title: A systematic literature review of cardiovascular event utilities.
abstract: Cardiovascular disease (CVD) results in half of the non-communicable disease-related deaths worldwide. Rising treatment costs have increased the need for cost-utility models designed to compare the value of new and existing therapies. Cost-utility models require utilities, values representing the strength of preferences for various health states. This systematic literature review aimed to identify and evaluate utilities reported for stroke, myocardial infarction (MI) and angina. In total, 83 unique studies were identified that reported utilities for these events. Approximately two-thirds reported utility values for stroke, and most used the EuroQoL five dimension to derive utilities. Utility values were lower in patients who experienced cardiovascular (CV) events than in patients who did not. The utility estimates for each condition varied greatly, likely due to differences in assessment methodologies and patient populations. This variability must be considered when choosing values for cost-utility models. Comparisons among reported utilities are further complicated by inconsistent CV event definitions.
authors.affiliation: Evidera, 430 Bedford St. Suite 300 Lexington, MA 02420, USA.
authors.forename: Donald W
authors.initials: DW
authors.lastname: Smith
authors.forename: Evan W
authors.initials: EW
authors.lastname: Davies
authors.forename: Erika
authors.initials: E
authors.lastname: Wissinger
authors.forename: Rachel
authors.initials: R
authors.lastname: Huelin
authors.forename: Louis S
authors.initials: LS
authors.lastname: Matza
authors.forename: Karen
authors.initials: K
authors.lastname: Chung
mesh_terms: D000787:Angina Pectoris / Q000191:economics / Q000628:therapy; D002318:Cardiovascular Diseases / Q000191:economics / Q000628:therapy*; D003362:Cost-Benefit Analysis; D006801:Humans; D018803:Models, Economic; D009203:Myocardial Infarction / Q000191:economics / Q000628:therapy; D011788:Quality of Life; D020521:Stroke / Q000191:economics / Q000628:therapy