Although simplicity could threaten validity, a prioritisation instrument with few criteria reduces the possibility of missing information on some of them.
Using the lower confidence limit (that is, biomarkers carrying less information) and a 90 day maximum waiting time, the incremental cost effectiveness ratio of a prioritisation strategy with a risk score using estimated glomerular filtration rate and highly sensitive C reactive protein compared with a risk score using estimated glomerular filtration rate alone was £79 000 per additional QALY.
Using the upper confidence limit (that is, biomarkers carrying more information) and a 90 day maximum waiting time, the incremental cost effectiveness ratio of a prioritisation strategy with a risk score using estimated glomerular filtration rate and highly sensitive C reactive protein compared with a risk score using estimated glomerular filtration rate alone was £39 000 per additional QALY.
A prioritisation strategy with a risk score using information from highly sensitive C reactive protein and estimated glomerular filtration rate is unlikely to be cost effective, as the incremental cost effectiveness ratios were well above the threshold value when compared with a risk score using estimated glomerular filtration rate alone (table 3).
17 Even when using the upper 95% confidence limit for the C reactive protein effect, a prioritisation strategy with a risk score using information from highly sensitive C reactive protein and estimated glomerular filtration rate had an incremental cost effectiveness ratio exceeding £40 000 per QALY, and is thus unlikely to be considered cost effective.
The use of drugs to slow cognitive decline, or to prevent AD by treating hypertension, can thus be assessed in a prioritisation exercise in competition with alternative use of resources.
The memo was a "prioritisation and tasking initiative" to another senior member of staff, who was being urged to come up with new ideas, fast.
With a tripling of tuition fees and a 79% cut to the teaching grant, they constitute a privatisation of teaching and a prioritisation of research quality over the social mission of higher education.
"There will also be a prioritisation workshop in Nairobi this October," says Robinson.
This might have led to a prioritisation of infection control.
