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CASP Checklist Economic Evaluation 2024

The CASP Checklist for economic evaluations provides a structured approach for critical appraisal of research, focusing on the validity and relevance of economic evaluations. It includes specific questions to assess the clarity of the research question, the comprehensiveness of alternatives, and the methods used to measure costs and consequences. Additionally, it emphasizes the importance of context and applicability of results to local settings, along with recommendations for proper referencing and training in evidence-based decision making.

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Suzette Marie Esguerra
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11 views

CASP Checklist Economic Evaluation 2024

The CASP Checklist for economic evaluations provides a structured approach for critical appraisal of research, focusing on the validity and relevance of economic evaluations. It includes specific questions to assess the clarity of the research question, the comprehensiveness of alternatives, and the methods used to measure costs and consequences. Additionally, it emphasizes the importance of context and applicability of results to local settings, along with recommendations for proper referencing and training in evidence-based decision making.

Uploaded by

Suzette Marie Esguerra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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CASP Checklist:

For economic evaluations

Reviewer Name:

Paper Title:

Author:

Web Link:

Appraisal Date:

During critical appraisal, never make assumptions about what the researchers have done. If it is not
possible to tell, use the “Can’t tell” response box. If you can’t tell, at best it means the researchers
have not been explicit or transparent, but at worst it could mean the researchers have not
undertaken a particular task or process. Once you’ve finished the critical appraisal, if there are a large
number of “Can’t tell” responses, consider whether the findings of the study are trustworthy and
interpret the results with caution.

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Section A: Is the economic evaluation valid?

1. Was a well-defined question posed? Yes No Can’t Tell

CONSIDER:
Is it clear what the authors are trying to achieve
• what is the perspective
• how many options are compared
• are both costs and consequences considered
• what is the time horizon
2. Was a comprehensive description of the Yes No Can’t Tell
competing alternatives given?

CONSIDER:
Is there a clear decision tree (or similar given):
• can you tell who did what, to whom, where and how often
3. Does the paper provide evidence that the Yes No Can’t Tell
programme would be effective?

(i.e. would the programme do more good


than harm?)

CONSIDER:
• if an RCT or systematic review was used; if not, consider how strong the evidence was (economic
evaluations frequently have to integrate different types of knowledge stemming from different
study designs)
4. Were the effects of the intervention Yes No Can’t Tell
identified, measured and valued
appropriately?

CONSIDER:
• Effects can be measured in natural units (e.g. years of life) or more complex units (e.g. years
adjusted for quality of life such as as QALYS) or monetary equivalents of the benefit gained (e.g. $)

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Section B: How were consequences and costs assessed and compared?

5. Were all important and relevant resources Yes No Can’t Tell


required, and health outcome costs for each
alternative identified, measured in
appropriate units and valued credibly?

CONSIDER:
Identified?

• remember the perspective being taken


• HINT: measured accurately?
• appropriate units may be hours of nursing time, number of physician visits, years-of-life gained etc.
• HINT: valued credibly?
• are the values realistic
• how have they been derived
• have opportunity costs been considered

6. Were costs and consequences adjusted for Yes No Can’t Tell


different times at which they occurred
(discounting)?

7. What were the results of the evaluation? Yes No Can’t Tell

CONSIDER:
• what is the bottom line
• what units were used (e.g. cost/life year gained, cost/QALY, net benefit)
8. Was an incremental analysis of the Yes No Can’t Tell
consequences and cost of alternatives
performed?

3
9. Was an adequate sensitivity analysis Yes No Can’t Tell
performed?

CONSIDER:
• if all the main areas of uncertainty were considered by changing the estimate of the variable and
• looking at how this would change the result of the economic evaluation

Section C: Will the results help in purchasing for local people?

10. Is the programme likely to be equally effective Yes No Can’t Tell


in your context or setting?

CONSIDER:
• if the patients covered could be sufficiently different to your population to cause concern
• If your local setting is likely to differ much
11. Are the costs translatable to your setting? Yes No Can’t Tell

12. Is it worth doing in your setting? Yes No Can’t Tell

APPRAISAL SUMMARY: List key points from your critical appraisal that need to be considered when
assessing the validity of the results and their usefulness in decision-making.
Positive/Methodologically sound Negative/Relatively poor Unknowns
methodology

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Referencing recommendation:

CASP recommends using the Harvard style referencing, which is an author/date method. Sources are
cited within the body of your assignment by giving the name of the author(s) followed by the date of
publication. All other details about the publication are given in the list of references or bibliography at
the end.

Example:

Critical Appraisal Skills Programme (2024). CASP (insert name of checklist i.e. economic evaluation
Checklist.) [online] Available at: insert URL. Accessed: insert date accessed.

Creative Commons

©CASP this work is licensed under the Creative Commons Attribution – Non-Commercial- Share A
like. To view a copy of this licence, visit https://creativecommons.org/licenses/by-nc-sa/4.0/

Need further training on evidence-based decision making? Our online training courses are helpful for
healthcare educational researchers and any other learners who:

• Need to critically appraise and stay abreast of the healthcare research literature as part of their
clinical duties.
• Are considering carrying out research & developing their own research projects.
• Make decisions in their role, whether that be policy making or patient facing.

Benefits of CASP Training:

 Affordable – courses start from as little as £6


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 12 months access – revisit areas you aren’t sure of and revise
 CPD certification - after each completed module

Scan the QR code below or visit https://casp-uk.net/critical-appraisal-online-training-courses/ for


more information and to start learning more.

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