Bone marrow transplants.

In order to investigate the applicability of techniques to assess the costs and benefits of medical technology, 19 case studies were prepared. All 19 are available individually. In addition, 17 of the cases are available in a collected volume, Background Paper #2: Case Studies of Medical Technologies. Some of the cases represent formal cost-effectiveness analysis (e.g., the case on bone marrow transplants), while others represent net cost or “least cost” analysis (e.g., the case on certain respiratory therapies). Other cases illustrate various issues such as the difficulty of conducting cost-effectiveness analysis in the absence of adequate efficacy and safety information (e. g., the case on breast cancer surgery), or the role and impact of formal analysis on policymaking (e. g., the case on end-stage renal disease interventions). The 17 case studies in Background Paper #2 and their authors are: Artificial Heart Deborah P. Lubeck John P. Bunker Automated Multichannel Chemistry Analyzers Milton C, Weinstein Laurie A. Pearlman Bone Marrow Transplants Stuart O. Schweitzer C. C. Scalzi Breast Cancer Surgery Karen Schachter Duncan Neuhauser Cardiac Radionuclide Imaging William B. Stason Eric Fortess Cervical Cancer Screening Bryan R. Luce Cimetidine and Peptic Ulcer Disease Harvey V. Fineberg Laurie A. Pearlman Colon Cancer Screening David M. Eddy CT Scanning Judith L. Wagner Elective Hysterectomy Carol Korenbrot Ann B. Flood Michael Higgins Noralou Roos John P. Bunker End-Stage Renal Disease Interventions Richard A. Rettig Gastrointestinal Endoscopy Jonathan A, Showstack Steven A. Schroeder Neonatal Intensive Care Peter Budetti Peggy McManus Nancy Barrand Lu Ann Heinen Nurse Practitioners Lauren LeRoy Sharon Solkowitz Orthopedic Joint Prosthetic Implants Judith D. Bentkover Philip G. Drew Periodontal Disease Interventions Richard M. Scheffler Sheldon Rovin Selected Respiratory Therapies Richard M. Scheffler Morgan Delaney The 18th case study is published separately as Background Paper #3: The Efficacy and Cost-Effectiveness of Psychotherapy. That study assesses methodological and substantive issues relating to the scope of psychotherapy, the evaluation of psychotherapeutic efficacy, and the applicability of cost-effectiveness and cost-benefit analysis in assessing psychotherapy. It was prepared by Leonard Saxe on the basis of a report prepared for OTA by Brian Yates and Frederick Newman. The 19th case study was prepared for OTA by Judith Wagner and is published separately as Background Paper #5: Assessment of Four Common X-Ray Procedures, Background Paper #4: The Management of Health Care Technology in Ten Countries is an analysis of