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  1. Economic evaluation of diagnostic tests : A review of published studies.

    Article - En anglais


    The purpose of this review was to examine whether studies from the medical literature focusing on efficiency of diagnostic facilities reported economic evaluation methods appropriately, following guidelines for conducting and reporting economic evaluations.


    A MEDLINE search was conducted, and studies that concerned a diagnostic technology and fulfilled the Drummond criteria were selected for methodological review.

    The reliability of selection and methodological review based on the abstracts was determined by scoring a random sample of both abstracts and full articles.

    Interrater reliability was determined by scoring a random sample of s by both authors.

    Kappa values were calculated.

    Nine methodological aspects were reviewed 

    Study design, the type of economic evaluation, the comparison made, the study's perspective, the cost-effectiveness ratio used, the definition of cost-effective, the types of costs analyzed, the cost calculation method, and the use of sensitivity analysis.


    Two hundred fifty studies published between 1992 and 1997 were found regarding efficiency of diagnostic facilities ; 134 studies fulfilled the Drummond criteria and were selected for methodological review.

    Kappa values showed reliability of selection and methodological review and interrater reliability.

    The existing literatue on the economic evaluation of diagnostic facilities does not adhere well to guidelines for economic evaluation. (...)

    Mots-clés Pascal : Diagnostic, Dépistage, Evaluation, Technique, Revue bibliographique, Analyse avantage coût, Economie santé, Homme, Article synthèse, Prévention

    Mots-clés Pascal anglais : Diagnosis, Medical screening, Evaluation, Technique, Bibliographic review, Cost benefit analysis, Health economy, Human, Review, Prevention

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0518870

    Code Inist : 002B30A04D. Création : 18/05/2000.