TY - JOUR

T1 - Core items for a standardized resource-use measure (ISRUM)

T2 - expert Delphi consensus survey

AU - Thom, Joanna

AU - Brookes, Sara T.

AU - Ridyard, Colin

AU - Riley, Ruth

AU - Hughes, Dyfrig

AU - Wordsworth, Sarah

AU - Noble, Sian

AU - Thornton, Gail

AU - Hollingworth, William

N1 - This work was undertaken with the support of the MRC ConDuCT-II Hub (Collaboration and innovation for Difficult and Complex randomized controlled Trials In Invasive procedures - MR/K025643/1), the MRC NWHTMR (North West Hub for Trials Methodology Research - MR/K025635/1) and the MRC Network of Hubs for Trials Methodology Research (MR/L004933/1-N57). Open Access funded by Medical Research Council

PY - 2018/6

Y1 - 2018/6

N2 - Background: Resource-use measurement by patient recall is characterized by inconsistent methods and a lack of validation. A validated standardized resource-use measure could increase data quality, improve comparability between studies and reduce research burden.Aim: To identify a minimum set of core resource-use items that should be included in a standardized adult instrument for UK health economic evaluation from a provider perspective.Methods: Health economists with experience of UK-based economic evaluations were recruited to participate in an electronic Delphi survey. Respondents were asked to rate 60 resource-use items (e.g. medication names) on a scale of 1 to 9 according to the importance of the item in a generic context. Items considered less important according to predefined consensus criteria were dropped and a second survey was developed. In the second round, respondents received the median score and their own score from round 1 for each item alongside summarized comments and were asked to re-rate items. A final project team meeting was held to determine the recommended core set.Results: 45 participants completed round 1. 26 items were considered less important and dropped, 34 items were retained for the second round and no new items were added. 42 respondents completed round 2 (93.3%), and greater consensus was observed. Following the final meeting, a list of 10 core items was selected with further items identified as suitable for ‘bolt-on’ questionnaire modules.Conclusions: The consensus on 10 items considered important in a generic context suggests that a standardized instrument for core resource-use items is feasible.

AB - Background: Resource-use measurement by patient recall is characterized by inconsistent methods and a lack of validation. A validated standardized resource-use measure could increase data quality, improve comparability between studies and reduce research burden.Aim: To identify a minimum set of core resource-use items that should be included in a standardized adult instrument for UK health economic evaluation from a provider perspective.Methods: Health economists with experience of UK-based economic evaluations were recruited to participate in an electronic Delphi survey. Respondents were asked to rate 60 resource-use items (e.g. medication names) on a scale of 1 to 9 according to the importance of the item in a generic context. Items considered less important according to predefined consensus criteria were dropped and a second survey was developed. In the second round, respondents received the median score and their own score from round 1 for each item alongside summarized comments and were asked to re-rate items. A final project team meeting was held to determine the recommended core set.Results: 45 participants completed round 1. 26 items were considered less important and dropped, 34 items were retained for the second round and no new items were added. 42 respondents completed round 2 (93.3%), and greater consensus was observed. Following the final meeting, a list of 10 core items was selected with further items identified as suitable for ‘bolt-on’ questionnaire modules.Conclusions: The consensus on 10 items considered important in a generic context suggests that a standardized instrument for core resource-use items is feasible.

KW - Resource Use

KW - Patient-reported

KW - Randomized Clinical Trial

KW - Cost Measurement

U2 - 10.1016/j.jval.2017.06.011

DO - 10.1016/j.jval.2017.06.011

M3 - Article

VL - 21

SP - 640

EP - 649

JO - Value in Health

JF - Value in Health

SN - 1524-4733

IS - 6

ER -