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BMJ 2004;329 (25 September), doi:10.1136/bmj.329.7468.0-d
Economic evaluations in health and medicine usually ignore possible future advances in treatment, but these can have major implications for cost effectiveness analyses. Salomon and colleagues (p 733) say that, particularly when technological innovation is rapid, technological change is one of the many factors that can influence decisions regarding the optimal timing of treatment. Analysts should model the full spectrum of alternative options, so that decision makers have estimates of their cost, benefits, and risks when faced with difficult choices about imperfect treatments.
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