PMID- 16918923 OWN - NLM STAT- MEDLINE DCOM- 20060928 LR - 20071114 IS - 0006-341X (Print) IS - 0006-341X (Linking) VI - 62 IP - 2 DP - 2006 Jun TI - Nonparametric statistical methods for cost-effectiveness analyses. PG - 576-88 AB - Two measures often used in a cost-effectiveness analysis are the incremental cost-effectiveness ratio (ICER) and the net health benefit (NHB). Inferences on these two quantities are often hindered by highly skewed cost data. In this article, we derive the Edgeworth expansions for the studentized t-statistics for the two measures and show how they could be used to guide inferences. In particular, we use the expansions to study the theoretical performance of existing confidence intervals based on normal theory and to derive new confidence intervals for the ICER and the NHB. We conduct a simulation study to compare our new intervals with several existing methods. The methods evaluated include Taylor's interval, Fieller's interval, the bootstrap percentile interval, and the bootstrap bias-corrected acceleration interval. We found that our new intervals give good coverage accuracy and are narrower compared to the current recommended intervals. FAU - Dinh, Phillip AU - Dinh P AD - Department of Biostatistics, University of Washington, Box 357232, Seattle, Washington 98195, USA. FAU - Zhou, Xiao-Hua AU - Zhou XH LA - eng GR - R01HS013105/HS/AHRQ HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - England TA - Biometrics JT - Biometrics JID - 0370625 SB - IM MH - Biometry MH - Confidence Intervals MH - Cost-Benefit Analysis/*statistics & numerical data MH - Data Interpretation, Statistical MH - Health Services Research MH - Humans MH - Models, Statistical MH - *Statistics, Nonparametric EDAT- 2006/08/22 09:00 MHDA- 2006/09/29 09:00 CRDT- 2006/08/22 09:00 PHST- 2006/08/22 09:00 [pubmed] PHST- 2006/09/29 09:00 [medline] PHST- 2006/08/22 09:00 [entrez] AID - BIOM509 [pii] AID - 10.1111/j.1541-0420.2006.00509.x [doi] PST - ppublish SO - Biometrics. 2006 Jun;62(2):576-88. doi: 10.1111/j.1541-0420.2006.00509.x.