Evidence map›Paper›PMID 38282208›Full record

ReviewInternational journal of technology assessment in health care2024

Early technology review: towards an expedited pathway.

Leslie Levin, Murray Sheldon, Robert S McDonough, Naomi Aronson, Maroeska Rovers, C Michael Gibson, Sean Robert Tunis, Richard E Kuntz

Abstract readReview
In one paragraph

Review in International journal of technology assessment in health care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Defining early health technology assessment: building consensus using Delphi technique.International journal of technology assessment in health care · 2025
    Article
  5. Article
  6. Review
  7. Review
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

8 authors.

Leslie LevinEXCITE International, Toronto, ON, Canada.ORCID https://orcid.org/0000-0003-1071-7833
Murray SheldonTechnology and Innovation, US Food and Drug Administration, Center for Devices and Radiologic Health, Silver Spring, MD, USA.
Robert S McDonoughClinical Policy Research and Development, Aetna/CVS Health, Hartford, CT, USA.
Naomi AronsonClinical Evaluation and Innovation, Blue Cross Blue Shield Association, Chicago, IL, USA.
Maroeska RoversDepartment is TechMed Centre, University of Twente, Enschede, Netherlands.
C Michael GibsonDepartment of Medicine Beth Israel Lahey, Harvard Medical School, MA, USA.
Sean Robert TunisTufts Center for Evaluation of Value and Risk in Health, Tufts Medical Center, Boston, MA, USA.
Richard E KuntzMedtronic Inc., Minneapolis, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEvidence development for medical devices is often focused on satisfying regulatory requirements with the result that health professional and payer expectations may not be met, despite considerable investment in clinical trials. Early engagement with payers and health professionals could allow companies to understand these expectations and reflect them in clinical study design, increasing chances of positive coverage determination and adoption into clinical practice.

methodsAn example of early engagement through the EXCITE International model using an early technology review (ETR) is described which includes engagement with payers and health professionals to better inform companies to develop data that meet their expectations. ETR is based on an early evidence review, a framework of expectations that guides the process and identified gaps in evidence. The first fourteen ETRs were reviewed for examples of advice to companies that provided additional information from payers and health professionals that was thought likely to impact on downstream outcomes or strategic direction. Given that limitations were imposed by confidentiality, examples were genericized.

resultsAdvice through early engagement can inform evidence development that coincides with expectations of payers and health professionals through a structured, objective, evidence-based approach. This could reduce the risk of business-related adverse outcomes such as failure to secure a positive coverage determination and/or acceptance by expert health professionals.

conclusionsEarly engagement with key stakeholders exemplified by the ETR approach offers an alternative to the current approach of focusing on regulatory expectations. This could reduce the time to reimbursement and clinical adoption and benefit patient outcomes and/or health system efficiencies.

Indexed as

Research DesignTechnologyHumansTechnology Assessment, Biomedicalbiomedicaldevice approvaldiffusion of innovationevidence-based medicineinvestigationaltechnology assessmenttherapies

Identifiers

PMID38282208
PMCPMC11570026

What OpenQuestion holds

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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.