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measuring valuing healthrelated quality life hrqol children challenging important component providing decision makers accurate information fund new interventions including medicines vaccines public subsidy review funding submissions medicines made pharmaceutical benefits advisory committee contained public summary documents examine use childspecific hrqol measures decision making australia sample frame medicines used children derived four sources public summary documents relating medicines searched pharmaceutical benefits advisory committee web resources whether related children aged 18 years contained hrqol information andor costutility analyses data use utilities decision making extracted analysed 1889 public summary documents available 62 public summary documents 29 medicines contained information pertaining children utilities four public summary documents included childspecific hrqol measures 16 included adult hrqol measures 11 included direct elicitation hrqol source defined 31 documents excluding documents using childspecific hrqol measures considered 85 medicines decision making uncertainty might reduced using childspecific hrqol measures despite growing literature economic analysis paediatric populations use childspecific hrqol measures submissions pharmaceutical benefits advisory committee minimal submissions involved inconsistent approaches use adult measures weights substantial gaps evidence recommend consistent use childspecific measures improve evidence base decisions medicines children australia