Cost‐of‐illness studies and cost‐effectiveness analyses in eating disorders: A systematic review

Stuhldreher, Nina; Konnopka, Alexander; Wild, Beate; Herzog, Wolfgang; Zipfel, Stephan; Löwe, Bernd; König, Hans‐Helmut

doi:10.1002/eat.20977

Cited by 155 publications

(147 citation statements)

References 41 publications

Supporting

Mentioning

139

Contrasting

Unclassified

Order By: Relevance

“…We used the quality checklist for cost and cost-effectiveness studies by Stuhldreher et al [19]. This checklist includes 26 criteria from 6 topical groups:…”

Section: Methodsmentioning

confidence: 99%

Cost-Utility Analyses of Cognitive-Behavioural Therapy of Depression: A Systematic Review

Brettschneider¹,

Djadran²,

Härter³

et al. 2014

Psychother Psychosom

Self Cite

View full text Add to dashboard Cite

Background: Major depressive disorder (MDD) causes a massive disease burden worldwide. Cognitive behavioural therapy (CBT) is an important treatment approach for depression. Cost-utility analysis (CUA) is a method to support decisions on efficient allocation of resources in health policy. The objective of our study was to systematically review CUA of CBT in the treatment of patients suffering from MDD. Methods: We conducted a systematic literature search in Medline, Embase, PsycINFO and National Health Service Economic Evaluation Database (NHS EED) to identify CUA of CBT for MDD. Cost data were inflated to the year 2011 and converted into USD using purchasing power parities (USD PPP) to ensure comparability of the data. Quality assessment of CUA was performed. Results: Twenty-two studies were included in this systematic review. No study employed a time horizon of more than 5 years. In most studies, individual and group CBT as well as CBT for maintenance showed acceptable incremental cost-utility ratios (<50,000 USD PPP/quality-adjusted life year). The CUA results of CBT for children and adolescents and of computerized CBT were inconsistent. Discussion: We found consistent evidence that individualized CBT is cost-effective from the perspective of a third-party payer for short-term treatment and for relapse prevention of MDD in the adult population.

show abstract

“…We used the quality checklist for cost and cost-effectiveness studies by Stuhldreher et al [19]. This checklist includes 26 criteria from 6 topical groups:…”

Section: Methodsmentioning

confidence: 99%

Cost-Utility Analyses of Cognitive-Behavioural Therapy of Depression: A Systematic Review

Brettschneider¹,

Djadran²,

Härter³

et al. 2014

Psychother Psychosom

Self Cite

View full text Add to dashboard Cite

show abstract

“…About half the patients fully recover from AN, one-third improves and 20% remain chronically ill (Zipfel et al 2015). Especially in adults, who typically have a more enduring form of the illness, treatment is often protracted; repeated hospitalizations and lost productivity generate substantial personal and societal costs (Stuhldreher et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Cost-effectiveness of focal psychodynamic therapy and enhanced cognitive–behavioural therapy in out-patients with anorexia nervosa

Egger

Wild

Zipfel³

et al. 2016

Psychol. Med.

View full text Add to dashboard Cite

Background. Anorexia nervosa (AN) is a serious illness leading to substantial morbidity and mortality. The treatment of AN very often is protracted; repeated hospitalizations and lost productivity generate substantial economic costs in the health care system. Therefore, this study aimed to determine the differential cost-effectiveness of out-patient focal psychodynamic psychotherapy (FPT), enhanced cognitive-behavioural therapy (CBT-E), and optimized treatment as usual (TAU-O) in the treatment of adult women with AN.Method. The analysis was conducted alongside the randomized controlled Anorexia Nervosa Treatment of OutPatients (ANTOP) study. Cost-effectiveness was determined using direct costs per recovery at 22 months post-randomization (n = 156). Unadjusted incremental cost-effectiveness ratios (ICERs) were calculated. To derive cost-effectiveness acceptability curves (CEACs) adjusted net-benefit regressions were applied assuming different values for the maximum willingness to pay (WTP) per additional recovery. Cost-utility and assumptions underlying the base case were investigated in exploratory analyses.Results. Costs of in-patient treatment and the percentage of patients who required in-patient treatment were considerably lower in both intervention groups. The unadjusted ICERs indicated FPT and CBT-E to be dominant compared with TAU-O. Moreover, FPT was dominant compared with CBT-E. CEACs showed that the probability for cost-effectiveness of FTP compared with TAU-O and CBT-E was 595% if the WTP per recovery was 5€9825 and 5€24 550, respectively. Comparing CBT-E with TAU-O, the probability of being cost-effective remained <90% for all WTPs. The exploratory analyses showed similar but less pronounced trends.Conclusions. Depending on the WTP, FPT proved cost-effective in the treatment of adult AN.

show abstract

“…The economic consequences of eating disorders are also substantial, with high treatment costs and lost work productivity and wages (Lynch et al, 2010;Mond & Hay, 2007;Samnaliev, Noh, Sonneville, & Austin, 2015;Stuhldreher et al, 2012). Given the profound impact the disorders can have on all systems of the body and myriad domains of social and economic life, the work of prevention scientists is vital for the field and for population health.…”

Section: Introductionmentioning

confidence: 99%

Accelerating Progress in Eating Disorders Prevention: A Call for Policy Translation Research and Training

Austin

2015

Eating Disorders

View full text Add to dashboard Cite

The public health burden of eating disorders is well documented, and over the past several decades, researchers have made important advances in the prevention of eating disorders and related problems with body image. Despite these advances, however, several critical limitations to the approaches developed to date leave the field far from achieving the large-scale impact that is needed. This commentary provides a brief review of what achievements in prevention have been made and identifies the gaps that limit the potential for greater impact on population health. A plan is then offered with specific action steps to accelerate progress in high-impact prevention, most compellingly by promoting a shift in priorities to policy translation research and training for scholars through the adoption of a triggers-to-action framework. Finally, the commentary provides an example of the application of the triggers-to-action framework as practiced at the Strategic Training Initiative for the Prevention of Eating Disorders, a program based at the Harvard T. H. Chan School of Public Health and Boston Children's Hospital. Much has been achieved in the nearly 30 years of research carried out for the prevention of eating disorders and body image problems, but several critical limitations undermine the field's potential for meaningful impact. Through a shift in the field's priorities to policy translation research and training with an emphasis on macro-environmental influences, the pace of progress in prevention can be accelerated and the potential for large-scale impact substantially improved.

show abstract

Cost‐of‐illness studies and cost‐effectiveness analyses in eating disorders: A systematic review

Abstract: The number of publications investigating costs in EDs has increased recently. However, no COI provided a comprehensive estimate of costs, and the comparability of CEA was limited. Nonetheless, the results indicate that the costs arising from EDs are substantial.

Cited by 155 publications

References 41 publications

Cost-Utility Analyses of Cognitive-Behavioural Therapy of Depression: A Systematic Review

Cost-Utility Analyses of Cognitive-Behavioural Therapy of Depression: A Systematic Review

Cost-effectiveness of focal psychodynamic therapy and enhanced cognitive–behavioural therapy in out-patients with anorexia nervosa

Accelerating Progress in Eating Disorders Prevention: A Call for Policy Translation Research and Training

Contact Info

Product

Resources

About