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Health State Utility Values in Juvenile Idiopathic Arthritis: What is the Evidence?


  • Luiza Raquel Grazziotin

    (University of Calgary
    University of Calgary)

  • Gillian Currie

    (University of Calgary
    University of Calgary)

  • Michelle M. A. Kip

    (University of Twente)

  • Maarten J. IJzerman

    (University of Twente
    University of Melbourne)

  • Marinka Twilt

    (Alberta Children’s Hospital, Alberta Children’s Hospital Research Institute, University of Calgary)

  • Raymond Lee

    (Alberta Health Services)

  • Deborah A. Marshall

    (University of Calgary
    University of Calgary
    University of Calgary)


Objectives The objectives of this systematic review were to identify health state utility values (HSUV) of children and adults with juvenile idiopathic arthritis in the literature and to assess whether HSUV were appropriately reported and could be used to inform parameter inputs for a model-based cost-utility analysis to inform decision making. Methods MEDLINE, EMBASE, PsycINFO, EconLit and CINAHL databases were searched in July 2019. Inclusion criteria were studies using preference-based instruments, targeting children or adults with juvenile idiopathic arthritis, and in the English language. The quality of studies was assessed using a modified checklist that included relevant sources of bias and assessment of quality of HSUV valuation and measurement. A descriptive analysis was conducted, including assessment on reporting of population characteristics and stratification of HSUV by potential health states or population subgroup. Results From 620 identified articles, ten reported HSUV. Seven studies reported HSUV of children with juvenile idiopathic arthritis, and three of adults with a history of juvenile idiopathic arthritis. Population disease activity status and drug treatment were reported in less than half of the studies. Six (out of ten) studies stratified HSUV results for at least one of the potential health state categories, but they represent very specific situations or interventions (e.g. patients receiving different types of physiotherapy or treated with etanercept over time). Conclusions We have identified critical gaps in the literature reporting HSUV in patients with juvenile idiopathic arthritis including a lack of HSUV measures for distinct health states, particularly in adults with a history of juvenile idiopathic arthritis. The current reported HSUV data in juvenile idiopathic arthritis are insufficient for a full cost-utility analysis with a short or lifetime horizon.

Suggested Citation

  • Luiza Raquel Grazziotin & Gillian Currie & Michelle M. A. Kip & Maarten J. IJzerman & Marinka Twilt & Raymond Lee & Deborah A. Marshall, 2020. "Health State Utility Values in Juvenile Idiopathic Arthritis: What is the Evidence?," PharmacoEconomics, Springer, vol. 38(9), pages 913-926, September.
  • Handle: RePEc:spr:pharme:v:38:y:2020:i:9:d:10.1007_s40273-020-00921-7
    DOI: 10.1007/s40273-020-00921-7

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    Blog mentions

    As found by, the blog aggregator for Economics research:
    1. Rita Faria’s journal round-up for 14th September 2020
      by Rita Faria in The Academic Health Economists' Blog on 2020-09-14 11:00:07

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