Description

To select a treatment over another based on criteria outlined by Petitti et al.


 

Situation: two treatments A and B both indicated for a disease

 

Parameters:

(1) cost of treatments A and B (objective)

(2) relative effectiveness of treatments A and B (objective)

(3) whether any differences in effectiveness are "worth it" (subjective)

 

Select treatment A over B if one or more of the following is present:

(1) (its cost is less than B) AND (it is at least as effective = same or greater effectiveness)

(2) (its cost is less than B) AND (it is less effective than B) AND (the greater effectiveness of B is not worth it)

(3) (its cost is greater than B) AND (its is more effective than B) AND (the greater effectiveness of A is worth it)

 

A complete selection process might take from 1 to 3 steps:

(1) running the scenarios with A vs B. If A not selected, then go to 2.

(2) running the scenarios with B vs A. If B not selected then go to 3.

(3) select either A or B (roughly equivalent)

 


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