Advantages of the net benefit regression framework for trial-based economic evaluations of cancer treatments: an example from the Canadian Cancer Trials Group CO.17 trial

BMC Cancer. 2019 Jun 7;19(1):552. doi: 10.1186/s12885-019-5779-x.

Abstract

Background: Economic evaluations commonly accompany trials of new treatments or interventions; however, regression methods and their corresponding advantages for the analysis of cost-effectiveness data are not widely appreciated.

Methods: To illustrate regression-based economic evaluation, we review a cost-effectiveness analysis conducted by the Canadian Cancer Trials Group's Committee on Economic Analysis and implement net benefit regression.

Results: Net benefit regression offers a simple option for cost-effectiveness analyses of person-level data. By placing economic evaluation in a regression framework, regression-based techniques can facilitate the analysis and provide simple solutions to commonly encountered challenges (e.g., the need to adjust for potential confounders, identify key patient subgroups, and/or summarize "challenging" findings, like when a more effective regimen has the potential to be cost-saving).

Conclusions: Economic evaluations of patient-level data (e.g., from a clinical trial) can use net benefit regression to facilitate analysis and enhance results.

Keywords: Cost-effectiveness; Economic evaluation; Net benefit regression.

MeSH terms

  • Algorithms
  • Biomarkers, Tumor
  • Canada / epidemiology
  • Clinical Trials as Topic / economics*
  • Cost-Benefit Analysis
  • Humans
  • Models, Statistical
  • Neoplasms / epidemiology*
  • Neoplasms / etiology
  • Neoplasms / therapy
  • Quality-Adjusted Life Years
  • Regression Analysis

Substances

  • Biomarkers, Tumor