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Cost-effectiveness of COVID-19 policy measures : a systematic review

Sophie Vandepitte (UGent) , Tijs Alleman (UGent) , Ingmar Nopens (UGent) , Jan Baetens (UGent) , Samuel Coenen and Delphine De Smedt (UGent)
(2021) VALUE IN HEALTH. 24(11). p.1551-1569
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Abstract
Objectives: The COVID-19 pandemic has had a major impact on our society, with drastic policy restrictions being implemented to contain the spread of the severe acute respiratory syndrome coronavirus 2. This study aimed to provide an overview of the available evidence on the cost-effectiveness of various coronavirus disease 2019 policy measures. Methods: A systematic literature search was conducted in PubMed, Embase, and Web of Science. Health economic evaluations considering both costs and outcomes were included. Their quality was comprehensively assessed using the Consensus Health Economic Criteria checklist. Next, the quality of the epidemiological models was evaluated. Results: A total of 3688 articles were identified (March 2021), of which 23 were included. The studies were heterogeneous with regard to methodological quality, contextual factors, strategies' content, adopted perspective, applied models, and outcomes used. Overall, testing/screening, social distancing, personal protective equipment, quarantine/isolation, and hygienic measures were found to be cost-effective. Furthermore, the most optimal choice and combination of strategies depended on the reproduction number and context. With a rising reproduction number, extending the testing strategy and early implementation of combined multiple restriction measures are most efficient. Conclusions: The quality assessment highlighted numerous flaws and limitations in the study approaches; hence, their results should be interpreted with caution because the specific context (country, target group, etc) is a key driver for costeffectiveness. Finally, including a societal perspective in future evaluations is key because this pandemic has an indirect impact on the onset and treatment of other conditions and on our global economy.
Keywords
Public Health, Environmental and Occupational Health, Health Policy, cost-effectiveness, COVID-19, policy measures, systematic review, ECONOMIC-EVALUATION, HEALTH, STRATEGIES, IMPACT

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MLA
Vandepitte, Sophie, et al. “Cost-Effectiveness of COVID-19 Policy Measures : A Systematic Review.” VALUE IN HEALTH, vol. 24, no. 11, 2021, pp. 1551–69, doi:10.1016/j.jval.2021.05.013.
APA
Vandepitte, S., Alleman, T., Nopens, I., Baetens, J., Coenen, S., & De Smedt, D. (2021). Cost-effectiveness of COVID-19 policy measures : a systematic review. VALUE IN HEALTH, 24(11), 1551–1569. https://doi.org/10.1016/j.jval.2021.05.013
Chicago author-date
Vandepitte, Sophie, Tijs Alleman, Ingmar Nopens, Jan Baetens, Samuel Coenen, and Delphine De Smedt. 2021. “Cost-Effectiveness of COVID-19 Policy Measures : A Systematic Review.” VALUE IN HEALTH 24 (11): 1551–69. https://doi.org/10.1016/j.jval.2021.05.013.
Chicago author-date (all authors)
Vandepitte, Sophie, Tijs Alleman, Ingmar Nopens, Jan Baetens, Samuel Coenen, and Delphine De Smedt. 2021. “Cost-Effectiveness of COVID-19 Policy Measures : A Systematic Review.” VALUE IN HEALTH 24 (11): 1551–1569. doi:10.1016/j.jval.2021.05.013.
Vancouver
1.
Vandepitte S, Alleman T, Nopens I, Baetens J, Coenen S, De Smedt D. Cost-effectiveness of COVID-19 policy measures : a systematic review. VALUE IN HEALTH. 2021;24(11):1551–69.
IEEE
[1]
S. Vandepitte, T. Alleman, I. Nopens, J. Baetens, S. Coenen, and D. De Smedt, “Cost-effectiveness of COVID-19 policy measures : a systematic review,” VALUE IN HEALTH, vol. 24, no. 11, pp. 1551–1569, 2021.
@article{8726487,
  abstract     = {{Objectives: The COVID-19 pandemic has had a major impact on our society, with drastic policy restrictions being implemented to contain the spread of the severe acute respiratory syndrome coronavirus 2. This study aimed to provide an overview of the available evidence on the cost-effectiveness of various coronavirus disease 2019 policy measures. Methods: A systematic literature search was conducted in PubMed, Embase, and Web of Science. Health economic evaluations considering both costs and outcomes were included. Their quality was comprehensively assessed using the Consensus Health Economic Criteria checklist. Next, the quality of the epidemiological models was evaluated. Results: A total of 3688 articles were identified (March 2021), of which 23 were included. The studies were heterogeneous with regard to methodological quality, contextual factors, strategies' content, adopted perspective, applied models, and outcomes used. Overall, testing/screening, social distancing, personal protective equipment, quarantine/isolation, and hygienic measures were found to be cost-effective. Furthermore, the most optimal choice and combination of strategies depended on the reproduction number and context. With a rising reproduction number, extending the testing strategy and early implementation of combined multiple restriction measures are most efficient. Conclusions: The quality assessment highlighted numerous flaws and limitations in the study approaches; hence, their results should be interpreted with caution because the specific context (country, target group, etc) is a key driver for costeffectiveness. Finally, including a societal perspective in future evaluations is key because this pandemic has an indirect impact on the onset and treatment of other conditions and on our global economy.}},
  author       = {{Vandepitte, Sophie and Alleman, Tijs and Nopens, Ingmar and Baetens, Jan and Coenen, Samuel and De Smedt, Delphine}},
  issn         = {{1098-3015}},
  journal      = {{VALUE IN HEALTH}},
  keywords     = {{Public Health,Environmental and Occupational Health,Health Policy,cost-effectiveness,COVID-19,policy measures,systematic review,ECONOMIC-EVALUATION,HEALTH,STRATEGIES,IMPACT}},
  language     = {{eng}},
  number       = {{11}},
  pages        = {{1551--1569}},
  title        = {{Cost-effectiveness of COVID-19 policy measures : a systematic review}},
  url          = {{http://doi.org/10.1016/j.jval.2021.05.013}},
  volume       = {{24}},
  year         = {{2021}},
}

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