Quality of health economic evaluations in mainland China: A comparison of peer-reviewed articles in Chinese and in English

Jiehua Cheng, Yu Zhang, Ailin Zhong, Miao Tian, Guanyang Zou, Xiaping Chen, Hongxing Yu, Fujian Song, Shangcheng Zhou

Research output: Contribution to journalReview articlepeer-review

Abstract

Objective: Our objective was to assess the incidence and quality of reporting of published health economic evaluations in mainland China and compare the quality of peer-reviewed articles in Chinese and English. Methods: A comprehensive search was conducted for economic evaluations pertaining to China published from 2006 to 2015 using the PubMed, CBM, CMCC, CNKI, VIP, and Wanfang databases. All studies in English that met the inclusion criteria were included. For studies in Chinese, 200 sampled studies were included according to the random seeds method, and the same number of the most-cited studies in Chinese as those in English were included according to the number of citations and journal grades. Researchers independently assessed the quality of the studies using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist. Results: After literature search and screening, a total of 310 studies were identified. The majority of these studies were cost-effectiveness studies (82.26%). Scores among different CHEERS items varied greatly. There was a gap between the average quality scores of the studies published in Chinese and those published in English (49.78 ± 9.31 vs. 82.48 ± 17.69) and between the average quality scores of the included most-cited studies in Chinese and English, which was slightly smaller (54.08 ± 10.27 vs. 82.48 ± 17.69). The methods, results, and discussion sections of studies published in Chinese were of low quality. Conclusion: The quality of reporting of health economic evaluations in mainland China has developed slowly. Most of the included studies were incomplete in the presentation of content, making the results less reliable. It is important to standardize and improve the quality of Chinese health economic research.

Original languageEnglish
Pages (from-to)35–54
Number of pages10
JournalApplied Health Economics and Health Policy
Volume20
Early online date29 Jul 2021
DOIs
Publication statusPublished - Jan 2022

Cite this