也被撰写委员会考虑。本成本/价值方法学声明更新了先前关于将已发表的cea证据纳入临床指南的指导。它为识别和综合相关的高质量证据、制定经济价值报表以及在此类报表中传达确定性水平提供指导。它将美国的成本效益阈值定义为每个获得的质量调整生命年12万美元,强调了与心血管药物和器械相关的特殊考虑,在解释cea时强调卫生公平考虑,并为未来的cea定义了参考案例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.
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来源期刊
Circulation
Circulation 医学-外周血管病
CiteScore
45.70
自引率
2.10%
发文量
1473
审稿时长
2 months
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.
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