Evidence map›Paper›PMID 26694550›Full record

ArticleInternational journal of technology assessment in health care2015

HEADROOM APPROACH TO DEVICE DEVELOPMENT: CURRENT AND FUTURE DIRECTIONS.

Alan Girling, Richard Lilford, Amanda Cole, Terry Young

Abstract read
In one paragraph

Article in International journal of technology assessment in health care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Headroom Analysis for Early Economic Evaluation: A Systematic Review.Applied health economics and health policy · 2023
    Pooled it
  2. Health Technology Assessment in the Early Phases of Development of Medical Devices: A Catalyst for Sustainable Growth and Innovation.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025
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  15. Problems and Promises of Health Technologies: The Role of Early Health Economic Modeling.International journal of health policy and management · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alan GirlingInstitute for Applied Health Research,University of BirminghamA.J.Girling@bham.ac.uk.
Richard LilfordDivision of Health Sciences,University of Warwick.
Amanda ColeOffice of Health Economics.
Terry YoungSchool of Information Systems, Computing and Mathematics,Brunel University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe headroom approach to medical device development relies on the estimation of a value-based price ceiling at different stages of the development cycle. Such price-ceilings delineate the commercial opportunities for new products in many healthcare systems. We apply a simple model to obtain critical business information as the product proceeds along a development pathway, and indicate some future directions for the development of the approach.

methodsHealth economic modelling in the supply-side development cycle for new products.

resultsThe headroom can be used: initially as a 'reality check' on the viability of the device in the healthcare market; to support product development decisions using a real options approach; and to contribute to a pricing policy which respects uncertainties in the reimbursement outlook.

conclusionsThe headroom provides a unifying thread for business decisions along the development cycle for a new product. Over the course of the cycle attitudes to uncertainty will evolve, based on the timing and manner in which new information accrues. Within this framework the developmental value of new information can justify the costs of clinical trials and other evidence-gathering activities. Headroom can function as a simple shared tool to parties in commercial negotiations around individual products or groups of products. The development of similar approaches in other contexts holds promise for more rational planning of service provision.

Indexed as

Equipment and SuppliesBiomedical ResearchCost-Benefit AnalysisHumansModels, EconomicQuality-Adjusted Life YearsUncertaintyDevelopment decisionsHeadroom analysisMedical devices

Identifiers

PMID26694550
PMCPMC4762238

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.