I want to calculate the sample size for a research project designed to evaluate the cost-effectiveness of new public health interventions compared to routine healthcare. However, I faced difficulties in obtaining relevant parameters required for sample size calculations, like mean cost and effect difference, standard deviations in cost and effect, etc. (due to a lack of prior research in the area).

Is there an alternative approach to calculating sample size for trial-based cost-effectiveness analysis when pertinent data from previous studies are unavailable? Although a pilot study is a practical option, I'm interested in exploring other recommendations, possibly rules of thumb, to guide initial sample size estimation for trial-based CEA (N.B: outcome/effect will not be measured in QUALY but in natural units; like body weight reduced, etc.).

kindest regards

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