Challenges in the health economics of familial hypercholesterolemia

Purpose of review: Implementation of effective interventions often requires evidence regarding value, that is, whether they are worth what we pay for them. This review explores recent evidence concerning cost-effectiveness in familial hypercholesterolemia, and discusses the cause of, and likelihood...

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Main Authors: Norman, Richard, Watts, G., Weintraub, W., Gidding, S.
Format: Journal Article
Published: Lippincott Williams & Wilkins 2016
Online Access:http://hdl.handle.net/20.500.11937/50406
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author Norman, Richard
Watts, G.
Weintraub, W.
Gidding, S.
author_facet Norman, Richard
Watts, G.
Weintraub, W.
Gidding, S.
author_sort Norman, Richard
building Curtin Institutional Repository
collection Online Access
description Purpose of review: Implementation of effective interventions often requires evidence regarding value, that is, whether they are worth what we pay for them. This review explores recent evidence concerning cost-effectiveness in familial hypercholesterolemia, and discusses the cause of, and likelihood of solutions to, the paucity of such evidence. Recent findings: Cost-effectiveness analysis in familial hypercholesterolemia has been limited almost exclusively to adult populations. However, there is growing evidence that childhood intervention offers substantial benefit in terms of downstream health gains. Statin therapy in adults has been demonstrated to be cost-effective, but the range of novel agents that might be used will require de novo economic evaluation alongside exploration of their effect and safety profile. Summary: The familial hypercholesterolemia field has limited evidence regarding cost-effectiveness, which limits optimum allocation of resources. Economic evaluations are necessary to appraise new agents and optimal timing of management approaches. Evaluations often have substantial data demands; consequentially, their applicability to medical decision-making or policy will be partly determined by the availability of data, particularly those providing information about the long-term trajectory of health benefit from familial hypercholesterolemia treatment. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.
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spelling curtin-20.500.11937-504062017-09-13T15:36:21Z Challenges in the health economics of familial hypercholesterolemia Norman, Richard Watts, G. Weintraub, W. Gidding, S. Purpose of review: Implementation of effective interventions often requires evidence regarding value, that is, whether they are worth what we pay for them. This review explores recent evidence concerning cost-effectiveness in familial hypercholesterolemia, and discusses the cause of, and likelihood of solutions to, the paucity of such evidence. Recent findings: Cost-effectiveness analysis in familial hypercholesterolemia has been limited almost exclusively to adult populations. However, there is growing evidence that childhood intervention offers substantial benefit in terms of downstream health gains. Statin therapy in adults has been demonstrated to be cost-effective, but the range of novel agents that might be used will require de novo economic evaluation alongside exploration of their effect and safety profile. Summary: The familial hypercholesterolemia field has limited evidence regarding cost-effectiveness, which limits optimum allocation of resources. Economic evaluations are necessary to appraise new agents and optimal timing of management approaches. Evaluations often have substantial data demands; consequentially, their applicability to medical decision-making or policy will be partly determined by the availability of data, particularly those providing information about the long-term trajectory of health benefit from familial hypercholesterolemia treatment. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved. 2016 Journal Article http://hdl.handle.net/20.500.11937/50406 10.1097/MOL.0000000000000365 Lippincott Williams & Wilkins restricted
spellingShingle Norman, Richard
Watts, G.
Weintraub, W.
Gidding, S.
Challenges in the health economics of familial hypercholesterolemia
title Challenges in the health economics of familial hypercholesterolemia
title_full Challenges in the health economics of familial hypercholesterolemia
title_fullStr Challenges in the health economics of familial hypercholesterolemia
title_full_unstemmed Challenges in the health economics of familial hypercholesterolemia
title_short Challenges in the health economics of familial hypercholesterolemia
title_sort challenges in the health economics of familial hypercholesterolemia
url http://hdl.handle.net/20.500.11937/50406