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Development of a framework and decision tool for the evaluation of health technologies based on surrogate endpoint evidence.
Ciani, Oriana; Grigore, Bogdan; Taylor, Rod S.
Afiliação
  • Ciani O; Centre for Research on Health and Social Care Management, SDA Bocconi, Milan, Lombardia, Italy.
  • Grigore B; Evidence Synthesis & Modelling for Health Improvement, College of Medicine and Health, University of Exeter, Exeter, Devon, UK.
  • Taylor RS; Exeter Test Group, College of Medicine and Health, University of Exeter, Exeter, Devon, UK.
Health Econ ; 31 Suppl 1: 44-72, 2022 09.
Article em En | MEDLINE | ID: mdl-35608044
In the drive toward faster patient access to treatments, health technology assessment (HTA) agencies and payers are increasingly faced with reliance on evidence based on surrogate endpoints, increasing decision uncertainty. Despite the development of a small number of evaluation frameworks, there remains no consensus on the detailed methodology for handling surrogate endpoints in HTA practice. This research overviews the methods and findings of four empirical studies undertaken as part of COMED (Pushing the Boundaries of Cost and Outcome Analysis of Medical Technologies) program work package 2 with the aim of analyzing international HTA practice of the handling and considerations around the use of surrogate endpoint evidence. We have synthesized the findings of these empirical studies, in context of wider contemporary body of methodological and policy-related literature on surrogate endpoints, to develop a web-based decision tool to support HTA agencies and payers when faced with surrogate endpoint evidence. Our decision tool is intended for use by HTA agencies and their decision-making committees together with the wider community of HTA stakeholders (including clinicians, patient groups, and healthcare manufacturers). Having developed this tool, we will monitor its use and we welcome feedback on its utility.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Avaliação da Tecnologia Biomédica / Tecnologia Biomédica Tipo de estudo: Health_technology_assessment / Prognostic_studies Limite: Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Avaliação da Tecnologia Biomédica / Tecnologia Biomédica Tipo de estudo: Health_technology_assessment / Prognostic_studies Limite: Humans Idioma: En Ano de publicação: 2022 Tipo de documento: Article