Years of Healthy Life

Erickson, Pennifer; Wilson, Ronald G.; Shannon, Ildy I.

doi:10.1037/e583992012-001

Cited by 128 publications

(124 citation statements)

References 18 publications

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“…The differences in life years between cohorts with and without vaccination were calculated for each age group for each year of life. Life years gained due to vaccination were corrected for quality of life [13,24]. This resulted in the number of quality-adjusted life-years (QALYs) gained by pneumococcal vaccination.…”

Section: Modelmentioning

confidence: 99%

Cost-effectiveness of pneumococcal vaccination for prevention of invasive pneumococcal disease in the elderly: an update for 10 Western European countries

Evers

Ament

Colombo³

et al. 2007

Eur J Clin Microbiol Infect Dis

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Section: Modelmentioning

confidence: 99%

Cost-effectiveness of pneumococcal vaccination for prevention of invasive pneumococcal disease in the elderly: an update for 10 Western European countries

Evers

Ament

Colombo³

et al. 2007

Eur J Clin Microbiol Infect Dis

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“…The number of years of life saved was estimated using age-specific mortality rates from National Center for Health Statistics mortality tables (Arias, 2002). Life years saved were weighted (i.e., adjusted for quality of life) by using an estimate of U.S. population-level utilities based on the Health and Activity Limitation Index (Erickson, 1998;Erickson et al, 1995), assuming that population average utilities were the best available estimate for quality of life for individuals in our sample. Each year of added life was weighted by age-and gender-specific utilities and then discounted to the present using a 3% rate (Gold et al, 1996).…”

Section: Neighbors Et Al 387mentioning

confidence: 99%

Cost-Effectiveness of a Motivational lntervention for Alcohol-Involved Youth in a Hospital Emergency Department

Neighbors¹,

Barnett²,

Rohsenow³

et al. 2010

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Brief interventions in the emergency department targeting risk-taking youth show promise to reduce alcohol-related injury. This study models the cost-effectiveness of a motivational interviewing-based intervention relative to brief advice to stop alcoholrelated risk behaviors (standard care). Average cost-effectiveness ratios were compared between conditions. In addition, a cost-utility analysis examined the incremental cost of motivational interviewing per qualityadjusted life year gained. Method: Microcosting methods were used to estimate marginal costs of motivational interviewing and standard care as well as two methods of patient screening: standard emergencydepartment staff questioning and proactive outreach by counseling staff. Average cost-effectiveness ratios were computed for drinking and driving, injuries, vehicular citations, and negative social consequences. Using estimates of the marginal effect of motivational interviewing in reducing drinking and driving, estimates of traffic fatality risk from drinking-and-driving youth, and national life tables, the societal costs per quality-adjusted life year saved by motivational interviewing relative to standard care were also estimated. Alcohol-attributable traffic fatality risks were estimated using national databases. Results: Intervention costs per participant were $81 for standard care, $170 for motivational interviewing with standard screening, and $173 for motivational interviewing with proactive screening. The cost-effectiveness ratios for motivational interviewing were more favorable than standard care across all study outcomes and better for men than women. The societal cost per quality-adjusted life year of motivational interviewing was $8,795. Sensitivity analyses indicated that results were robust in terms of variability in parameter estimates. Conclusions: This brief intervention represents a good societal investment compared with other commonly adopted medical interventions. (J. Stud. Alcohol Drugs, 71, 384-394, 2010) Medicine, 1990;Maio et al., 1994). Drinking and driving is a particular problem (Miller et al., 1998), with approximately 25% of 18-to 19-year-old drivers involved in fatal auto accidents having a positive blood alcohol concentration (Subramanian, 2003).Reaching at-risk youth and designing effective interventions for alcohol-related problems is critical. One evidence-based approach is to intervene with youth receiving emergency medical treatment for an alcohol-related injury. Monti et al. (1999Monti et al. ( , 2007 and Spirito et al. (2004) have established that brief interventions conducted with adolescents in an emergency department (ED) reduce subsequent injuries and driving after drinking. Studies with older populations have also shown that ED interventions for problem alcohol use are efficacious in reducing alcohol-related consequences (Gentilello et al., 1999;Helmkamp et al., 2003;Longabaugh et al., 2001). In fact, the American College of Surgeons has mandated as a criterion for accreditation tha...

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“…The value of Q for a given intervention is affected by the efficacy and toxicity of the therapy and is determined based on standardized measures, such as time trade-off, the standard gamble method, willingness to pay, visual analog scales, EuroQol's EQ-5D questionnaire, 35 the Quality of Well-being Scale, 36 or the years of healthy life measure. 37 In general, these measures include assessments of vision, hearing, mobility, cognition, speech, pain, dexterity, and emotion.…”

Section: What Polices or Interventions Can Be Used To Lower The Cost mentioning

confidence: 99%

The High Cost of Cancer Drugs and What We Can Do About It

Siddiqui

Rajkumar

2012

Mayo Clinic Proceedings

221

210

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Years of Healthy Life

Abstract: Health and well-being can be defined and measured in many ways. For example, symptoms usually involve 1 The concept also appears as identical objectives in three priority areas (8.1, 17.1, and 21.1).

Cited by 128 publications

References 18 publications

Cost-effectiveness of pneumococcal vaccination for prevention of invasive pneumococcal disease in the elderly: an update for 10 Western European countries

Cost-effectiveness of pneumococcal vaccination for prevention of invasive pneumococcal disease in the elderly: an update for 10 Western European countries

Cost-Effectiveness of a Motivational lntervention for Alcohol-Involved Youth in a Hospital Emergency Department

The High Cost of Cancer Drugs and What We Can Do About It

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