Expert Panel vs Decision-Analysis Recommendations for Postdischarge Coronary Angiography After Myocardial Infarction

Article Abstract:

Expert panels may recommend against using some health care treatments that are cost-effective. Expert panels are groups of experts who analyze the medical evidence for treatments and recommend whether the treatment should be used. Another method of evaluating medical treatments is to use decision tables, which analyze the cost-effectiveness of the treatment. Researchers compared both methods for determining whether a heart attack patient should receive angioplasty in 36 clinical scenarios. There was good agreement between the two methods but the experts sometimes recommended against using treatments that were relatively cost-effective.

Usage, Evaluation, Transluminal angioplasty, Balloon angioplasty, Decision tables, Decision logic tables

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The cost-effectiveness of air bags by seating position

Article Abstract:

Air bags in cars appear to be cost-effective when compared to other health interventions. Researchers used a spreadsheet to calculate the cost-effectiveness of air bags in a fleet of 10 million new vehicles over a 20-year period. The analysis included cars with seat belts only, cars with a driver-side air bag and cars with driver and passenger air bags. Adding a driver-side air bag to a car with seat belts led to a cost of $24,000 per quality-adjusted years of life saved (QALY). Adding a passenger-side air bag increased the cost to $61,000 per QALY. These costs could be reduced if infants and children are placed in the back seat.

Air bag restraint systems, Airbag restraint systems

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Cost-effectiveness of treatment for chronic hepatitis C infection in an evolving patient population

Article Abstract:

It may be very costly to treat people who are infected with the hepatitis C virus but have no symptoms and no liver damage, especially if the goal is to prolong their life. This was the conclusion of researchers who did a computer simulation to estimate the costs of treating 40-year-old men and women infected with the hepatitis C virus. At most, only one-third of the women and 46% of the men would be likely to develop liver cirrhosis over a 30-year period.

Drug therapy, Hepatitis C, Medical care, Cost of, Health care costs

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