JSM 2011 Online Program

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Abstract Details

Activity Number: 177
Type: Contributed
Date/Time: Monday, August 1, 2011 : 10:30 AM to 12:20 PM
Sponsor: Biopharmaceutical Section
Abstract - #302195
Title: Measurement Error on Cost-Effectiveness Ratio and Net Benefit
Author(s): Ruifeng Xu*+ and Ping-Shou Zhong and John R. Cook
Companies: Merck Research Laboratories and Iowa State University and Merck Research Laboratories
Address: Mail Stop 1C-60, North Wales, PA, 19454,
Keywords: measurement error ; cost-effectiveness ; net benefit
Abstract:

Measurement error on cost-effectiveness analysis has received increasingly attention in the pharmaceutical industry. In this presentation, we explore the influence of measurement error on the cost-effectiveness ratio and net benefit. We found that the measurement error on the biomarker could induce sufficient large bias in the estimation of cost-effectiveness ratio. A deconvolution method and Simulation Extrapolation method are proposed to correct the bias. The asymptotic normalities of the new estimators are derived. In the second part, a realistic modeling method, multi-cycle patient level simulation model is explored to assess the impact of measurement error on the cost-effectiveness ratio and net benefit. Our results show that the measurement error could underestimate the net benefit and overestimate the cost-effectiveness ratio.


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