Gary C. Brown, MD, MBA; Melissa M. Brown, MD, MN, MBA; Sanjay Sharma, MD, MSc
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Brown GC, Brown MM, Sharma S. Cost–Utility Analysis. Ann Intern Med. 2001;134:625-626. doi: 10.7326/0003-4819-134-7-200104030-00021
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Published: Ann Intern Med. 2001;134(7):625-626.
TO THE EDITOR:
Neumann and colleagues (1) recognize the problem of the diversity of economic and clinical assumptions that make up the present status of cost–utility methods. Of particular importance is that fact that utility values used to compare interventions lack standardization. Using the time-tradeoff method yields results vastly different from those seen with standard-gamble methods (2, 3), as does using utilities from different groups, such as patients, the general public, health care providers, or other surrogate responders (4). Utilities derived from patients who are in a given health state should be, in most instances, the “gold standard” (4).
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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