z-logo
Premium
Development of a framework and decision tool for the evaluation of health technologies based on surrogate endpoint evidence
Author(s) -
Ciani Oriana,
Grigore Bogdan,
Taylor Rod S.
Publication year - 2022
Publication title -
health economics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.55
H-Index - 109
eISSN - 1099-1050
pISSN - 1057-9230
DOI - 10.1002/hec.4524
Subject(s) - surrogate endpoint , health technology , context (archaeology) , decision aids , health care , risk analysis (engineering) , medicine , management science , alternative medicine , economics , paleontology , pathology , biology , radiology , economic growth
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.

This content is not available in your region!

Continue researching here.

Having issues? You can contact us here