Health Affairs, 27, no. 5 (2008): 1467-1475 doi: 10.1377/hlthaff.27.5.1467 © 2008 by Project HOPE	New Online   House Health Reform Bill   Paying for Reform   Vetting AHIP's Report   HIV/AIDS Costs   Brief: Insurance Reform   HA Blog Top 10

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UpDate

UPDATE: RESEARCH REPORT

Using Decision Analysis To Better Evaluate Pediatric Clinical Guidelines

Although systematic and explicit, existing evidentiary criteria for clinical guidelines tend to use study design as a surrogate for evidence quality. Moreover, they do not independently characterize evidence quality and net benefits and do not systematically evaluate research needs. Decision analysis, which quantifies the range of potential net benefits based on whatever evidence is available, can augment traditional frameworks. It is particularly useful for pediatric research, where randomized controlled trials are often unavailable and infeasible. Policymakers should incorporate decision analysis into comparative effectiveness research and clinical guidelines.

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