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The valuation of prenatal life in economic evaluations of perinatal interventions

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  • Judit Simon
  • Stavros Petrou
  • Alastair Gray

Abstract

Perinatal interventions delivered during the prenatal period have the potential to directly impact prenatal life. The decision on when to begin ‘counting’ the life of an infant in the calculus has received little attention in previous economic evaluations of perinatal interventions. We illustrate, using data from a recent trial‐based economic evaluation of magnesium sulphate given to women with pre‐eclampsia to prevent eclampsia, how different definitions of when human life commences can have a significant impact upon cost‐effectiveness estimates based on composite outcome measures such as life years or quality‐adjusted life years gained or disability‐adjusted life years averted. Further, we suggest ways in which methods in this area can be improved. Copyright © 2008 John Wiley & Sons, Ltd.

Suggested Citation

  • Judit Simon & Stavros Petrou & Alastair Gray, 2009. "The valuation of prenatal life in economic evaluations of perinatal interventions," Health Economics, John Wiley & Sons, Ltd., vol. 18(4), pages 487-494, April.
    • Handle: RePEc:wly:hlthec:v:18:y:2009:i:4:p:487-494
    DOI: 10.1002/hec.1375
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    References listed on IDEAS

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    2. Julia Fox-Rushby, 2002. "Disability Adjusted Life Years (DALYs) for Decision-Making?," Monograph 000474, Office of Health Economics.
    3. Broome, John, 2006. "Weighing Lives," OUP Catalogue, Oxford University Press, number 9780199297702.
    4. World Bank, 2003. "World Development Indicators 2003," World Bank Publications - Books, The World Bank Group, number 13920, December.
    5. Radhakrishnan, Muralikrishnan & van Gool, Kees & Hall, Jane & Delatycki, Martin & Massie, John, 2008. "Economic evaluation of cystic fibrosis screening: A review of the literature," Health Policy, Elsevier, vol. 85(2), pages 133-147, February.
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    1. Jeremy D. Goldhaber-Fiebert & Margaret L. Brandeau, 2015. "Evaluating Cost-effectiveness of Interventions That Affect Fertility and Childbearing," Medical Decision Making, , vol. 35(7), pages 818-846, October.
    2. Samuel Shillcutt & Damian Walker & Catherine Goodman & Anne Mills, 2009. "Cost Effectiveness in Low- and Middle-Income Countries," PharmacoEconomics, Springer, vol. 27(11), pages 903-917, November.

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