Health economic evaluations of medical devices in the People’s Republic of China: A systematic literature review

Figures & data

Figure 1 PRISMA flow chart.

Abbreviations: N/A, not applicable; NHS EED, National Health Service Economic Evaluation Database; PRISMA, Preferred Reporting Items for Systematic Reviews and Meta-Analyses.

Table 1 Methodological characteristics of publications included in the analysis

Author, reference	Type of intervention	Type of evaluation	Type of analysis	Perspective	Time horizon	Cost categories	Year of costing	Discounting	Economic outcomes	Sensitivity analysis	Source of funding
Wang and Huang^Citation14	Imaging	M	CEA, CUA	H	–	DM	2010	C-5%	ICER, total cost	One-way	A
Zhang and Yang^Citation15	Screening	TBE	CCA	HCP	–	DM	–	–	Total cost	–	–
Wei et al^Citation16	Surgery	CA	CCA	H	Hospital stay	DM	–	NAa	Total cost	–	–
Kim et al^Citation17	Screening	M	CUA	S	Lifetime	DM, DNM, I	1999/2000	CB-3%	ICER, total cost	–	–
Woo et al^Citation18	Screening	M	CEA, CUA	S	Study follow-up	DM, DNM, I	–	CB-3%	ICER, total cost	Prob	P
Wong et al^Citation19	Screening	M	CEA, CUA	S	Study follow-up	DM	2005	CB-3%	ICER, lifetime costs, QALY	Prob	G
Wong et al^Citation20	Screening	M	CEA, CUA	S	Study follow-up	DM, DNM	2005	CB-3%	ICER, lifetime costs	Prob	G
Wong et al^Citation21	Oncology	M	CEA, CUA	S	Study follow-up	DM	2010	CB-3%	ICER, lifetime costs	Prob	G, A
Chen et al^Citation22	Cardiac surgery	CA	CCA	H	Hospital stay	DM	–	NAa	Total cost	–	–
Cheng et al^Citation23	Imaging	M	CCA	H	–	DM	2007	C-3% after 5 years	Total cost	One-way, two-way	–
Gong et al^Citation24	Surgery	TBE	CCA	H	Study follow-up, hospital stay	DM	–	–	Total cost	–	–
Feng et al^Citation25	Surgery	TBE	CCA	S	Study follow-up, hospital stay	DM, I	–	–	Total cost	–	G
Chen et al^Citation26	Cardiac surgery	CA	CCA	H	Study follow-up, hospital stay	DM	–	–	Total cost	–	–
Zang et al^Citation27	Surgery	CA	CCA	H	–	DM	–	–	Total cost	–	–
Gurbanov et al^Citation28	Life support	CA	CCA	H	–	DM, DNM	–	–	Total cost	–	N
Zhang et al^Citation29	Kidney intervention	TBE	CCA	H	Hospital stay	DM	–	NAa	Total cost	–	–
Liu et al^Citation30	Imaging	TBE	CCA	H	Study follow-up	DM, DNM	–	NAa	Total cost	–	–
Wong et al^Citation31	Surgery	TBE	CCA	H	Study follow-up	DM	–	–	Total cost	–	G, A
Xie et al^Citation32	Bone surgery	CA	CCA	H	Study follow-up, hospital stay	DM	–	–	Total cost	–	N
Lu et al^Citation33	Surgery	CA	CCA	H	Study follow-up, hospital stay	DM, DNM	–	–	Total cost	–	–
Yang et al^Citation34	Screening	M	CBA	S	Lifetime	DM, I	2008	CB-3%	ICER, total cost	One-way	G
Sheng et al^Citation35	Surgery	TBE	CCA	H	Study follow-up, hospital stay	DM	–	–	Total cost	–	–
Wang et al^Citation36	Screening	M	CEA	S	Study follow-up, hospital stay	DM	2010	CB-3%	ICER, total cost	One-way	–
Huang et al^Citation37	Screening	M	CEA, CUA	S	Lifetime	DM, DNM, I	2009	–	ICER, total cost	One-way	–
Wu et al^Citation38	Surgery	CA	CCA	H	Study follow-up, hospital stay	DM	–	–	Total cost	–	–
Xia et al^Citation39	Obstetrics	CA	CCA, CMA	H	Study follow-up	DM	–	NAa	Total cost	–	–
Chen et al^Citation40	Kidney intervention	TBE	CUA	S	Study follow-up, hospital stay	DM, DNM, I, recessive cost	2003	–	ICUR, total cost	One-way	G
Chen et al^Citation41	Surgery	CA	CCA	S	–	DM, DNM, I	–	–	Total cost	–	–
Fan^Citation42	Imaging	CA	CEA	HCP	–	DM	–	–	Total cost	One-way	–
Gu et al^Citation43	Imaging	M	CCA	HCP	–	DM	–	–	Total cost	–	G, A
Fu et al^Citation44	Vascular surgery	CA	CEA	H	–	DM	2007	C-3%	Total cost	–	–
Guan et al^Citation45	Surgery	CA	CCA	S	–	DM, DNM, I	–	–	Total cost	One-way	–
Guo et al^Citation46	Screening	M	CEA	S	–	DM	2002	C-3%	ICER, total cost	One-way	–
Han et al^Citation47	Respiratory support	CA	CCA	HCP	Hospital stay	DM	–	NAa	Total cost	–	–
He et al^Citation48	Surgery	CA	CCA	S	Study follow-up, hospital stay	DM, DNM, I	–	NAa	Total cost	–	–
Hou et al^Citation49	Imaging	CA	CCA	H	–	DM	–	–	Total cost	–	A
Gen^Citation50	Kidney intervention	CA	CCA	HCP	–	DM	–	–	Total cost	–	–
Guo^Citation51	Surgery	CA	CCA	S	Study follow-up, hospital stay	DM, DNM, I	1999	–	Total cost	–	–
Lan et al^Citation52	Respiratory support	TBE	CCA	H	–	DM	–	–	Total cost	–	–
Li and Liu^Citation53	Surgery	CA	CCA	S	–	DM, DNM, I	–	–	Total cost	–	–
Liu et al^Citation54	Bone surgery	TBE	CEA, CUA	H	Study follow-up	DM, DNM	–	–	Total cost	One-way	–
Ma et al^Citation55	Vascular surgery	CA	CCA	H	Study follow-up, hospital stay	DM	2010	NAa	Total cost	One-way	–
Peng et al^Citation56	Surgery	M	CUA	S	–	DM, DNM	–	–	Total cost	One-way	G
Tan et al^Citation57	Surgery	CA	CCA	H	Hospital stay	DM	–	NAa	Total cost	–	–
Tan^Citation58	Surgery	CA	CCA	S	Hospital stay	DM, I	–	NAa	Total cost	–	–
Wang et al^Citation59	Surgery	CA	CEA	H	Study follow-up	DM	–	NAa	Total cost	–	G
Wang et al^Citation60	Bone surgery	CA	CCA	H	Study follow-up	DM	–	NAa	Total cost	–	–
Wei et al^Citation61	Surgery	CA	CCA	S	Hospital stay	DM, DNM, I	–	NAa	Total cost	–	G
Wen et al^Citation62	Kidney intervention	CA	CCA	H	Study follow-up	DM	–	–	Total cost	–	G
Xia^Citation63	Surgery	CA	CCA	H	Hospital stay	DM, DNM	–	NAa	Total cost	–	–
Yu^Citation64	Surgery	CA	CCA	S	Study follow-up, hospital stay	DM, DNM, I	2005	C-3%	Total cost	One-way	–
Zhou et al^Citation65	Surgery	CA	CCA	H	–	DM	–	–	Total cost	–	–
Wu and Zen^Citation66	Ophthalmology	TBE	CCA	H	–	DM	–	–	Total cost	–	–
Liu et al^Citation67	Surgery	TBE	CCA	H	Study follow-up, hospital stay	DM	–	NAa	Total cost	–	–
Han et al^Citation68	Ophthalmology	CA	CCA	H	–	DM, DNM	–	–	Total cost	–	–
Liu et al^Citation69	Airway surgery	TBE	CCA	H	–	DM	–	–	Total cost	–	G
Lv et al^Citation70	Surgery	CA	CCA	H	–	DM	–	–	Total cost	–	A

Note:

a NA, not applicable for studies with duration of < 1 year.

Abbreviations: A, academia; CA, cost analysis of routine care; CCA, cost–consequence analysis; CEA, cost-effectiveness analysis; CMA, cost-minimization analysis; CUA, cost–utility analysis; C-%, cost discounted – annual discount rate; CB-%, cost and benefit discounted – annual discount rate; DM, direct medical cost; DNM, direct nonmedical cost; G, government; H, hospital; HCP, health care payer; I, indirect cost; ICER, incremental cost-effectiveness ratio; M, modeling; N, none; NA, not applicable; P, personal; Prob, probabilistic; QALY, quality-adjusted life year; S, society; TBE, trial-based evaluation; –, not reported; CBA, cost-benefit analysis.

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