General information | Â |
 Review ID |  |
 Author, year |  |
 Title |  |
 Reviewer |  |
 Date of review |  |
 Publication type |  |
Population and setting | Â |
 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 | Â |
 Primary intervention |  |
 Secondary intervention(s) |  |
 Comparators |  |
 Time horizon (for follow-up) |  |
Outcomes | Â |
 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 | Â |
 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 | Â |
 Resource use and costs |  |
 Outcomes |  |
 Reported cost effectiveness |  |
 Appropriateness of ICER |  |
 Sensitivity analysis |  |
 Major result(s) |  |
 Conclusions |  |
 Funding source |  |
Model specific information | Â |
 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 |  |