General information | |
Review ID | |
Author, year | |
Title | |
Reviewer | |
Date of review | |
Publication type | |
Population and setting | |
Type of study | |
Stated type of economic analysis | |
Actual type of economic analysis (if different) | |
Country of study | |
Study setting | |
Population | |
Study size | |
Method of recruitment | |
Recruitment time period | |
Inclusion criteria | |
Exclusion criteria | |
Study design | |
Primary intervention | |
Secondary intervention(s) | |
Comparators | |
Time horizon (for follow-up) | |
Outcomes | |
Outcomes measure (1) | |
Method of measurement (1) | |
Outcome measure (2) | |
Method of measurement (2) | |
Outcome measure (3) | |
Method of measurement (3) | |
Secondary outcome measure(s) | |
Method of measurement(s) | |
For utility studies: what value set or direct method of measurement has been used? | |
Timing of measurements | |
Discount rate, outcomes | |
Method of dealing with missing data—outcomes | |
Resource and cost information | |
Cost perspective | |
Intervention costs | |
Direct cost items | |
Method of capturing direct cost items | |
Direct cost data sources | |
Indirect cost items | |
Method of capturing indirect cost items | |
Indirect cost data sources | |
Resource items collected | |
Resource use, recall period | |
Method of dealing with missing data—cost | |
Price year | |
Currency | |
Inflation rate, cost | |
Discount rate, cost | |
Results | |
Resource use and costs | |
Outcomes | |
Reported cost effectiveness | |
Appropriateness of ICER | |
Sensitivity analysis | |
Major result(s) | |
Conclusions | |
Funding source | |
Model specific information | |
Type of decision analytic model | |
Model perspective | |
Model population | |
Cohort or individual? | |
Model assumptions | |
Model exclusions | |
Method for dividing disease severity | |
Distinction between body/face eczema? | |
Interventions included | |
Time horizon | |
Cycle length | |
Value of any parameters used | |
Source of parameters | |
Software used for model | |
Type of sensitivity analysis performed | |
Method of model validation | |
Author specified limitations |