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A computer model to analyse the cost-effectiveness of hormone replacement therapy - a revised version

Author

Listed:
  • Zethraeus, Niklas

    (Dept. of Economics, Stockholm School of Economics)

  • Lindgren, Peter

    (Dept. of Economics, Stockholm School of Economics)

  • Johnell, Olof

    (Department of Orthopaedics)

  • Jönsson, Bengt

    (Dept. of Economics, Stockholm School of Economics)

Abstract

This report presents a computer model for evaluating the cost-effectiveness (CE) of Hormone Replacement Therapy (HRT). The model is an extension of a previous model and includes also the risk of spine and wrist fracture. New Swedish data on risk of coronary heart disease and related mortality are included. The report describes the model's structure and data requirements; it also investigates the impact on the CE results by using the new model and by adding the wrist and spine fractures to the model. We further investigate whether the results are sensitive to the inclusion of Swedish risk and mortality data for CHD instead of using data based on the Framingham study. The results show that the incremental cost-effectiveness ratios (ICERs) are insensitive to the chosen model, to the assumption that the risk of wrist and spine fracture follows that of hip fracture, and to replacing the Framingham data with Swedish CHD risk and mortality data.

Suggested Citation

  • Zethraeus, Niklas & Lindgren, Peter & Johnell, Olof & Jönsson, Bengt, 2000. "A computer model to analyse the cost-effectiveness of hormone replacement therapy - a revised version," SSE/EFI Working Paper Series in Economics and Finance 368, Stockholm School of Economics.
    • Handle: RePEc:hhs:hastef:0368
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    References listed on IDEAS

    as
    1. Meltzer, David, 1997. "Accounting for future costs in medical cost-effectiveness analysis," Journal of Health Economics, Elsevier, vol. 16(1), pages 33-64, February.
    2. David Meltzer, 1997. "Accounting for Future Costs in Medical Cost-Effectiveness Analysis," NBER Working Papers 5946, National Bureau of Economic Research, Inc.
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    Cited by:

    1. Zethraeus, Niklas & Borgström, Fredrik & Jönsson, Bengt & Kanis, John, 2004. "A reassessment of the cost-effectiveness of hormone replacement therapy in Sweden – results based on the Women’s Health Initiative randomised controlled trial," SSE/EFI Working Paper Series in Economics and Finance 571, Stockholm School of Economics.

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    More about this item

    Keywords

    Computer model; cost-effectiveness analysis; hormone replacement therapy;
    All these keywords.

    JEL classification:

    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I19 - Health, Education, and Welfare - - Health - - - Other

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