Kevin Marsh
Publications 29
#1Rob Baltussen (Radboud University Nijmegen)H-Index: 40
#2Kevin MarshH-Index: 7
Last.Henk Broekhuizen (Radboud University Nijmegen)H-Index: 2
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Abstract Objective Recent years have witnessed an increased interest in the use of multicriteria decision analysis (MCDA) to support health technology assessment (HTA) agencies for setting healthcare priorities. However, its implementation to date has been criticized for being “entirely mechanistic,” ignoring opportunity costs, and not following best practice guidelines. This article provides guidance on the use of MCDA in this context. Methods The present study was based on a systematic review ...
#1Kevin MarshH-Index: 7
#2Praveen Thokala (University of Sheffield)H-Index: 16
Last.Kalipso Chalkidou (Imperial College London)H-Index: 8
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Background Multicriteria decision analysis (MCDA) has the potential to bring more structure and transparency to health technology assessment (HTA). The objective of this paper is to highlight key methodological and practical challenges facing the use of MCDA for HTA, with a particular focus on lower and middle-income countries (LMICs), and to highlight potential solutions to these challenges.
#1Tommi TervonenH-Index: 2
#2Tabea Schmidt-Ott (Lond: University of London)H-Index: 1
Last.Ellen M. Janssen (Johns Hopkins University)H-Index: 6
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Abstract Background Dominance tests are often applied to test for the rationality in the choice behavior of participants in discrete-choice experiments (DCEs). Objectives To examine how dominance tests have been implemented in recent DCE applications in health and discuss their theoretical and empirical interpretation. Methods Health-related DCEs published in 2015 were reviewed for the inclusion of tests on choice behavior. For studies that implemented a dominance test, information on applicatio...
#1Tommi TervonenH-Index: 2
#2A.V. Ustyugova (Boehringer Ingelheim)H-Index: 3
Last.Kevin MarshH-Index: 7
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Abstract Background Decision on the most appropriate oral anticoagulation therapy for stroke prevention in patients with nonvalvular atrial fibrillation is difficult because multiple treatment options are available, and these vary in their clinical effects and relevant nonclinical characteristics. Objectives To use a multicriteria decision analysis (MCDA) to compare the oral anticoagulants apixaban, dabigatran, edoxaban, rivaroxaban, and vitamin K antagonist (VKAs; specifically warfarin) in pati...
Purpose Multiple criteria decision analysis swing weighting (SW) and discrete choice experiments (DCE) are appropriate methods for capturing patient preferences on treatment benefit-risk trade-offs. This paper presents a qualitative comparison of the 2 methods. Methods We review and critically assess similarities and differences of SW and DCE based on 6 aspects: comprehension by study participants, cognitive biases, sample representativeness, ability to capture heterogeneity in preferences, reli...
#1Kevin MarshH-Index: 7
#2Mark Sculpher (Ebor: University of York)H-Index: 75
Last.Tommi TervonenH-Index: 2
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The potential for multi-criteria decision analysis (MCDA) to support health technology assessment (HTA) has been much discussed, and various HTA agencies are piloting or applying MCDA. Alongside these developments, good practice guidelines for the application of MCDA in health care have been developed. An assessment of current applications of MCDA to HTA in light of good practice guidelines reveals, however, that many have methodologic flaws that undermine their usefulness. Three challenges are ...