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International Journal of Technology Assessment in Health Care | Page 2

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https://read.qxmd.com/read/30789111/timely-consistent-transparent-assessment-of-market-access-evidence-implementing-tools-based-on-the-hta-core-model%C3%A2-in-a-pharmaceutical-company
#21
Pierre Ducournau, Cornelia Irl, Iain Tatt, Mary McCarvil, Marlene Gyldmark
OBJECTIVES: Evidence requirements and assessment methods access differ between health technology assessment (HTA) agencies. The HTA Core Model® provides a standardized approach to HTA, targeting evidence sharing and collaboration between participating HTA bodies. It is fit for purpose from an industry perspective and was used by pharmaceutical company Roche to develop a framework for internal assessment of evidence required for market access and coverage/reimbursement ("access evidence")...
February 21, 2019: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30744730/quality-assessment-of-reporting-of-economic-evaluation-in-cardiac-sugery-has-it-improved
#22
Pascale Guerre, Nermine Laaboub, Cyrille Colin, Jean-François Obadia, Christell Julien, Abdelbaste Hrifach, Hugo Rabier, Hassan Serrier, Daniel Grinberg
OBJECTIVES: Cardiac surgery has seen substantial scientific progress over recent decades. Health economic evaluations have become important tools for decision makers to prioritize scarce health resources. The present study aimed to identify and critically appraise the reporting quality of health economic evaluations conducted in the field of cardiac surgery. METHODS: A literature search was performed to identify health economic evaluations in cardiac surgery. The consolidated Health Economic Evaluation Reporting Standards (CHEERS) statement was used to assess the quality of reporting of studies...
February 12, 2019: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30744713/nudging-in-neonatology-practical-wisdom-and-accountability-for-reasonableness
#23
Michal Stanak
OBJECTIVES: The way choice is presented has an impact on decision-making. This is the case also in the context of neonatal intensive care units (NICUs), particularly in the challenging cases that concern the limit of viability. The objective of this article is to examine the role of nudging in the shared decision-making in neonatology and elaborate on the respective moral challenges. RESULTS: Nudging is not morally neutral. There are two key sources of ethical issues at the heart of nudging...
February 12, 2019: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30744712/early-assessment-of-innovation-in-a-healthcare-setting
#24
Linn Nathalie Støme, Tron Moger, Kristian Kidholm, Kari J Kværner
OBJECTIVES: Early assessment can assist in allocating resources for innovation effectively and produce the most beneficial technology for an institution. The aim of the present study was to identify methods and discuss the analytical approaches applied for the early assessment of innovation in a healthcare setting. METHODS: Knowledge synthesis based on a structured search (using the MEDLINE, Embase, and Cochrane databases) and thematic analysis was conducted. An analytical framework based on the stage of innovation (developmental, introduction, or early diffusion) was applied to assess whether methods vary according to stage...
February 12, 2019: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30732667/how-procurement-judges-the-value-of-medical-technologies-a-review-of-healthcare-tenders
#25
Fiona A Miller, Pascale Lehoux, Stuart Peacock, Valeria E Rac, Jeff Neukomm, Carolyn Barg, Jessica P Bytautas, Murray Krahn
OBJECTIVES: Procurement's important role in healthcare decision making has encouraged criticism and calls for greater collaboration with health technology assessment (HTA), and necessitates detailed analysis of how procurement approaches the decision task. METHODS: We reviewed tender documents that solicit medical technologies for patient care in Canada, focusing on request for proposal (RFP) tenders that assess quality and cost, supplemented by a census of all tender types...
February 8, 2019: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30730288/patient-involvement-in-reflective-multicriteria-decision-analysis-to-assist-decision-making-in-oncology
#26
Xavier Badia, Alfonso Aguarón, Ana Fernández, Antonia Gimón, Begoña Nafria, Bernard Gaspar, Laura Guarga, María Gálvez, Marta Fuentes, Noelia Paco, Roberto Saldaña
OBJECTIVES: Patient involvement in drug evaluation decision making is increasing. The aim of the current study was to develop a multi-criteria decision analysis (MCDA) framework that would enable the inclusion of the patient perspective in the selection of appropriate criteria for MCDAs being used in the value assessments of oncologic drugs. METHODS: A literature review was conducted to identify and define criteria used in drug assessments from patient perspectives...
February 7, 2019: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30722803/rheumatoid-arthritis-treated-with-6-months-of-first-line-biologic-or-biosimilar-therapy-an-updated-systematic-review-and-network-meta-analysis
#27
Emma L Simpson, Shijie Ren, Emma S Hock, John W Stevens, Aymeric Binard, Yves-Marie Pers, Rachel Archer, Suzy Paisley, Matthew D Stevenson, Chloé Herpin, Salah Ghabri
OBJECTIVES: The aim of this study was to estimate the effectiveness of first-line biologic disease modifying drugs(boDMARDs), and their approved biosimilars (bsDMARDs), compared with conventional (csDMARD) treatment, in terms of ACR (American College of Rheumatology) and EULAR (European League against Rheumatism) responses. METHODS: Systematic literature search, on eight databases to January 2017, sought ACR and EULAR data from randomized controlled trials (RCTs) of boDMARDs / bsDMARDs (in combination with csDMARDs, or monotherapy)...
February 6, 2019: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30714547/selecting-digital-health-technologies-for-validation-and-piloting-by-healthcare-providers-a-decision-making-perspective-from-ontario
#28
Amarjit Chahal, Abraham Rudnick
Digital health technologies (DHTs) such as health apps are rapidly emerging as a major disruptor of health care. Yet there is no well-established process of decision making for selecting DHTs that are worthy of investing resources in their validation to determine whether they are ready (safe, effective, and not too costly) for health related use. We report here on an Ontario-based initiative to support such decision making. Specifically, we developed a decision-making algorithm that uses approved criteria including the strategic direction of the health research institute and the hospital, and availability of resources...
February 4, 2019: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/31017564/how-do-pharmaceutical-companies-model-survival-of-cancer-patients-a-review-of-nice-single-technology-appraisals-in-2017
#29
Daniel Gallacher, Peter Auguste, Martin Connock
OBJECTIVES: Before an intervention is publicly funded within the United Kingdom, the cost-effectiveness is assessed by the National Institute of Health and Care Excellence (NICE). The efficacy of an intervention across the patients' lifetime is often influential of the cost-effectiveness analyses, but is associated with large uncertainties. We reviewed committee documents containing company submissions and evidence review group (ERG) reports to establish the methods used when extrapolating survival data, whether these adhered to NICE Technical Support Document (TSD) 14, and how uncertainty was addressed...
January 2019: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/31017563/how-do-smart-device-apps-for-diabetes-self-management-correspond-with-theoretical-indicators-of-empowerment-an-analysis-of-app-features
#30
Nicola Brew-Sam, Arul Chib
OBJECTIVES: Smart device apps for diabetes have the potential to support patients in their daily disease management. However, uncertainty exists regarding their suitability for empowering patients to improve self-management behaviors. This paper addresses a general research gap regarding theoretically based examinations of empowerment in diabetes research, by examining how diabetes app features correspond with conceptual indicators of empowerment. METHODS: We examined features of 121 apps for diabetes self-management available in Singapore, with the second highest proportion of diabetes among developed nations, for psychological empowerment (feeling of empowerment) and for behavioral empowerment (social support)...
January 2019: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/31017562/-what-is-the-efficacy-of-specialised-early-intervention-in-mental-health-targeting-simultaneously-adolescents-and-young-adults-an-hta
#31
Angela Ly, Gilbert A Tremblay, Sylvie Beauchamp
OBJECTIVES: Current service organization is not adapted for youth with or at risk of mental illness. Access, engagement and continuity of care are notorious challenges, particularly during transition from adolescence to adulthood, when youths are transferred to adult services. An HTA was initiated to evaluate the efficacy of programs for which admission is not a function of the legal age of majority. METHODS: A systematic review of systematic reviews identified literature published between 2000 and 2017 in 4 databases...
January 2019: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30938279/definiendo-el-valor-de-las-tecnolog%C3%A3-as-sanitarias-en-latino-am%C3%A3-rica-desarrollo-de-marcos-de-valor-para-informar-la-priorizaci%C3%A3-n-de-recursos-sanitarios
#32
Andres Pichon-Riviere, Sebastian Garcia-Marti, Wija Oortwijn, Federico Augustovski, Laura Sampietro-Colom
ResumenObjetivosEl reciente desarrollo de marcos de valor responde a una demanda por hacer más explícito e inclusivo el proceso de toma de decisiones sobre asignación de recursos sanitarios. El objetivo del Foro de Políticas en Latino América 2018 de Health Technology Assessment International fue explorar las experiencias internacionales y discutir la potencial aplicación de marcos de valor en la región.MétodosEste manuscrito está basado en un documento base y en las presentaciones y discusiones mantenidas por los miembros del Foro (43 participantes, 12 países) durante el Foro del 2018...
January 2019: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30938278/defining-the-value-of-health-technologies-in-latin-america-developments-in-value-frameworks-to-inform-the-allocation-of-healthcare-resources
#33
Andres Pichon-Riviere, Sebastian Garcia-Marti, Wija Oortwijn, Federico Augustovski, Laura Sampietro-Colom
OBJECTIVES: The recent development of value frameworks to inform healthcare resource allocation responds to a demand to make the decision-making process more inclusive and explicit. The objectives of the 2018 Latin American (LAtam) Health Technology Assessment International (HTAi) Policy Forum were to explore the current international experiences and to discuss the potential application of value frameworks in Latin America. METHODS: A background paper, presentations, and group discussions of Policy Forum members (43 participants, 12 LAtam countries represented) at the 2018 HTAi Policy Forum meeting informed this paper...
January 2019: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30722802/what-is-the-impact-of-physicians-in-prehospital-treatment-for-patients-in-need-of-acute-critical-care-an-overview-of-reviews
#34
Gitte Valentin, Lotte Groth Jensen
OBJECTIVES: The aim of this overview was to systematically identify and synthesize existing evidence from systematic reviews on the impact of prehospital physician involvement. METHODS: The Medline, Embase, and Cochrane library were searched from 1 January 2000 to 17 November 2017. We included systematic reviews comparing physician-based with non-physician-based prehospital treatment in patients with one of five critical conditions requiring a rapid response. RESULTS: Ten reviews published from 2009 to 2017 were included...
January 2019: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30560761/cost-utility-analysis-of-multiple-sclerosis-treatment-in-thailand
#35
Chalakorn Chanatittarat, Usa Chaikledkaew, Naraporn Prayoonwiwat, Sasitorn Siritho, Pakamas Pasogpakdee, Metha Apiwattanakul, Arthorn Riewpaiboon, Montarat Thavorncharoensap
OBJECTIVES: Although interferon beta-1a (IFNß-1a), 1b (IFNß-1b), and fingolimod have been approved as multiple sclerosis (MS) treatments, they have not yet been included on the National List of Essential Medicines (NLEM) formulary in Thailand. This study aimed to evaluate the cost-utility of MS treatments compared with best supportive care (BSC) based on a societal perspective in Thailand. METHODS: A Markov model with cost and health outcomes over a lifetime horizon with a 1-month cycle length was conducted for relapsing-remitting MS (RRMS) patients...
December 18, 2018: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30560749/cost-effectiveness-analysis-of-ivabradine-in-treatment-of-patients-with-heart-failure-in-iran
#36
Saeed Taheri, Elham Heidari, Mohammad Ali Aivazi, Mehran Shams-Beyranvand, Mehdi Varmaghani
OBJECTIVES: This study aimed to assess the cost-effectiveness of ivabradine plus standard of care (SoC) in comparison with current SoC alone from the Iranian payer perspective. METHODS: A cohort-based Markov model was developed to assess the incremental cost-effectiveness ratio (ICER) over a 10-year time horizon in a cohort of 1,000 patients. The baseline transition probabilities between New York Heart Association (NYHA), mortality rate, and hospitalization rate were extracted from the literature...
December 18, 2018: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30442221/which-databases-should-be-used-to-identify-studies-for-systematic-reviews-of-economic-evaluations
#37
Mick Arber, Julie Glanville, Jaana Isojarvi, Erin Baragula, Mary Edwards, Alison Shaw, Hannah Wood
OBJECTIVES: This study investigated which databases and which combinations of databases should be used to identify economic evaluations (EEs) to inform systematic reviews. It also investigated the characteristics of studies not identified in database searches and evaluated the success of MEDLINE search strategies used within typical reviews in retrieving EEs in MEDLINE. METHODS: A quasi-gold standard (QGS) set of EEs was collected from reviews of EEs. The number of QGS records found in nine databases was calculated and the most efficient combination of databases was determined...
November 16, 2018: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30369340/real-world-clinical-evaluation-and-costs-of-telemedicine-for-chronic-wound-management
#38
Myriam Le Goff-Pronost, Bénédicte Mourgeon, Jean-Pierre Blanchère, Luc Teot, Hervé Benateau, Anne Dompmartin
BACKGROUND: Chronic wounds are frequent, affect quality of life, and increase care costs. Telemedicine provides potential for effective wound care management, especially for the monitoring of complex wounds at home. OBJECTIVES: The objective of the present study was to determine the clinical effects and costs of telemedicine for the follow-up of complex chronic wounds from the perspective of the public health insurance. The study ran over a period of 9 months. METHODS: We conducted a prospective, pragmatic, open-label, observational study and carried out a cost-effectiveness analysis...
October 29, 2018: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30362444/how-bar-coded-medication-administration-technology-affects-the-nurse-patient-relationships-an-ethnographic-study
#39
Marcel Boonen, Frans J H Vosman, Alistair Niemeijer
OBJECTIVES: This study aims to assess how care is mediated through technology by analyzing the interaction between nurses, patients, and a Bar Coded Medication Administration (BCMA) system. The objective is to explore how patients experience care through medication technology, with the main focus of our observations and interviews on nurses rather than patients. METHODS: A qualitative ethnographic study was conducted in an orthopedic ward of a Dutch general hospital...
October 26, 2018: International Journal of Technology Assessment in Health Care
https://read.qxmd.com/read/30350762/evidence-required-by-health-technology-assessment-and-reimbursement-bodies-evaluating-diagnostic-or-prognostic-algorithms-that-include-omics-data-erratum
#40
Alexandre Barna, Teresita Cruz-Sanchez, Karen Berg Brigham, Cong-Tri Thuong, Finn Boerlum Kristensen, Isabelle Durand-Zaleski
No abstract text is available yet for this article.
October 23, 2018: International Journal of Technology Assessment in Health Care
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