Incorporating Economic Evidence in Clinical Guidelines: A Framework From the Clinical Guidelines Committee of the American College of Physicians
In recognition of accelerating health care spending and alignment with the American College of Physicians (ACP) principles of promoting high-value care, the ACP Clinical Guidelines Committee (CGC) developed a framework to standardize its approach to identifying, appraising, and considering economic evidence in the development of ACP clinical guidelines. This article presents the CGC's process for incorporating economic evidence, which encompasses cost-effectiveness analyses, economic outcomes in randomized controlled trials, and resource utilization (intervention cost) data. Economic evidence is one component of ACP recommendations. The CGC first and foremost assesses the certainty of evidence for clinical net benefit of interventions; it then considers patient values and preferences, and only then considers economic evidence to develop recommendations.
Authors
- Jennifer Yost (ORCID: https://orcid.org/0000-0002-3170-1956)
- Ethan M. Balk (ORCID: https://orcid.org/0000-0002-4376-7290)
- Jennifer S Lin (ORCID: https://orcid.org/0000-0001-9169-7410)
- Itziar Etxeandia‐Ikobaltzeta (ORCID: https://orcid.org/0000-0001-6606-649X)
- Thomas G. Cooney (ORCID: https://orcid.org/0000-0001-5397-4659)
- Jeffrey A. Tice
- Curtis S. Harrod (ORCID: https://orcid.org/0000-0001-8580-7150)
- Lauri A. Hicks (ORCID: https://orcid.org/0000-0002-2383-9357)
- Johanna Miller Lewis (ORCID: https://orcid.org/0000-0001-5610-275X)
- Amy M. Linsky (ORCID: https://orcid.org/0000-0002-8090-3431)
- Timothy J Wilt (ORCID: https://orcid.org/0000-0002-6019-7779)
- Matthew C. Miller (ORCID: https://orcid.org/0000-0001-7267-4897)
- Nick Fitterman
- Tatyana Shamliyan (ORCID: https://orcid.org/0000-0003-3584-2008)
- Michael Maroto
- Amir Qaseem (ORCID: https://orcid.org/0000-0001-6866-7985)
- J. Thomas Cross
- Janice Tufte (ORCID: https://orcid.org/0000-0002-4346-3238)
- Adam J. Obley
- Carolyn J. Crandall
- Paul Shekelle
- Douglas K Owens
Institutions
- University of California, Los Angeles (US)
- University of California, San Francisco (US)
- American College of Physicians (US)
- Stanford University (US)
Publication Details
- Journal
- Annals of Internal Medicine
- Published
- 2024-12-30
- DOI
- https://doi.org/10.7326/annals-24-02149
- Citations
- 4
- Primary Topic
- Healthcare cost, quality, practices
- Type
- article
- Field-Weighted Citation Impact
- 3.40