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Prophylaxis against infective endocarditis. London: National Institute for Health and Care Excellence (NICE); 2015 Sep. (NICE Guideline Addendum, No. 64.1.)

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Prophylaxis against infective endocarditis.

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Table 12Explanation of fields used in the economic evidence profile

ItemDescription
Study This field is used to reference the study and provide basic details on the included interventions and country of origin.
Applicability Applicability refers to the relevance of the study to specific review questions and the NICE reference case. Attributes considered include population, interventions, healthcare system, perspective, health effects and discounting. The applicability of the study is rated as:
  • Directly applicable – the study meets all applicability criteria or fails to meet one or more applicability criteria but this is unlikely to change the conclusions about cost effectiveness.
  • Partially applicable – the study fails to meet one or more applicability criteria and this could change the conclusions about cost effectiveness.
  • Not applicable – the study fails to meet one or more of the applicability criteria and this is likely to change the conclusions about cost effectiveness. Such studies would usually be excluded from the review.
Limitations This field provides an assessment of the methodological quality of the study. Attributes assessed include the relevance of the model’s structure to the review question, timeframe, outcomes, costs, parameter sources, incremental analysis, uncertainty analysis and conflicts of interest. The methodological quality of the evaluation is rated as having:
  • Minor limitations – the study meets all quality criteria or fails to meet one or more quality criteria, but this is unlikely to change the conclusions about cost effectiveness.
  • Potentially serious limitations – the study fails to meet one or more quality criteria and this could change the conclusions about cost effectiveness
  • Very serious limitations – the study fails to meet one or more quality criteria and this is highly likely to change the conclusions about cost effectiveness. Such studies would usually be excluded from the review.
Other comments This field contains particular issues that should be considered when interpreting the study, such as model structure and timeframe.
Incremental cost The difference between the mean cost associated with one strategy and the mean cost of a comparator strategy.
Incremental effect The difference between the mean health effect associated with the intervention and the mean health effect associated with the comparator. This is usually represented by quality-adjusted life years (QALYs) in accordance with the NICE reference case.
Incremental cost effectiveness ratio (ICER) The incremental cost divided by the incremental effect which results in the cost per quality-adjusted life year gained (or lost). Negative ICERs are not reported as they could represent very different conclusions: either a decrease in cost with an increase in health effects; or an increase in cost with a decrease in health effects. For this reason, the word ‘dominates’ is used to represent an intervention that is associated with decreased costs and increased health effects compared to the comparator, and the word ‘dominated’ is used to represent an intervention that is associated with an increase in costs and decreased health effects.
Uncertainty A summary of the extent of uncertainty about the ICER. This can include the results of deterministic or probabilistic sensitivity analysis or stochastic analyses or trial data.

From: 2, Evidence review and recommendations

Copyright © National Institute for Health and Care Excellence, 2015.

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