The use of micro-costing in economic analyses of surgical interventions : a systematic review
Background: Compared with conventional top down costing, micro-costing may provide a more accurate method of resource-use assessment in economic analyses of surgical interventions, but little is known about its current use. The aim of this study was to systematically-review the use of micro-costing...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Potter, Shelley [verfasserIn] Davies, Charlotte [verfasserIn] Davies, Gareth [verfasserIn] Rice, Caoimhe [verfasserIn] Hollingworth, William [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2020 |
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| Übergeordnetes Werk: |
Enthalten in: Health economics review - Heidelberg : Springer, 2011, 10(2020), 3 vom: Dez., Seite 1-11 |
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| Übergeordnetes Werk: |
volume:10 ; year:2020 ; number:3 ; month:12 ; pages:1-11 |
| Links: |
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| DOI / URN: |
10.1186/s13561-020-0260-8 |
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| Katalog-ID: |
1690142111 |
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| 520 | |a Background: Compared with conventional top down costing, micro-costing may provide a more accurate method of resource-use assessment in economic analyses of surgical interventions, but little is known about its current use. The aim of this study was to systematically-review the use of micro-costing in surgery. Methods: Comprehensive searches identified complete papers, published in English reporting micro-costing of surgical interventions up to and including 22nd June 2018. Studies were critically appraised using a modified version of the Consensus on Health Economic Criteria (CHEC) Checklist. Study demographics and details of resources identified; methods for measuring and valuing identified resources and any cost-drivers identified in each study were summarised. Results: A total of 85 papers were identified. Included studies were mainly observational comparative studies (n = 42, 49.4%) with few conducted in the context of a randomised trial (n = 5, 5.9%). The majority of studies were single-centre (n = 66, 77.6%) and almost half (n = 40, 47.1%) collected data retrospectively. Only half (n = 46, 54.1%) self-identified as being ‘micro-costing’ studies. Rationale for the use of micro-costing was most commonly to compare procedures/techniques/processes but over a third were conducted specifically to accurately assess costs and/or identify cost-drivers. The most commonly included resources were personnel costs (n = 76, 89.4%); materials/disposables (n = 76, 89.4%) and operating-room costs (n = 62,72.9%). No single resource was included in all studies. Most studies (n = 72, 84.7%) identified key cost-drivers for their interventions. Conclusions: There is lack of consistency regarding the current use of micro-costing in surgery. Standardising terminology and focusing on identifying and accurately costing key cost-drivers may improve the quality and value of micro-costing in future studies. Trial registration: PROSPERO registration CRD42018099604. | ||
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10.1186/s13561-020-0260-8 doi 10419/285156 hdl (DE-627)1690142111 (DE-599)KXP1690142111 (DE-He213)s13561-020-0260-8-e DE-627 ger DE-627 rda eng Potter, Shelley verfasserin aut The use of micro-costing in economic analyses of surgical interventions a systematic review Shelley Potter, Charlotte Davies, Gareth Davies, Caoimhe Rice and William Hollingworth 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Compared with conventional top down costing, micro-costing may provide a more accurate method of resource-use assessment in economic analyses of surgical interventions, but little is known about its current use. The aim of this study was to systematically-review the use of micro-costing in surgery. Methods: Comprehensive searches identified complete papers, published in English reporting micro-costing of surgical interventions up to and including 22nd June 2018. Studies were critically appraised using a modified version of the Consensus on Health Economic Criteria (CHEC) Checklist. Study demographics and details of resources identified; methods for measuring and valuing identified resources and any cost-drivers identified in each study were summarised. Results: A total of 85 papers were identified. Included studies were mainly observational comparative studies (n = 42, 49.4%) with few conducted in the context of a randomised trial (n = 5, 5.9%). The majority of studies were single-centre (n = 66, 77.6%) and almost half (n = 40, 47.1%) collected data retrospectively. Only half (n = 46, 54.1%) self-identified as being ‘micro-costing’ studies. Rationale for the use of micro-costing was most commonly to compare procedures/techniques/processes but over a third were conducted specifically to accurately assess costs and/or identify cost-drivers. The most commonly included resources were personnel costs (n = 76, 89.4%); materials/disposables (n = 76, 89.4%) and operating-room costs (n = 62,72.9%). No single resource was included in all studies. Most studies (n = 72, 84.7%) identified key cost-drivers for their interventions. Conclusions: There is lack of consistency regarding the current use of micro-costing in surgery. Standardising terminology and focusing on identifying and accurately costing key cost-drivers may improve the quality and value of micro-costing in future studies. Trial registration: PROSPERO registration CRD42018099604. Davies, Charlotte verfasserin aut Davies, Gareth verfasserin (DE-588)1205033556 (DE-627)1690366443 aut Rice, Caoimhe verfasserin aut Hollingworth, William verfasserin aut Enthalten in Health economics review Heidelberg : Springer, 2011 10(2020), 3 vom: Dez., Seite 1-11 Online-Ressource (DE-627)670605115 (DE-600)2634483-X (DE-576)354003127 2191-1991 nnns volume:10 year:2020 number:3 month:12 pages:1-11 https://link.springer.com/content/pdf/10.1186/s13561-020-0260-8.pdf Verlag kostenfrei https://doi.org/10.1186/s13561-020-0260-8 Resolving-System kostenfrei https://hdl.handle.net/10419/285156 Resolving-System kostenfrei https://creativecommons.org/licenses/by/4.0/ Verlag Terms of use GBV_USEFLAG_U GBV_ILN_26 ISIL_DE-206 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2050 GBV_ILN_2111 GBV_ILN_2129 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 GBV_ILN_2403 GBV_ILN_2403 ISIL_DE-LFER AR 10 2020 3 12 1-11 26 01 0206 359598773X x1z 17-02-20 2403 01 DE-LFER 3605218873 00 --%%-- --%%-- n --%%-- l01 09-03-20 2403 01 DE-LFER https://doi.org/10.1186/s13561-020-0260-8 2403 01 DE-LFER https://link.springer.com/content/pdf/10.1186/s13561-020-0260-8.pdf 26 00 DE-206 56 Micro-costing 26 00 DE-206 56 Economic evaluation 26 00 DE-206 56 Surgery 26 00 DE-206 56 Systematic review |
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10.1186/s13561-020-0260-8 doi 10419/285156 hdl (DE-627)1690142111 (DE-599)KXP1690142111 (DE-He213)s13561-020-0260-8-e DE-627 ger DE-627 rda eng Potter, Shelley verfasserin aut The use of micro-costing in economic analyses of surgical interventions a systematic review Shelley Potter, Charlotte Davies, Gareth Davies, Caoimhe Rice and William Hollingworth 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Compared with conventional top down costing, micro-costing may provide a more accurate method of resource-use assessment in economic analyses of surgical interventions, but little is known about its current use. The aim of this study was to systematically-review the use of micro-costing in surgery. Methods: Comprehensive searches identified complete papers, published in English reporting micro-costing of surgical interventions up to and including 22nd June 2018. Studies were critically appraised using a modified version of the Consensus on Health Economic Criteria (CHEC) Checklist. Study demographics and details of resources identified; methods for measuring and valuing identified resources and any cost-drivers identified in each study were summarised. Results: A total of 85 papers were identified. Included studies were mainly observational comparative studies (n = 42, 49.4%) with few conducted in the context of a randomised trial (n = 5, 5.9%). The majority of studies were single-centre (n = 66, 77.6%) and almost half (n = 40, 47.1%) collected data retrospectively. Only half (n = 46, 54.1%) self-identified as being ‘micro-costing’ studies. Rationale for the use of micro-costing was most commonly to compare procedures/techniques/processes but over a third were conducted specifically to accurately assess costs and/or identify cost-drivers. The most commonly included resources were personnel costs (n = 76, 89.4%); materials/disposables (n = 76, 89.4%) and operating-room costs (n = 62,72.9%). No single resource was included in all studies. Most studies (n = 72, 84.7%) identified key cost-drivers for their interventions. Conclusions: There is lack of consistency regarding the current use of micro-costing in surgery. Standardising terminology and focusing on identifying and accurately costing key cost-drivers may improve the quality and value of micro-costing in future studies. Trial registration: PROSPERO registration CRD42018099604. Davies, Charlotte verfasserin aut Davies, Gareth verfasserin (DE-588)1205033556 (DE-627)1690366443 aut Rice, Caoimhe verfasserin aut Hollingworth, William verfasserin aut Enthalten in Health economics review Heidelberg : Springer, 2011 10(2020), 3 vom: Dez., Seite 1-11 Online-Ressource (DE-627)670605115 (DE-600)2634483-X (DE-576)354003127 2191-1991 nnns volume:10 year:2020 number:3 month:12 pages:1-11 https://link.springer.com/content/pdf/10.1186/s13561-020-0260-8.pdf Verlag kostenfrei https://doi.org/10.1186/s13561-020-0260-8 Resolving-System kostenfrei https://hdl.handle.net/10419/285156 Resolving-System kostenfrei https://creativecommons.org/licenses/by/4.0/ Verlag Terms of use GBV_USEFLAG_U GBV_ILN_26 ISIL_DE-206 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2050 GBV_ILN_2111 GBV_ILN_2129 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 GBV_ILN_2403 GBV_ILN_2403 ISIL_DE-LFER AR 10 2020 3 12 1-11 26 01 0206 359598773X x1z 17-02-20 2403 01 DE-LFER 3605218873 00 --%%-- --%%-- n --%%-- l01 09-03-20 2403 01 DE-LFER https://doi.org/10.1186/s13561-020-0260-8 2403 01 DE-LFER https://link.springer.com/content/pdf/10.1186/s13561-020-0260-8.pdf 26 00 DE-206 56 Micro-costing 26 00 DE-206 56 Economic evaluation 26 00 DE-206 56 Surgery 26 00 DE-206 56 Systematic review |
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10.1186/s13561-020-0260-8 doi 10419/285156 hdl (DE-627)1690142111 (DE-599)KXP1690142111 (DE-He213)s13561-020-0260-8-e DE-627 ger DE-627 rda eng Potter, Shelley verfasserin aut The use of micro-costing in economic analyses of surgical interventions a systematic review Shelley Potter, Charlotte Davies, Gareth Davies, Caoimhe Rice and William Hollingworth 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Compared with conventional top down costing, micro-costing may provide a more accurate method of resource-use assessment in economic analyses of surgical interventions, but little is known about its current use. The aim of this study was to systematically-review the use of micro-costing in surgery. Methods: Comprehensive searches identified complete papers, published in English reporting micro-costing of surgical interventions up to and including 22nd June 2018. Studies were critically appraised using a modified version of the Consensus on Health Economic Criteria (CHEC) Checklist. Study demographics and details of resources identified; methods for measuring and valuing identified resources and any cost-drivers identified in each study were summarised. Results: A total of 85 papers were identified. Included studies were mainly observational comparative studies (n = 42, 49.4%) with few conducted in the context of a randomised trial (n = 5, 5.9%). The majority of studies were single-centre (n = 66, 77.6%) and almost half (n = 40, 47.1%) collected data retrospectively. Only half (n = 46, 54.1%) self-identified as being ‘micro-costing’ studies. Rationale for the use of micro-costing was most commonly to compare procedures/techniques/processes but over a third were conducted specifically to accurately assess costs and/or identify cost-drivers. The most commonly included resources were personnel costs (n = 76, 89.4%); materials/disposables (n = 76, 89.4%) and operating-room costs (n = 62,72.9%). No single resource was included in all studies. Most studies (n = 72, 84.7%) identified key cost-drivers for their interventions. Conclusions: There is lack of consistency regarding the current use of micro-costing in surgery. Standardising terminology and focusing on identifying and accurately costing key cost-drivers may improve the quality and value of micro-costing in future studies. Trial registration: PROSPERO registration CRD42018099604. Davies, Charlotte verfasserin aut Davies, Gareth verfasserin (DE-588)1205033556 (DE-627)1690366443 aut Rice, Caoimhe verfasserin aut Hollingworth, William verfasserin aut Enthalten in Health economics review Heidelberg : Springer, 2011 10(2020), 3 vom: Dez., Seite 1-11 Online-Ressource (DE-627)670605115 (DE-600)2634483-X (DE-576)354003127 2191-1991 nnns volume:10 year:2020 number:3 month:12 pages:1-11 https://link.springer.com/content/pdf/10.1186/s13561-020-0260-8.pdf Verlag kostenfrei https://doi.org/10.1186/s13561-020-0260-8 Resolving-System kostenfrei https://hdl.handle.net/10419/285156 Resolving-System kostenfrei https://creativecommons.org/licenses/by/4.0/ Verlag Terms of use GBV_USEFLAG_U GBV_ILN_26 ISIL_DE-206 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2050 GBV_ILN_2111 GBV_ILN_2129 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 GBV_ILN_2403 GBV_ILN_2403 ISIL_DE-LFER AR 10 2020 3 12 1-11 26 01 0206 359598773X x1z 17-02-20 2403 01 DE-LFER 3605218873 00 --%%-- --%%-- n --%%-- l01 09-03-20 2403 01 DE-LFER https://doi.org/10.1186/s13561-020-0260-8 2403 01 DE-LFER https://link.springer.com/content/pdf/10.1186/s13561-020-0260-8.pdf 26 00 DE-206 56 Micro-costing 26 00 DE-206 56 Economic evaluation 26 00 DE-206 56 Surgery 26 00 DE-206 56 Systematic review |
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10.1186/s13561-020-0260-8 doi 10419/285156 hdl (DE-627)1690142111 (DE-599)KXP1690142111 (DE-He213)s13561-020-0260-8-e DE-627 ger DE-627 rda eng Potter, Shelley verfasserin aut The use of micro-costing in economic analyses of surgical interventions a systematic review Shelley Potter, Charlotte Davies, Gareth Davies, Caoimhe Rice and William Hollingworth 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Compared with conventional top down costing, micro-costing may provide a more accurate method of resource-use assessment in economic analyses of surgical interventions, but little is known about its current use. The aim of this study was to systematically-review the use of micro-costing in surgery. Methods: Comprehensive searches identified complete papers, published in English reporting micro-costing of surgical interventions up to and including 22nd June 2018. Studies were critically appraised using a modified version of the Consensus on Health Economic Criteria (CHEC) Checklist. Study demographics and details of resources identified; methods for measuring and valuing identified resources and any cost-drivers identified in each study were summarised. Results: A total of 85 papers were identified. Included studies were mainly observational comparative studies (n = 42, 49.4%) with few conducted in the context of a randomised trial (n = 5, 5.9%). The majority of studies were single-centre (n = 66, 77.6%) and almost half (n = 40, 47.1%) collected data retrospectively. Only half (n = 46, 54.1%) self-identified as being ‘micro-costing’ studies. Rationale for the use of micro-costing was most commonly to compare procedures/techniques/processes but over a third were conducted specifically to accurately assess costs and/or identify cost-drivers. The most commonly included resources were personnel costs (n = 76, 89.4%); materials/disposables (n = 76, 89.4%) and operating-room costs (n = 62,72.9%). No single resource was included in all studies. Most studies (n = 72, 84.7%) identified key cost-drivers for their interventions. Conclusions: There is lack of consistency regarding the current use of micro-costing in surgery. Standardising terminology and focusing on identifying and accurately costing key cost-drivers may improve the quality and value of micro-costing in future studies. Trial registration: PROSPERO registration CRD42018099604. Davies, Charlotte verfasserin aut Davies, Gareth verfasserin (DE-588)1205033556 (DE-627)1690366443 aut Rice, Caoimhe verfasserin aut Hollingworth, William verfasserin aut Enthalten in Health economics review Heidelberg : Springer, 2011 10(2020), 3 vom: Dez., Seite 1-11 Online-Ressource (DE-627)670605115 (DE-600)2634483-X (DE-576)354003127 2191-1991 nnns volume:10 year:2020 number:3 month:12 pages:1-11 https://link.springer.com/content/pdf/10.1186/s13561-020-0260-8.pdf Verlag kostenfrei https://doi.org/10.1186/s13561-020-0260-8 Resolving-System kostenfrei https://hdl.handle.net/10419/285156 Resolving-System kostenfrei https://creativecommons.org/licenses/by/4.0/ Verlag Terms of use GBV_USEFLAG_U GBV_ILN_26 ISIL_DE-206 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2050 GBV_ILN_2111 GBV_ILN_2129 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 GBV_ILN_2403 GBV_ILN_2403 ISIL_DE-LFER AR 10 2020 3 12 1-11 26 01 0206 359598773X x1z 17-02-20 2403 01 DE-LFER 3605218873 00 --%%-- --%%-- n --%%-- l01 09-03-20 2403 01 DE-LFER https://doi.org/10.1186/s13561-020-0260-8 2403 01 DE-LFER https://link.springer.com/content/pdf/10.1186/s13561-020-0260-8.pdf 26 00 DE-206 56 Micro-costing 26 00 DE-206 56 Economic evaluation 26 00 DE-206 56 Surgery 26 00 DE-206 56 Systematic review |
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10.1186/s13561-020-0260-8 doi 10419/285156 hdl (DE-627)1690142111 (DE-599)KXP1690142111 (DE-He213)s13561-020-0260-8-e DE-627 ger DE-627 rda eng Potter, Shelley verfasserin aut The use of micro-costing in economic analyses of surgical interventions a systematic review Shelley Potter, Charlotte Davies, Gareth Davies, Caoimhe Rice and William Hollingworth 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Compared with conventional top down costing, micro-costing may provide a more accurate method of resource-use assessment in economic analyses of surgical interventions, but little is known about its current use. The aim of this study was to systematically-review the use of micro-costing in surgery. Methods: Comprehensive searches identified complete papers, published in English reporting micro-costing of surgical interventions up to and including 22nd June 2018. Studies were critically appraised using a modified version of the Consensus on Health Economic Criteria (CHEC) Checklist. Study demographics and details of resources identified; methods for measuring and valuing identified resources and any cost-drivers identified in each study were summarised. Results: A total of 85 papers were identified. Included studies were mainly observational comparative studies (n = 42, 49.4%) with few conducted in the context of a randomised trial (n = 5, 5.9%). The majority of studies were single-centre (n = 66, 77.6%) and almost half (n = 40, 47.1%) collected data retrospectively. Only half (n = 46, 54.1%) self-identified as being ‘micro-costing’ studies. Rationale for the use of micro-costing was most commonly to compare procedures/techniques/processes but over a third were conducted specifically to accurately assess costs and/or identify cost-drivers. The most commonly included resources were personnel costs (n = 76, 89.4%); materials/disposables (n = 76, 89.4%) and operating-room costs (n = 62,72.9%). No single resource was included in all studies. Most studies (n = 72, 84.7%) identified key cost-drivers for their interventions. Conclusions: There is lack of consistency regarding the current use of micro-costing in surgery. Standardising terminology and focusing on identifying and accurately costing key cost-drivers may improve the quality and value of micro-costing in future studies. Trial registration: PROSPERO registration CRD42018099604. Davies, Charlotte verfasserin aut Davies, Gareth verfasserin (DE-588)1205033556 (DE-627)1690366443 aut Rice, Caoimhe verfasserin aut Hollingworth, William verfasserin aut Enthalten in Health economics review Heidelberg : Springer, 2011 10(2020), 3 vom: Dez., Seite 1-11 Online-Ressource (DE-627)670605115 (DE-600)2634483-X (DE-576)354003127 2191-1991 nnns volume:10 year:2020 number:3 month:12 pages:1-11 https://link.springer.com/content/pdf/10.1186/s13561-020-0260-8.pdf Verlag kostenfrei https://doi.org/10.1186/s13561-020-0260-8 Resolving-System kostenfrei https://hdl.handle.net/10419/285156 Resolving-System kostenfrei https://creativecommons.org/licenses/by/4.0/ Verlag Terms of use GBV_USEFLAG_U GBV_ILN_26 ISIL_DE-206 SYSFLAG_1 GBV_KXP GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2050 GBV_ILN_2111 GBV_ILN_2129 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 GBV_ILN_2403 GBV_ILN_2403 ISIL_DE-LFER AR 10 2020 3 12 1-11 26 01 0206 359598773X x1z 17-02-20 2403 01 DE-LFER 3605218873 00 --%%-- --%%-- n --%%-- l01 09-03-20 2403 01 DE-LFER https://doi.org/10.1186/s13561-020-0260-8 2403 01 DE-LFER https://link.springer.com/content/pdf/10.1186/s13561-020-0260-8.pdf 26 00 DE-206 56 Micro-costing 26 00 DE-206 56 Economic evaluation 26 00 DE-206 56 Surgery 26 00 DE-206 56 Systematic review |
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The use of micro-costing in economic analyses of surgical interventions a systematic review |
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Background: Compared with conventional top down costing, micro-costing may provide a more accurate method of resource-use assessment in economic analyses of surgical interventions, but little is known about its current use. The aim of this study was to systematically-review the use of micro-costing in surgery. Methods: Comprehensive searches identified complete papers, published in English reporting micro-costing of surgical interventions up to and including 22nd June 2018. Studies were critically appraised using a modified version of the Consensus on Health Economic Criteria (CHEC) Checklist. Study demographics and details of resources identified; methods for measuring and valuing identified resources and any cost-drivers identified in each study were summarised. Results: A total of 85 papers were identified. Included studies were mainly observational comparative studies (n = 42, 49.4%) with few conducted in the context of a randomised trial (n = 5, 5.9%). The majority of studies were single-centre (n = 66, 77.6%) and almost half (n = 40, 47.1%) collected data retrospectively. Only half (n = 46, 54.1%) self-identified as being ‘micro-costing’ studies. Rationale for the use of micro-costing was most commonly to compare procedures/techniques/processes but over a third were conducted specifically to accurately assess costs and/or identify cost-drivers. The most commonly included resources were personnel costs (n = 76, 89.4%); materials/disposables (n = 76, 89.4%) and operating-room costs (n = 62,72.9%). No single resource was included in all studies. Most studies (n = 72, 84.7%) identified key cost-drivers for their interventions. Conclusions: There is lack of consistency regarding the current use of micro-costing in surgery. Standardising terminology and focusing on identifying and accurately costing key cost-drivers may improve the quality and value of micro-costing in future studies. Trial registration: PROSPERO registration CRD42018099604. |
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Background: Compared with conventional top down costing, micro-costing may provide a more accurate method of resource-use assessment in economic analyses of surgical interventions, but little is known about its current use. The aim of this study was to systematically-review the use of micro-costing in surgery. Methods: Comprehensive searches identified complete papers, published in English reporting micro-costing of surgical interventions up to and including 22nd June 2018. Studies were critically appraised using a modified version of the Consensus on Health Economic Criteria (CHEC) Checklist. Study demographics and details of resources identified; methods for measuring and valuing identified resources and any cost-drivers identified in each study were summarised. Results: A total of 85 papers were identified. Included studies were mainly observational comparative studies (n = 42, 49.4%) with few conducted in the context of a randomised trial (n = 5, 5.9%). The majority of studies were single-centre (n = 66, 77.6%) and almost half (n = 40, 47.1%) collected data retrospectively. Only half (n = 46, 54.1%) self-identified as being ‘micro-costing’ studies. Rationale for the use of micro-costing was most commonly to compare procedures/techniques/processes but over a third were conducted specifically to accurately assess costs and/or identify cost-drivers. The most commonly included resources were personnel costs (n = 76, 89.4%); materials/disposables (n = 76, 89.4%) and operating-room costs (n = 62,72.9%). No single resource was included in all studies. Most studies (n = 72, 84.7%) identified key cost-drivers for their interventions. Conclusions: There is lack of consistency regarding the current use of micro-costing in surgery. Standardising terminology and focusing on identifying and accurately costing key cost-drivers may improve the quality and value of micro-costing in future studies. Trial registration: PROSPERO registration CRD42018099604. |
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Background: Compared with conventional top down costing, micro-costing may provide a more accurate method of resource-use assessment in economic analyses of surgical interventions, but little is known about its current use. The aim of this study was to systematically-review the use of micro-costing in surgery. Methods: Comprehensive searches identified complete papers, published in English reporting micro-costing of surgical interventions up to and including 22nd June 2018. Studies were critically appraised using a modified version of the Consensus on Health Economic Criteria (CHEC) Checklist. Study demographics and details of resources identified; methods for measuring and valuing identified resources and any cost-drivers identified in each study were summarised. Results: A total of 85 papers were identified. Included studies were mainly observational comparative studies (n = 42, 49.4%) with few conducted in the context of a randomised trial (n = 5, 5.9%). The majority of studies were single-centre (n = 66, 77.6%) and almost half (n = 40, 47.1%) collected data retrospectively. Only half (n = 46, 54.1%) self-identified as being ‘micro-costing’ studies. Rationale for the use of micro-costing was most commonly to compare procedures/techniques/processes but over a third were conducted specifically to accurately assess costs and/or identify cost-drivers. The most commonly included resources were personnel costs (n = 76, 89.4%); materials/disposables (n = 76, 89.4%) and operating-room costs (n = 62,72.9%). No single resource was included in all studies. Most studies (n = 72, 84.7%) identified key cost-drivers for their interventions. Conclusions: There is lack of consistency regarding the current use of micro-costing in surgery. Standardising terminology and focusing on identifying and accurately costing key cost-drivers may improve the quality and value of micro-costing in future studies. Trial registration: PROSPERO registration CRD42018099604. |
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7.1678314 |