Discover and read the best of Twitter Threads about #QALY

Most recents (3)

We already do. And not just in #health.

Matthew mentions the #QALY ('Quality-Adjusted Life Year') that, via #NICE, is currently valued at between £20-30k - but QALYs are used, and valued differently, across different Gov't Departments too: qna.files.parliament.uk/qna-attachment…
Meanwhile, 'in the private sector', #insurance payouts for #death remain significantly lower than for debilitating #injury, cf. #JudicialCollegeGuidelines: quittance.co.uk/personal-injur… and legislation like the Fatal Accidents Act 1976: legislation.gov.uk/ukpga/1976/30/…

So maybe, rather than...
...haggle, posture and virtue signal over numbers on which no-one will ever agree, but which #actuaries, #algorithm makers and #AI trainers WILL inevitably use, we should focus on far more meaningful debates - like what we want '#SocialCare' to actually mean?
Read 3 tweets
#thread zur Kosten-Nutzen-Rechnung der schweizerischen #Covid19 Strategie

Prof @pietrovernazza in heutiger @Sonntagszeitung: «Ich habe aber noch nie eine Kosten-Nutzen-Rechnung der aktuellen Strategie gesehen.»

Das hat Gründe (und ist so auch nicht ganz korrekt)
1/18
In Medizin, Rechtsprechung und Ökonomie ist es nicht unüblich, Kosten-Nutzen-Analysen mit Menschenleben zu machen.

Etwas verkürzt: Der Wert einen Lebensjahrs (zBsp gemessen in #QALY (flexikon.doccheck.com/de/QALY)) wird Kosten gegenübergestellt (Medikamente, Schadenersatz…)

2/18
Was auf der individuellen Ebene funktioniert (auch wenn es befremden mag), ist in einer gesamtwirtschaftlichen Situation sehr viel schwieriger.

Spoiler: Interdependenzen, schwierige Kausalität, Unsicherheiten, Subjektivität

3/18
Read 19 tweets
Proud to have led this #clusterRCT, presented @ESCCardio's #LBCT session & published today in @JAMA_current. Among 2495 adults (50% women) hospitalized for #HF, a transitional care model implemented in our publiclyfunded system did not ⬇️time to comp readmission/ED visit/death.
There was a significant improvement in the patient-reported outcomes of #discharge-preparedness, #qualityofcaretransition, and #QOL. However, there was no improvement in #QALY. The #PROs were not adjusted for multiplicity, but we will do post-hoc exploratory analysis.
Read 8 tweets

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