Research Topics
| M C WeinsteinSummaryAffiliation: Harvard University Country: USA Publications
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Publications
Measuring the costs of outreach motivational interviewing for smoking cessation and relapse prevention among low-income pregnant womenJennifer Prah Ruger
Yale University Schools of Medicine and Public Health, New Haven, CT, USA
BMC Pregnancy Childbirth 9:46. 2009..Estimating the costs of outreach programs is critical for understanding the economics of reaching underserved and hard-to-reach populations...
Public health and economic impact of vaccination with 7-valent pneumococcal vaccine (PCV7) in the context of the annual influenza epidemic and a severe influenza pandemicJaime L Rubin
i3 Innovus, 10 Cabot Road, Suite 304, Medford, MA 02155, USA
BMC Infect Dis 10:14. 2010..The 2009 novel influenza A (H1N1) outbreak highlights the importance of interventions that may mitigate the impact of a pandemic...
Modeling for health care and other policy decisions: uses, roles, and validityM C Weinstein
Program on the Economic Evaluation of Medical Technology, Harvard Center for Risk Analysis, Harvard School of Public Health, 718 Huntington Avenue, Boston, MA 02115, USA
Value Health 4:348-61. 2001..Implications for the implementation of Section 114 of the Food and Drug Administration Modernization Act (FDAMA) are derived from this framework...
Principles of good practice for decision analytic modeling in health-care evaluation: report of the ISPOR Task Force on Good Research Practices--Modeling StudiesMilton C Weinstein
Center for Risk Analysis, Harvard School of Public Health, Boston, MA 02115, USA
Value Health 6:9-17. 2003..This report describes the consensus of a task force convened to provide modelers with guidelines for conducting and reporting modeling studies...
Cost-effectiveness of earlier initiation of antiretroviral therapy for uninsured HIV-infected adultsB R Schackman
Center for Risk Analysis, Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass, USA
Am J Public Health 91:1456-63. 2001..This study was designed to examine the societal cost-effectiveness and the impact on government payers of earlier initiation of antiretroviral therapy for uninsured HIV-infected adults...
Cost-effectiveness of donepezil in the treatment of mild or moderate Alzheimer's diseaseP J Neumann
Program on the Economic Evaluation of Medical Technology, Center for Risk Analysis, Harvard School of Public Health, Boston, MA 02115, USA
Neurology 52:1138-45. 1999..To demonstrate the use of cost-effectiveness analysis to assess the economic impact of donepezil in the treatment of mild or moderate AD...
Health utilities in Alzheimer's disease: a cross-sectional study of patients and caregiversP J Neumann
Program on the Economic Evaluation of Medical Technology, Center for Risk Analysis, Harvard School of Public Health, Boston, MA 02115, USA
Med Care 37:27-32. 1999....
The clinical effectiveness and cost-effectiveness of screening for anal squamous intraepithelial lesions in homosexual and bisexual HIV-positive menS J Goldie
Center for Risk Analysis, Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115 5924, USA
JAMA 281:1822-9. 1999..Homosexual and bisexual men infected with human immunodeficiency virus (HIV) are at increased risk for human papillomavirus-related anal neoplasia and anal squamous cell carcinoma (SCC)...
The costs, clinical benefits, and cost-effectiveness of screening for cervical cancer in HIV-infected womenS J Goldie
Center for Risk Analysis, Department of Health Policy and Management, Harvard University School of Public Health, Boston, Massachusetts 02115 5924, USA
Ann Intern Med 130:97-107. 1999..Women with HIV infection have a higher risk for cervical squamous intraepithelial lesions than do women without HIV infection, and the optimal regimen for cervical cancer screening in these women is uncertain...
When to start antiretroviral therapy in resource-limited settingsRochelle P Walensky
Massachusetts General Hospital, Brigham and Women s Hospital, Harvard University Medical School, Harvard School of Public Health, and Boston University School of Public Health, Boston, Massachusetts 02114, USA
Ann Intern Med 151:157-66. 2009..The results of international clinical trials that are assessing when to initiate antiretroviral therapy (ART) will not be available for several years...
Preference-based measures in economic evaluation in health careP J Neumann
Program on the Economic Evaluation of Medical Technology, Center for Risk Analysis, Harvard School of Public Health, Boston, Massachusetts 02115, USA
Annu Rev Public Health 21:587-611. 2000..Widespread acceptance of the methodology likely awaits more consensus on measurement techniques, as well as educational efforts in the public health and medical communities on the usefulness of the approach...
Methods of cost-effectiveness analysis in the assessment of new drugs for Alzheimer's diseaseP J Neumann
Program on the Economic Evaluation of Medical Technology, Harvard School of Public Health, Boston, MA 02115, USA
Psychiatr Serv 48:1440-4. 1997....
Who gets chemotherapy for metastatic lung cancer?C C Earle
Center for Outcomes and Policy Research, Department of Adult Oncology Dana Farber Cancer Institute, Boston, MA 02115, USA
Chest 117:1239-46. 2000..To determine the prevalence and factors associated with chemotherapy use in elderly patients presenting with advanced lung cancer...
Cost-effectiveness implications of the timing of antiretroviral therapy in HIV-infected adultsBruce R Schackman
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA
Arch Intern Med 162:2478-86. 2002....
Clinical impact and cost-effectiveness of antiretroviral therapy in India: starting criteria and second-line therapyKenneth A Freedberg
Divisions of General Medicine and Infectious Disease and the Partners AIDS Research Center, Massachusetts General Hospital, Boston, MA, USA
AIDS 21:S117-28. 2007..India has more than 5.7 million people infected with human immunodeficiency virus (HIV). In 2004, the Indian government began providing antiretroviral therapy (ART), and there are now an estimated 56 500 people receiving ART...
Cost-effectiveness of routine coronary angiography after acute myocardial infarctionK M Kuntz
Section for Clinical Epidemiology, Department of Medicine, Brigham and Women s Hospital, Boston, MA 02115, USA
Circulation 94:957-65. 1996..Coronary angiography is indicated for many patients after acute myocardial infarction (AMI). There are a number of subgroups of AMI patients, however, for whom the indication for coronary angiography is not well established...
Use of genotypic resistance testing to guide hiv therapy: clinical impact and cost-effectivenessM C Weinstein
Center for Risk Analysis, Harvard School of Public Health, 718 Huntington Avenue, Boston, MA 02115-5924, USA
Ann Intern Med 134:440-50. 2001..Primary resistance testing also seems to be reasonably cost-effective and will become more so as the prevalence of primary resistance increases...
HIV drug resistance surveillance for prioritizing treatment in resource-limited settingsRochelle P Walensky
Division of Infectious Disease, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
AIDS 21:973-82. 2007..Sentinel testing programs for HIV drug resistance in resource-limited settings can inform policy on antiretroviral therapy (ART) and drug sequencing...
Comparison of health state utilities using community and patient preference weights derived from a survey of patients with HIV/AIDSBruce R Schackman
Center for Risk Analysis, Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
Med Decis Making 22:27-38. 2002....
Optimal frequency of CD4 cell count and HIV RNA monitoring prior to initiation of antiretroviral therapy in HIV-infected patientsApril D Kimmel
Division of General Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA
Antivir Ther 10:41-52. 2005..Guidelines regarding the frequency of CD4 cell count and HIV RNA monitoring in HIV-infected patients vary, with recommended strategies ranging from every 2 to every 6 months...
Prophylaxis for human immunodeficiency virus-related Pneumocystis carinii pneumonia: using simulation modeling to inform clinical guidelinesSue J Goldie
Center for Risk Analysis, Department of Health Policy and Management, Harvard School of Public Health, 718 Huntington Ave, Second Floor, Boston, MA 02115-5924, USA
Arch Intern Med 162:921-8. 2002..quot; In TMP/SMX-intolerant patients, dapsone is more cost-effective than atovaquone...
A comparison of HUI2 and HUI3 utility scores in Alzheimer's diseaseP J Neumann
Program on the Economic Evaluation of Medical Technology, Center for Risk Analysis, Harvard School of Public Health, Boston, Massachusetts 02115, USA
Med Decis Making 20:413-22. 2000..The authors compared HUI2 and HUI3 scores of patients with Alzheimer's disease (AD) and caregivers, and contrasted results of a cost-effectiveness analysis of new drugs for AD using the two systems...
The cost-effectiveness of air bags by seating positionJ D Graham
Center for Risk Analysis, Harvard School of Public Health, Boston, MA 02115, USA
JAMA 278:1418-25. 1997..Motor vehicle crashes continue to cause significant mortality and morbidity in the United States. Installation of air bags in new passenger vehicles is a major initiative in the field of injury prevention...
Forecasting coronary heart disease incidence, mortality, and cost: the Coronary Heart Disease Policy ModelM C Weinstein
Institute for Health Research, Harvard School of Public Health, Boston, MA 02115
Am J Public Health 77:1417-26. 1987..The specific forecasts could be inaccurate, however, as a consequence of erroneous assumptions or misestimated baseline data, and the model awaits validation based on actual future data...
Impact of opportunistic diseases on chronic mortality in HIV-infected adults in Côte d'IvoireE Losina
Departments of Biostatistics and Epidemiology, School of Public Health, Boston University, Boston, MA, USA
S Afr Med J 96:526-9. 2006..To estimate incidence rates of opportunistic diseases (ODs) and mortality for patients with and without a history of OD among HIV-infected patients in Côte d'Ivoire...
Evaluating the cost-effectiveness of clinical and public health measuresJ D Graham
Harvard Center for Risk Analysis, Harvard School of Public Health, Boston, MA 02115 5924, USA
Annu Rev Public Health 19:125-52. 1998..Greater uniformity of analytical practice will be necessary if cost-effectiveness analysis is to become a more influential tool in debates about resource allocation...
Cost effectiveness of human papillomavirus testing to augment cervical cancer screening in women infected with the human immunodeficiency virusS J Goldie
Harvard Center for Risk Analysis, Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts 02115-5924, USA
Am J Med 111:140-9. 2001....
The impact of risk information on patients' willingness to pay for autologous blood donationS J Lee
Division of Hematology Oncology, Brigham and Women s Hospital, Boston, MA, USA
Med Care 36:1162-73. 1998....
Expert panel vs decision-analysis recommendations for postdischarge coronary angiography after myocardial infarctionK M Kuntz
Program on the Economic Evaluation of Medical Technology, Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115 5924, USA
JAMA 282:2246-51. 1999..Expert panels and decision-analytic techniques are increasingly used to determine the appropriateness of medical interventions, but these 2 approaches use different methods to process evidence...
Representing both first- and second-order uncertainties by Monte Carlo simulation for groups of patientsE F Halpern
Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA
Med Decis Making 20:314-22. 2000..As a result, it may lead to premature or incorrect conclusions of superiority. It may also result in inappropriate estimates of the value of further research to inform parameter values...
Can we better prioritize resources for cost-utility research?Peter J Neumann
Harvard School of Public Health, Boston, MA 02115, USA
Med Decis Making 25:429-36. 2005....
The projected health benefits of maternal group B streptococcal vaccination in the era of chemoprophylaxisAnushua Sinha
Channing Laboratory, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, 181 Longwood Avenue, Boston, MA 02115, USA
Vaccine 23:3187-95. 2005..Maternal GBS vaccination is predicted to prevent more cases of neonatal GBS disease than current practice and would prevent approximately one in 25 very preterm births...
Cost-effectiveness of treating multidrug-resistant tuberculosisStephen C Resch
Department of Health Policy and Management, Harvard School of Public Health, Harvard University, Boston, Massachusetts, United States of America
PLoS Med 3:e241. 2006..We projected the health benefits and cost-effectiveness of using drug susceptibility testing and second-line drugs in a lower-middle-income setting with high levels of MDR TB...
Cost effectiveness of hepatitis B vaccination at HIV counseling and testing sitesSun Young Kim
Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts 02115, USA
Am J Prev Med 30:498-506. 2006....
Retrospective economic evaluation of a controlled trial of indomethacin prophylaxis for patent ductus arteriosus in premature infantsJohn A F Zupancic
Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA
Early Hum Dev 82:97-103. 2006..To determine the incremental cost-effectiveness of indomethacin prophylaxis in extremely low birth weight infants enrolled in the Trial of Indomethacin Prophylaxis in Preterms (TIPP)...
Do drug formulary policies reflect evidence of value?Peter J Neumann
Department of Health Policy and Management and Center for Risk Analysis, Harvard School of Public Health, Boston, MA 02115, USA
Am J Manag Care 12:30-6. 2006..To investigate the extent to which preferred drug lists and tiered formularies reflect evidence of value, as measured in published cost-utility analyses (CUAs)...
Medicare and cost-effectiveness analysisPeter J Neumann
Department of Health Policy and Management and the Center for Risk Analysis, Harvard School of Public Health, Boston, USA
N Engl J Med 353:1516-22. 2005
Cost-effectiveness of enfuvirtide in treatment-experienced patients with advanced HIV diseasePaul E Sax
Division of Infectious Disease and the Partners AIDS Research Center, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02115, USA
J Acquir Immune Defic Syndr 39:69-77. 2005..Because of the high cost of ENF compared with other antiretroviral agents, our objectives were to determine the potential long-term clinical impact and cost-effectiveness of ENF in these patients...
Should resistance testing be performed for treatment-naive HIV-infected patients? A cost-effectiveness analysisPaul E Sax
Division of Infectious Diseases, Brigham and Women s Hospital, Boston, MA 02115, USA
Clin Infect Dis 41:1316-23. 2005..Our objective was to determine the clinical impact and cost-effectiveness of genotype resistance testing for treatment-naive patients with chronic HIV infection...
Cardiovascular disease prevention with a multidrug regimen in the developing world: a cost-effectiveness analysisThomas A Gaziano
Division of Cardiovascular Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02120, USA
Lancet 368:679-86. 2006..We therefore aimed to establish whether use of evidence-based multidrug regimens for patients at high risk for cardiovascular disease would be cost-effective in low-income and middle-income countries...
Recent developments in decision-analytic modelling for economic evaluationMilton C Weinstein
Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts 02115, USA
Pharmacoeconomics 24:1043-53. 2006....
Adoption and spread of new imaging technology: a case studyJoseph A Ladapo
Department of Medicine at Beth Israel Deaconess Medical Center in Boston, Massachusetts, USA
Health Aff (Millwood) 28:w1122-32. 2009..Further, adoption motivated by operating margins reinforces concerns about haphazard technology acquisition...
Estimating long-term effectiveness of lung cancer screening in the Mayo CT screening studyPamela M McMahon
Institute for Technology Assessment, Massachusetts General Hospital, 101 Merrimac St, 10th Floor, Boston, MA 02114, USA
Radiology 248:278-87. 2008....
Breast cancer screening in BRCA1 mutation carriers: effectiveness of MR imaging--Markov Monte Carlo decision analysisJanie M Lee
Department of Radiology, Institute for Technology Assessment, Division of Hematology Oncology, Department of Medicine, Massachusetts General Hospital, 101 Merrimac St, 10th Floor, Boston, MA 02114, USA
Radiology 246:763-71. 2008..To project intermediate and long-term clinical outcomes of magnetic resonance (MR) imaging screening for breast cancer in women with BRCA1 gene mutations...
Limitations of acceptability curves for presenting uncertainty in cost-effectiveness analysisBas Groot Koerkamp
Harvard Center for Risk Analysis, Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
Med Decis Making 27:101-11. 2007..Presenting the value of information in addition to these intervals allows policy makers to evaluate the need for more empirical research...
The effect of antiretroviral therapy on secondary transmission of HIV among men who have sex with menAlethea W McCormick
Department of Epidemiology, Harvard School of Public Health, Boston, MA 02115, USA
Clin Infect Dis 44:1115-22. 2007..However, the potential reduction in secondary transmission associated with ART may be offset by the longer duration of infectiousness...
Projected cost-effectiveness of smoking cessation interventions in patients hospitalized with myocardial infarctionJoseph A Ladapo
Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
Arch Intern Med 171:39-45. 2011..Supportive contact after discharge improves quit rates but is rarely used...
Clinical outcomes and cost-effectiveness of coronary computed tomography angiography in the evaluation of patients with chest painJoseph A Ladapo
Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA
J Am Coll Cardiol 54:2409-22. 2009....
Cost-effectiveness of an intervention to improve adherence to antiretroviral therapy in HIV-infected patientsKenneth A Freedberg
Divisions of General Medicine and Infectious Diseases and the Partners AIDS Research Center, Massachusetts General Hospital, Boston, MA 02114, USA
J Acquir Immune Defic Syndr 43:S113-8. 2006..Adherence interventions with modest effectiveness are likely to provide long-term survival benefit to patients and to be cost-effective compared with other uses of HIV care funds...
Packaging health services when resources are limited: the example of a cervical cancer screening visitJane J Kim
Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, United States of America
PLoS Med 3:e434. 2006....
Cost-effectiveness of HIV treatment in resource-poor settings--the case of Côte d'IvoireSue J Goldie
Department of Health Policy and Management, Program in Health Decision Science, Harvard School of Public Health, Boston, MA 02115, USA
N Engl J Med 355:1141-53. 2006..As antiretroviral therapy is increasingly used in settings with limited resources, key questions about the timing of treatment and use of diagnostic tests to guide clinical decisions must be addressed...
When does quality-adjusting life-years matter in cost-effectiveness analysis?Richard H Chapman
Program on the Economic Evaluation of Medical Technology, Harvard Center for Risk Analysis, Harvard School of Public Health, Boston, Massachusetts 02115, USA
Health Econ 13:429-36. 2004....
Impact of referral patterns on the use of chemotherapy for lung cancerCraig C Earle
Center for Outcomes and Policy Research, Dana Farber Cancer Center, Boston, MA 02115, USA
J Clin Oncol 20:1786-92. 2002..To determine the extent to which unexplained variation in the use of chemotherapy for advanced lung cancer is due to access to oncologists' services as opposed to treatment decisions made after seeing an oncologist...
Projecting the cost-effectiveness of adherence interventions in persons with human immunodeficiency virus infectionSue J Goldie
Center for Risk Analysis, Harvard School of Public Health, Boston, Massachusetts 02115 5924, USA
Am J Med 115:632-41. 2003..To explore the cost-effectiveness of interventions to improve adherence to combination antiretroviral therapy in patients with human immunodeficiency virus (HIV) infection...
Emerging issues in vaccine economics: perspectives from the USATracy A Lieu
Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care and Harvard Medical School, Boston, MA 02215, USA
Expert Rev Vaccines 1:433-42. 2002..To optimize the usefulness of vaccine economics research, conceptual issues, such as how to set values for the prevention of illness and how to maximize social equity through investments in vaccines, must be addressed...
Daily cost prediction model in neonatal intensive careJohn A F Zupancic
Department of Neonatology, Beth Israel Deaconess Medical Center, and Harvard Medical School, Boston, MA 02458, USA
Int J Technol Assess Health Care 19:330-8. 2003..To reduce this data collection burden, we identified the key resource items that predict daily ancillary costs for extremely low birth weight infants...
Cost-effectiveness of treatment for chronic hepatitis C infection in an evolving patient populationJoshua A Salomon
Harvard Center for Population and Development Studies, Cambridge, Mass 02138, USA
JAMA 290:228-37. 2003..Approximately 2.7 million US individuals are chronically infected with the hepatitis C virus (HCV). As public health campaigns are pursued, a growing number of treatment candidates are likely to have minimal evidence of liver damage...
Cost-effectiveness analysis of predischarge monitoring for apnea of prematurityJohn A F Zupancic
Department of Neonatology, Beth Israel Deaconess Medical School, Boston, Massachusetts 02215, USA
Pediatrics 111:146-52. 2003..Our objective was to establish the economic impact of varying durations of predischarge observation for apnea of prematurity...
Patient and community preferences for treatments and health states in multiple sclerosisLisa A Prosser
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Mult Scler 9:311-9. 2003..To examine preferences for treatments and health states for patients with relapsing-remitting MS and members of the community...
Long-term persistence in use of statin therapy in elderly patientsJoshua S Benner
Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, 221 Longwood Ave, Suite 341, Boston, MA 02115, USA
JAMA 288:455-61. 2002....
Health economic evaluations: the special case of end-stage renal disease treatmentWolfgang C Winkelmayer
Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
Med Decis Making 22:417-30. 2002..Uses of the cost-effectiveness ratio of $55,000/LY for center hemodialysis as a lower boundary of society's willingness to pay for an additional life-year can be supported under certain assumptions...
Projected clinical benefits and cost-effectiveness of a human papillomavirus 16/18 vaccineSue J Goldie
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115 5924, USA
J Natl Cancer Inst 96:604-15. 2004..We explored the clinical benefits and cost-effectiveness of introducing an HPV16/18 vaccine in a population with an organized cervical cancer screening program...
The relationship between risk attitude and treatment choice in patients with relapsing-remitting multiple sclerosisLisa A Prosser
Department of Ambulatory Care and Prevention, Harvard Medical School, 133 Brookline Ave, 6th Floor, Boston, MA 02215, USA
Med Decis Making 22:506-13. 2002....
Taking account of future technology in cost effectiveness analysisJoshua A Salomon
Department of Population and International Health, Harvard School of Public Health, Harvard Center for Population and Development Studies, 9 Bow Street, Cambridge MA 02138, USA
BMJ 329:733-6. 2004
Metastatic colorectal carcinoma: cost-effectiveness of percutaneous radiofrequency ablation versus that of hepatic resectionG Scott Gazelle
Institute for Technology Assessment and Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Zero Emerson Place, Suite 2H, Boston, MA 02114, USA
Radiology 233:729-39. 2004..However, in most scenarios, hepatic resection is more effective (in terms of QALYs gained) than RF ablation and has an incremental cost-effectiveness ratio of less than $35 000 per QALY...
Cost-effectiveness of interferon beta-1a, interferon beta-1b, and glatiramer acetate in newly diagnosed non-primary progressive multiple sclerosisLisa A Prosser
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Value Health 7:554-68. 2004..To perform a cost-effectiveness analysis of three immunomodulatory treatments for newly diagnosed nonprimary progressive MS: interferon beta-1a, interferon beta-1b, and glatiramer acetate...
A therapeutic HIV vaccine: how good is good enough?Rochelle P Walensky
Department of Medicine, Massachusetts General Hospital, and the Partners AIDS Research Center, Harvard Medical School, Boston, MA 02114, USA
Vaccine 22:4044-53. 2004..91 months (cost-effectiveness ratio US$ 45,500/QALY). Even modestly effective therapeutic HIV vaccines may produce small but meaningful increases in life expectancy and compare favorably to alternative uses of scarce HIV care resources...
Whose blood is safer? The effect of the stage of the epidemic on screening for HIVE Litvak
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
Med Decis Making 17:455-63. 1997..With improvements in HIV antibody test (ELISA) performance, the window of time between infection and seroconversion becomes a major source of error in HIV screening. The authors examined its impact on the false-reassurance rate (FRR)...
Treatment for primary HIV infection: projecting outcomes of immediate, interrupted, or delayed therapyRochelle P Walensky
Division of Infectious Disease and the Partners AIDS Research Center, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, USA
J Acquir Immune Defic Syndr 31:27-37. 2002..These results can assist decision makers and those planning clinical trials in defining evidence-based performance measures for primary HIV infection treatment and future trials...
Test and treat DC: forecasting the impact of a comprehensive HIV strategy in Washington DCRochelle P Walensky
Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Clin Infect Dis 51:392-400. 2010..We forecast outcomes of this approach if implemented in Washington DC...
Routine human immunodeficiency virus testing: an economic evaluation of current guidelinesRochelle P Walensky
Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, and the Partners AIDS Research Center, Harvard Medical School, Boston, Massachusetts 02114, USA
Am J Med 118:292-300. 2005..Our objective was to evaluate the clinical effect and cost-effectiveness of current guidelines and of alternate HIV prevalence thresholds...
The cost effectiveness of gonorrhea screening in urban emergency departmentsJulia E Aledort
Harvard Center for Risk Analysis, Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
Sex Transm Dis 32:425-36. 2005..The prevalence of gonorrhea (GC) among adolescent and young women attending some urban emergency departments (EDs) ranges from 1% to 7%, but historically screening has not been logistically practical...
Scaling up antiretroviral therapy in South Africa: the impact of speed on survivalRochelle P Walensky
The Divisions of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, MA 02114, USA
J Infect Dis 197:1324-32. 2008..Only 33% of eligible human immunodeficiency virus (HIV)-infected patients in South Africa receive antiretroviral therapy (ART). We sought to estimate the impact of alternative ART scale-up scenarios on patient outcomes from 2007-2012...
Effectiveness of chemotherapy for advanced lung cancer in the elderly: instrumental variable and propensity analysisC C Earle
Center for Outcomes and Policy Research, Dana Farber Cancer Institute, Boston, MA 02115, USA
J Clin Oncol 19:1064-70. 2001..To compare the effectiveness of chemotherapy given to elderly patients in routine practice for stage IV non-small-cell lung cancer (NSCLC) with the efficacy observed in randomized trials...
Should physicians be gatekeepers of medical resources?M C Weinstein
Program on the Economic Evaluation of Medical Technology, Center for Risk Analysis, School of Public Health, Harvard University, Boston, Massachusetts, USA
J Med Ethics 27:268-74. 2001..Such solutions will be politically and ethically sustainable only if patients as citizens of the larger population accept the need for rationing of limited resources in health care...
Adopting helical CT screening for lung cancer: potential health consequences during a 15-year periodPamela M McMahon
Department of Radiology, Massachusetts General Hospital, Boston, MA, USA
Cancer 113:3440-9. 2008..This study estimated changes in lung cancer outcomes through 2005, had chest CT screening been introduced in 1990...
Cost-effectiveness analysis of hypertension guidelines in South Africa: absolute risk versus blood pressure levelThomas A Gaziano
Division of Social Medicine and Health Inequalities, Brigham and Women s Hospital, Harvard Medical School, Boston, MA, USA
Circulation 112:3569-76. 2005..Guidelines based on blood pressure level for initiation of treatment of hypertension may be too costly compared with an approach based on absolute cardiovascular disease (CVD) risk, especially in developing countries...
Identifying key parameters in cost-effectiveness analysis using value of information: a comparison of methodsBas Groot Koerkamp
Department of Health Policy and Management, Harvard School of Public Health, Harvard Center for Risk Analysis, Boston, MA, USA
Health Econ 15:383-92. 2006..The objective of this paper is to set out the correct methods to estimate the partial expected value of perfect information and to demonstrate why the generally recommended method is incorrect conceptually and mathematically...
Medical management of gallstones: a cost-effectiveness analysisM C Weinstein
Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts 02115
J Gen Intern Med 5:277-84. 1990..CONCLUSION: Ursodiol is a clinically advantageous and cost-effective alternative to elective cholecystectomy, especially for older and high-risk patients...
The costs of preventionM C Weinstein
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115
J Gen Intern Med 5:S89-92. 1990..Another lesson is that prevention programs should not be subjected to a higher standard than other health programs: they should not be expected to save money, but they should be expected to yield improved health at a reasonable price...
Antiretroviral drugs for preventing mother-to-child transmission of HIV in sub-Saharan Africa: balancing efficacy and infant toxicityAndrea L Ciaranello
Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
AIDS 22:2359-69. 2008..We sought to identify the currently recommended regimen to prevent mother-to-child transmission that optimally balances risks of pediatric HIV infection and neurologic mitochondrial toxicity...
The global cost of nonoptimal blood pressureThomas A Gaziano
Division of Cardiovascular Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
J Hypertens 27:1472-7. 2009..However, no exhaustive study has been done to evaluate its potential costs, globally. We, therefore, set out to estimate the global economic cost of nonoptimal blood pressure...
Cost-effectiveness of hepatic metastasectomy in patients with metastatic colorectal carcinoma: a state-transition Monte Carlo decision analysisG Scott Gazelle
Institute for Technology Assessment, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Zero Emerson Place, Suite 2H, Boston, MA 02114, USA
Ann Surg 237:544-55. 2003....
Does preventive care save money? Health economics and the presidential candidatesJoshua T Cohen
Center for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts New England Medical Center, Boston, USA
N Engl J Med 358:661-3. 2008
Heart failure disease management programs: a cost-effectiveness analysisDavid C Chan
Brigham and Women s Hospital, Boston, MA 02115, USA
Am Heart J 155:332-8. 2008..Current guidelines thus only recommend disease management targeted to high-risk patients with HF...
Cost-effectiveness of HIV testing and treatment in the United StatesRochelle P Walensky
Division of Infectious Diseases, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
Clin Infect Dis 45:S248-54. 2007..This article reviews the methods and results of cost-effectiveness studies in the United States and articulates why routine, voluntary HIV testing is not only of crucial public health importance but also economically justified...
Estimation of mortality rates for disease simulation models using Bayesian evidence synthesisPamela M McMahon
Institute for Technology Assessment, Massachusetts General Hospital, Boston, MA 02114, USA
Med Decis Making 26:497-511. 2006..This approach is suggested when modeling a disease that causes a large proportion of all-cause mortality, particularly when mortality from the disease of interest and other-cause mortality are both affected by the same risk factor...
Adjuvant ovarian suppression versus chemotherapy for premenopausal, hormone-responsive breast cancer: quality of life and efficacy tradeoffsElena B Elkin
Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, Box 44, New York, NY 10021, USA
Breast Cancer Res Treat 93:25-34. 2005..We used a decision-analytic framework to evaluate tradeoffs between efficacy and quality of life in the choice between these treatments...
Cost-effectiveness of full medicare coverage of angiotensin-converting enzyme inhibitors for beneficiaries with diabetesAllison B Rosen
Division of General Medicine, University of Michigan Health Systems, 300 North Ingalls, Suite 7E10, Ann Arbor, MI 48109, USA
Ann Intern Med 143:89-99. 2005..Angiotensin-converting enzyme (ACE) inhibitors slow renal disease progression and reduce cardiac morbidity and mortality in patients with diabetes. Patients' out-of-pocket costs pose a barrier to using this effective therapy...
Optimal allocation of testing dollars: the example of HIV counseling, testing, and referralRochelle P Walensky
Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA
Med Decis Making 25:321-9. 2005..Using the example of HIV testing, the authors explore the optimal targeting of funds within this pathway...
HER-2 testing and trastuzumab therapy for metastatic breast cancer: a cost-effectiveness analysisElena B Elkin
Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, 1275 York Ave, Box 44, New York, NY 10021, USA
J Clin Oncol 22:854-63. 2004..Several tests of varying accuracy and cost are available to identify candidates for trastuzumab. We estimated the cost-effectiveness of alternative HER-2 testing and trastuzumab treatment strategies...
Expanded screening for HIV in the United States--an analysis of cost-effectivenessA David Paltiel
Department of Epidemiology and Public Health, Yale School of Medicine, New Haven, Conn 06520 8034, USA
N Engl J Med 352:586-95. 2005..The effect of expanded screening for HIV is unknown in the era of effective antiretroviral therapy...
Monitoring of antiretroviral therapy in low-resource settingsRochelle P Walensky
Lancet 372:288; author reply 289. 2008
Cost-effectiveness of coronary MDCT in the triage of patients with acute chest painJoseph A Ladapo
Harvard Ph D Program in Health Policy, 14 Story St, 4th Floor, Cambridge, MA 02138, USA
AJR Am J Roentgenol 191:455-63. 2008..S. health care system. Noninvasive 64-MDCT coronary angiography may facilitate their triage, and we evaluated its cost-effectiveness...
Empirically calibrated model of hepatitis C virus infection in the United StatesJoshua A Salomon
Global Programme on Evidence for Health Policy, World Health Organization, Geneva, Switzerland
Am J Epidemiol 156:761-73. 2002..These findings have important implications both for individual clinical decisions and for broader public health policy...
Expanded HIV screening in the United States: effect on clinical outcomes, HIV transmission, and costsA David Paltiel
Department of Epidemiology and Public Health, Yale School of Medicine, New Haven, Connecticut 06520 8034, USA
Ann Intern Med 145:797-806. 2006..An extensive literature supports expanded HIV screening in the United States. However, the question of whom to test and how frequently remains controversial...
Lifetime cost of HIV care in France during the era of highly active antiretroviral therapyYazdan Yazdanpanah
Service Universitaire des Maladies Infectieuses et du Voyageur, Centre Hospitalier de Tourcoing, Faculte de Medecine de Lille, France
Antivir Ther 7:257-66. 2002..To estimate the treatment and health care costs of HIV infection or AIDS in France during the era of highly active antiretroviral therapy (HAART)...
Cost-effectiveness of motivational interviewing for smoking cessation and relapse prevention among low-income pregnant women: a randomized controlled trialJennifer Prah Ruger
Yale School of Medicine, New Haven, CT, USA
Value Health 11:191-8. 2008....
Potential risks and benefits of HIV treatment simplification: a simulation model of a proposed clinical trialBruce R Schackman
Department of Public Health, Weill Cornell Medical College, New York, NY 10021, USA
Clin Infect Dis 45:1062-70. 2007..We projected the long-term outcomes of this treatment simplification strategy to inform the design of a proposed multicenter, randomized clinical trial...
Cost-effectiveness of switching to exemestane after 2 to 3 years of therapy with tamoxifen in postmenopausal women with early-stage breast cancerDavid Thompson
i3 Innovus, Medford, MA 02155, USA
Value Health 10:367-76. 2007..We sought to evaluate the cost-effectiveness of this management strategy...
How much are Americans willing to pay for a quality-adjusted life year?Milton C Weinstein
Med Care 46:343-5. 2008
Research Grants
- Harvard University Health Services Research Training Gr*Milton Weinstein; Fiscal Year: 2007..This proposal will allow the next generation of these investigators to continue to address evolving issues in health services research. ..
