Tehran University of Medical Sciences Iranian Journal of Public Health 2251-6085 53 10 2024 09 30 2214 2225 Fakhraddin Dastari Department of Health Policy, Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Maryam Tajvar Department of Health Policy, Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Amin Mohammadi Department of Health Policy, Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Badriyeh Karami Behavioural Diseases Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran 2023 06 21 2023 12 03 Background: Economic evaluations in healthcare are designed to inform decisions by the estimation of cost and effect trade-off of two or more interventions. We aimed to evaluate the standards of systematic reviews on health economic evaluation studies using the CHEERS (Consolidated Health Economic Evaluation Report Standards) tool. Methods: We searched the PubMed database with keywords CHEERS and its complete form in combination with keywords related to cost or economic evaluation without language and time limits until November 17, 2021. The CHEERS tool was then used to include systematic reviews. Results: Overall, 32 systematic reviews, included 610 primary studies were included. Of the 32 included studies, only 1 study (3.1%) had poor quality, 5 studies (15.6%) had good quality, remaining studies had very good and excellent quality. Conclusion: Some studies still have problems in expressing the standards. The necessity of standards for reporting economic evaluation studies in the field of health is very serious, and Cheers is one of the most important tools. https://ijph.tums.ac.ir/index.php/ijph/article/view/32387 https://ijph.tums.ac.ir/index.php/ijph/article/download/32387/8362