Objectives: To test the feasibility of obtaining a baseline level
of quality of reporting for cost-utility analysis (CUA) studies using the
British Medical Journal economic submissions checklist, test
interrater reliability of this tool, and discuss its longer term implications.
Methods: CUA studies in peer-reviewed English language journals in
1996, assessed using the British Medical Journal checklist, a quality
index, and interrater reliability correlations.
Results: Forty-three CUA studies were assessed, with 23 checklist
items acceptable and 10 items inadequate. Lowest quality scores were reported
in specialist medical journals. Proportional agreement between assessors was
over 80%.
Conclusions: The British Medical Journal checklist is a
feasible tool to collect baseline information on the quality of reporting in
journals other than the British Medical Journal. Editors of
specialist medical journals are in greatest need of economic guidance. If
handled carefully, they might consider adopting the British Medical
Journal checklist.