Evidence map›Paper›PMID 27626610›Full record

ArticleClinical pharmacology and therapeutics2016

Adaptive Biomedical Innovation: Evolving Our Global System to Sustainably and Safely Bring New Medicines to Patients in Need.

G Hirsch, M Trusheim, E Cobbs, M Bala, S Garner, D Hartman, K Isaacs, M Lumpkin, R Lim, K Oye and 3 more

Erratum issuedAbstract read
In one paragraph

Article in Clinical pharmacology and therapeutics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Recognizing that Evidence is Made, not Born.Clinical pharmacology and therapeutics · 2019
    Article
  5. The DIY Digital Medical Centre.Microbial biotechnology · 2017
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

G HirschMassachusetts Institute of Technology, Cambridge, Massachusetts, USA.
M TrusheimMassachusetts Institute of Technology, Cambridge, Massachusetts, USA.
E CobbsMerck, Kenilworth, New Jersey, USA.
M BalaSanofi, Seattle, Washington, USA.
S GarnerNational Institute for Health and Clinical Excellence (NICE), London, UK.
D HartmanBill and Melinda Gates Foundation, Seattle, Washington, USA.
K IsaacsMassachusetts Institute of Technology, Cambridge, Massachusetts, USA.
M LumpkinBill and Melinda Gates Foundation, Seattle, Washington, USA.
R LimHealth Canada, Ottawa, Ontario, Canada.
K OyeMassachusetts Institute of Technology, Cambridge, Massachusetts, USA.
E PezallaAetna, Hartford, Connecticut, USA.
P SaltonstallNational Organization for Rare Disorders (NORD), Danbury, Connecticut, USA.
H SelkerTufts University, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current system of biomedical innovation is unable to keep pace with scientific advancements. We propose to address this gap by reengineering innovation processes to accelerate reliable delivery of products that address unmet medical needs. Adaptive biomedical innovation (ABI) provides an integrative, strategic approach for process innovation. Although the term "ABI" is new, it encompasses fragmented "tools" that have been developed across the global pharmaceutical industry, and could accelerate the evolution of the system through more coordinated application. ABI involves bringing stakeholders together to set shared objectives, foster trust, structure decision-making, and manage expectations through rapid-cycle feedback loops that maximize product knowledge and reduce uncertainty in a continuous, adaptive, and sustainable learning healthcare system. Adaptive decision-making, a core element of ABI, provides a framework for structuring decision-making designed to manage two types of uncertainty - the maturity of scientific and clinical knowledge, and the behaviors of other critical stakeholders.

Indexed as

Decision MakingDiffusion of InnovationBiomedical ResearchDelivery of Health CareDrug IndustryFeedbackHealth Services Needs and DemandHumansUncertainty

Identifiers

PMID27626610
PMCPMC5129677

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.