Table 2

Appraisal of the internal validity of the QALY-endpoint in six cost-utility studies in the HTA on dementia drugs [56]

Product assessed (study)

Internal validity

Comment on generation of QALYs


Donepezil [58]

Unacceptable

Based on the Index of Health Related Quality of Life (IHQL) which was not validated for valuing cognitive impairment, and no rationale was given for the IHQL values used

Donepezil [59]

Unclear or unknown

Not stated

Rivastigmine [60]

Unacceptable

Based on the IHQL (see above)

Galantamine [61,62]

Unclear or unknown

Derived from [63] (pre – full time care at 0.60, full time care at 0.34)

Memantine [64]

Unclear or unknown/unacceptable

Insufficient detail found in the study


Riepe et al. BMC Neurology 2009 9:47   doi:10.1186/1471-2377-9-47

Open Data