International journal of technology assessment in health care
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Int J Technol Assess Health Care · Jan 2009
Comparative StudyAn economic analysis of continuous positive airway pressure for the treatment of obstructive sleep apnea-hypopnea syndrome.
An important option for the medical treatment of obstructive sleep apnea-hypopnea syndrome (OSAHS) is continuous positive airway pressure (CPAP) during sleep. This study reports on the cost-effectiveness of CPAP compared with dental devices and lifestyle advice. The work was commissioned by the NHS HTA Programme to inform the National Institute of Health and Clinical Excellence's (NICE) appraisal of CPAP. ⋯ The model suggests that CPAP is cost-effective compared with dental devices and lifestyle advice for adults with moderate or severe symptomatic OSAHS at the cost-effectiveness thresholds used by NICE. This finding is reflected in the NICE guidance.
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Int J Technol Assess Health Care · Jan 2009
Assessing the impact of England's National Health Service R&D Health Technology Assessment program using the "payback" approach.
This study assesses the impact of the English National Health Service (NHS) Health Technology Assessment (HTA) program using the "payback" framework. ⋯ The HTA program performed relatively well in terms of "payback." Facilitating factors included the program's emphasis on topics that matter to the NHS, rigorous methods and the existence of "policy customers" such as NICE.