Evidence map›Paper›PMID 36284134›Full record

ReviewNPJ precision oncology2022

A perspective on life-cycle health technology assessment and real-world evidence for precision oncology in Canada.

Dean A Regier, Samantha Pollard, Melanie McPhail, Tania Bubela, Timothy P Hanna, Cheryl Ho, Howard J Lim, Kelvin Chan, Stuart J Peacock, Deirdre Weymann

Abstract readReview
In one paragraph

Review in NPJ precision oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing 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

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

  1. Pooled it
  2. Article
  3. Action Plan to Better Approximate Reality in Cost-Effectiveness Analyses.Applied health economics and health policy · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. How is Value Defined in Molecular Testing in Cancer? A Scoping Review.Applied health economics and health policy · 2025
    Article
  17. Conversational Agents to Support Pain Management: A Scoping Review.European journal of pain (London, England) · 2025
    Article
  18. Article
  19. Article
  20. Article
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

10 authors.

Dean A RegierCanadian Centre for Applied Research in Cancer Control (ARCC), Cancer Control Research, BC Cancer, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0001-8876-0511
Samantha PollardCanadian Centre for Applied Research in Cancer Control (ARCC), Cancer Control Research, BC Cancer, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0002-3070-2092
Melanie McPhailFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.ORCID http://orcid.org/0000-0001-7156-5162
Tania BubelaFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Timothy P HannaDepartment of Oncology, Queen's University, Kingston, ON, Canada.ORCID http://orcid.org/0000-0003-3228-6042
Cheryl HoDepartment of Medical Oncology, BC Cancer, Vancouver, BC, Canada.
Howard J LimDepartment of Medical Oncology, BC Cancer, Vancouver, BC, Canada.
Kelvin ChanSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Stuart J PeacockCanadian Centre for Applied Research in Cancer Control (ARCC), Cancer Control Research, BC Cancer, Vancouver, BC, Canada.
Deirdre WeymannCanadian Centre for Applied Research in Cancer Control (ARCC), Cancer Control Research, BC Cancer, Vancouver, BC, Canada. dweymann@bccrc.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health technology assessment (HTA) can be used to make healthcare systems more equitable and efficient. Advances in precision oncology are challenging conventional thinking about HTA. Precision oncology advances are rapid, involve small patient groups, and are frequently evaluated without a randomized comparison group. In light of these challenges, mechanisms to manage precision oncology uncertainties are critical. We propose a life-cycle HTA framework and outline supporting criteria to manage uncertainties based on real world data collected from learning healthcare systems. If appropriately designed, we argue that life-cycle HTA is the driver of real world evidence generation and furthers our understanding of comparative effectiveness and value. We conclude that life-cycle HTA deliberation processes must be embedded into healthcare systems for an agile response to the constantly changing landscape of precision oncology innovation. We encourage further research outlining the core requirements, infrastructure, and checklists needed to achieve the goal of learning healthcare supporting life-cycle HTA.

Identifiers

PMID36284134
PMCPMC9596463

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.