Why is reporting limitations important in economic evaluations?

• A. To contextualize findings, disclose uncertainty, bias, and applicability to other settings.
• B. To inflate the perceived significance of results.
• C. To shorten the study duration.
• D. To ensure results look favorable.

Answer: (D)

Reporting limitations in economic evaluations matters because these analyses rest on imperfect data and simplifying assumptions. By clearly describing data gaps, potential biases, model choices, and the time horizon, the work shows what the results depend on and how much confidence to place in them. This transparency helps decision-makers judge how findings might change under different assumptions or in different health-system contexts, addressing transferability and applicability. It also highlights where uncertainty is greatest, guiding sensitivity or scenario analyses and signaling where further research could reduce doubt. In short, documenting limitations contextualizes the results beyond point estimates and prevents misinterpretation of cost-effectiveness. It’s not about inflating significance, shortening duration, or biasing conclusions toward a favorable outcome.