Cost-effectiveness models for Alzheimer's disease and related dementias: IPECAD modeling workshop cross-comparison challenge

R.L.H. Handels*, C. Green, A. Gustavsson, W.L. Herring, B. Winblad, A. Wimo, A. Skoldunger, A. Karlsson, R. Anderson, M. Belger, C. Bruck, R. Espinosa, J.P. Hlavka, E. Jutkowitz, P.J. Lin, M.L. Mendez, J. Mar, P. Shewmaker, E. Spackman, A. TafazzoliB. Tysinger, L. Jonsson, IPECAD Modeling Workshop 2020 Participants

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Introduction The credibility of model-based economic evaluations of Alzheimer's disease (AD) interventions is central to appropriate decision-making in a policy context. We report on the International PharmacoEconomic Collaboration on Alzheimer's Disease (IPECAD) Modeling Workshop Challenge. Methods Two common benchmark scenarios, for the hypothetical treatment of AD mild cognitive impairment (MCI) and mild dementia, were developed jointly by 29 participants. Model outcomes were summarized, and cross-comparisons were discussed during a structured workshop. Results A broad concordance was established among participants. Mean 10-year restricted survival and time in MCI in the control group ranged across 10 MCI models from 6.7 to 9.5 years and 3.4 to 5.6 years, respectively; and across 4 mild dementia models from 5.4 to 7.9 years (survival) and 1.5 to 4.2 years (mild dementia). Discussion The model comparison increased our understanding of methods, data used, and disease progression. We established a collaboration framework to assess cost-effectiveness outcomes, an important step toward transparent and credible AD models.
Original languageEnglish
Pages (from-to)1800-1820
Number of pages21
JournalAlzheimer's & Dementia
Volume19
Issue number5
Early online date1 Oct 2022
DOIs
Publication statusPublished - May 2023

Keywords

  • Alzheimer's disease
  • cross-comparison
  • decision-analytic modeling
  • dementia
  • economic evaluation
  • model validation
  • HOOD CHALLENGE
  • ECONOMIC EVALUATIONS
  • HEALTH
  • MORTALITY
  • COMPLICATIONS
  • TRANSPARENCY
  • PREVALENCE
  • VALIDATION
  • EDUCATION
  • IMPACT
  • Cross-comparison
  • Decision-analytic modeling
  • Model validation
  • Economic evaluation
  • Dementia

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