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Improving economic evaluations in stroke: A report from the ESO Health Economics Working Group

Journal article
Authors D. A. Cadilhac
J. Kim
A. Wilsno
E. Berge
A. Patel
M. Ali
J. Saver
H. Christensen
M. Cuche
S. Crews
O. Wu
M. Provoyeur
P. McMeekin
I. Durand-Zaleski
G. A. Ford
N. Muhlemann
P. M. Bath
A. H. Abdul-Rahim
Katharina S Sunnerhagen
A. Meretoja
V. Thijs
C. Weimar
A. Massaro
A. Ranta
K. R. Lees
Published in European Stroke Journal
Pages 9
ISSN 2396-9873
Publication year 2020
Published at Institute of Neuroscience and Physiology
Pages 9
Language en
Keywords Stroke, economic evaluation, health policy, health outcomes, modified, Rankin Scale, EuroQol, costs, scale, rehabilitation, instrument, trials, Neurosciences & Neurology
Subject categories Neurology, Public Health, Global Health, Social Medicine and Epidemiology


Introduction Approaches to economic evaluations of stroke therapies are varied and inconsistently described. An objective of the European Stroke Organisation (ESO) Health Economics Working Group is to standardise and improve the economic evaluations of interventions for stroke. Methods The ESO Health Economics Working Group and additional experts were contacted to develop a protocol and a guidance document for data collection for economic evaluations of stroke therapies. A modified Delphi approach, including a survey and consensus processes, was used to agree on content. We also asked the participants about resources that could be shared to improve economic evaluations of interventions for stroke. Results Of 28 experts invited, 16 (57%) completed the initial survey, with representation from universities, government, and industry. More than half of the survey respondents endorsed 13 specific items to include in a standard resource use questionnaire. Preferred functional/quality of life outcome measures to use for economic evaluations were the modified Rankin Scale (14 respondents, 88%) and the EQ-5D instrument (11 respondents, 69%). Of the 12 respondents who had access to data used in economic evaluations, 10 (83%) indicated a willingness to share data. A protocol template and a guidance document for data collection were developed and are presented in this article. Conclusion The protocol template and guidance document for data collection will support a more standardised and transparent approach for economic evaluations of stroke care.

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