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A systematic review of economic evaluations for donor human milk versus standard feeding in infants

Reviews on the cost/outcome of donor human milk (DHM) for infants requiring care in the neonatal intensive care unit (NICU) setting have been undertaken. However, the cost‐effectiveness evidence is unclear. Therefore, we conducted a systematic review of published full economic evaluations of DHM ver...

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Autores principales: Zanganeh, Mandana, Jordan, Mary, Mistry, Hema
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7988847/
https://www.ncbi.nlm.nih.gov/pubmed/33528106
http://dx.doi.org/10.1111/mcn.13151
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author Zanganeh, Mandana
Jordan, Mary
Mistry, Hema
author_facet Zanganeh, Mandana
Jordan, Mary
Mistry, Hema
author_sort Zanganeh, Mandana
collection PubMed
description Reviews on the cost/outcome of donor human milk (DHM) for infants requiring care in the neonatal intensive care unit (NICU) setting have been undertaken. However, the cost‐effectiveness evidence is unclear. Therefore, we conducted a systematic review of published full economic evaluations of DHM versus standard feeding in infants in neonatal care with the aim of undertaking a narrative synthesis of the cost‐effectiveness evidence and critical appraisal of the methods used. MEDLINE, EMBASE, Web of Science, Cochrane Library, Centre for Reviews and Dissemination (CRD) and PROSPERO databases were searched. Studies were included if they were full economic evaluations (model‐based or trial‐based), the participants were infants in neonatal units requiring nutritional support, the intervention was DHM and the comparator was any standard feeding option. There were no restrictions on outcome measures. Two authors independently assessed eligibility, extracted data, assessed quality and cross‐checked results, with disagreements resolved by consensus. Information extracted focused on study context, and economic evaluation methods and results. Of 2861 studies, seven were included. Six (86%) studies originated from high‐income countries. Four (57%) of the studies were model‐based. Although we could not directly compare the different studies, due to the heterogenous nature of health and economic parameters used in the studies, all DHM interventions indicated cost‐effective or cost saving results. This review suggests that economic evaluation of DHM interventions is an expanding area of research. Although these interventions show promise, future economic evaluations of DHM interventions need to explicitly provide more details on long‐term costs and consequences.
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spelling pubmed-79888472021-03-25 A systematic review of economic evaluations for donor human milk versus standard feeding in infants Zanganeh, Mandana Jordan, Mary Mistry, Hema Matern Child Nutr Review Article Reviews on the cost/outcome of donor human milk (DHM) for infants requiring care in the neonatal intensive care unit (NICU) setting have been undertaken. However, the cost‐effectiveness evidence is unclear. Therefore, we conducted a systematic review of published full economic evaluations of DHM versus standard feeding in infants in neonatal care with the aim of undertaking a narrative synthesis of the cost‐effectiveness evidence and critical appraisal of the methods used. MEDLINE, EMBASE, Web of Science, Cochrane Library, Centre for Reviews and Dissemination (CRD) and PROSPERO databases were searched. Studies were included if they were full economic evaluations (model‐based or trial‐based), the participants were infants in neonatal units requiring nutritional support, the intervention was DHM and the comparator was any standard feeding option. There were no restrictions on outcome measures. Two authors independently assessed eligibility, extracted data, assessed quality and cross‐checked results, with disagreements resolved by consensus. Information extracted focused on study context, and economic evaluation methods and results. Of 2861 studies, seven were included. Six (86%) studies originated from high‐income countries. Four (57%) of the studies were model‐based. Although we could not directly compare the different studies, due to the heterogenous nature of health and economic parameters used in the studies, all DHM interventions indicated cost‐effective or cost saving results. This review suggests that economic evaluation of DHM interventions is an expanding area of research. Although these interventions show promise, future economic evaluations of DHM interventions need to explicitly provide more details on long‐term costs and consequences. John Wiley and Sons Inc. 2021-02-02 /pmc/articles/PMC7988847/ /pubmed/33528106 http://dx.doi.org/10.1111/mcn.13151 Text en © 2021 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Review Article
Zanganeh, Mandana
Jordan, Mary
Mistry, Hema
A systematic review of economic evaluations for donor human milk versus standard feeding in infants
title A systematic review of economic evaluations for donor human milk versus standard feeding in infants
title_full A systematic review of economic evaluations for donor human milk versus standard feeding in infants
title_fullStr A systematic review of economic evaluations for donor human milk versus standard feeding in infants
title_full_unstemmed A systematic review of economic evaluations for donor human milk versus standard feeding in infants
title_short A systematic review of economic evaluations for donor human milk versus standard feeding in infants
title_sort systematic review of economic evaluations for donor human milk versus standard feeding in infants
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7988847/
https://www.ncbi.nlm.nih.gov/pubmed/33528106
http://dx.doi.org/10.1111/mcn.13151
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