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The use of micro-costing in economic analyses of surgical interventions: a systematic review.


ABSTRACT:

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.

SUBMITTER: Potter S 

PROVIDER: S-EPMC6990532 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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The use of micro-costing in economic analyses of surgical interventions: a systematic review.

Potter Shelley S   Davies Charlotte C   Davies Gareth G   Rice Caoimhe C   Hollingworth William W  

Health economics review 20200129 1


<h4>Background</h4>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.<h4>Methods</h4>Comprehensive searches identified complete papers, published in English reporting micro-costing of surgical interventions up to and including 22nd June 2018. Studies  ...[more]

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