Evidence map›Paper›PMID 38464704›Full record

ArticleHealth policy OPEN2024

The evolving value assessment of cancer therapies: Results from a modified Delphi study.

Myrto Lee, Hugo Larose, Martin Gräbeldinger, Jon Williams, Anne-Marie Baird, Susan Brown, Johannes Bruns, Russell Clark, Javier Cortes, Giuseppe Curigliano and 13 more

Abstract read
In one paragraph

Article in Health policy OPEN, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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. Review
  2. Review
  3. Article
  4. Article
  5. 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

23 authors.

Myrto LeeBoston Consulting Group, London, UK.
Hugo LaroseBoston Consulting Group, London, UK.
Martin GräbeldingerBoston Consulting Group, Paris, France.
Jon WilliamsBoston Consulting Group, London, UK.
Anne-Marie BairdLung Cancer Europe, Switzerland.
Susan BrownSusan G. Komen Foundation, USA.
Johannes BrunsDeutsche Krebsgesellschaft, Germany.
Russell ClarkCancer Technology Applications; Spesana, Inc, USA.
Javier CortesInternational Breast Cancer Center, Spain.
Giuseppe CuriglianoDepartment of Oncology and Hemato-Oncology, University of Milan, Division of Early Drug Development, European Institute of Oncology, IRCCS, Italy.
Andrea FerrisLUNGevity, USA.
Louis P GarrisonUniversity of Washington, USA.
Y K GuptaAll India Institute of Medical Science Bhopal, India.
Ravindran KanesvaranDivision of Medical Oncology, National Cancer Centre Singapore, Singapore.
Gary LymanFred Hutchinson Cancer Research Center, USA.
Luca PaniUniversity of Miami, Università di Modena e Reggio Emilia, Italy.
Zack Pemberton-WhiteleyLeukaemia Care, UK, Acute Leukemia Advocates Network (ALAN), Switzerland, Blood Cancer Alliance (BCA), UK.
Tomas SalmonsonConsilium Salmonson & Hemmings, Belgium.
Peter SawickiUniversity of Cologne, Germany.
Barry SteinCancer Colorectal Canada, Canada.
Dong-Churl SuhChung-Ang University, South Korea; Rutgers, The State University of New Jersey, USA.
Galina VelikovaUniversity of Leeds, UK.
Jens GruegerBoston Consulting Group, Switzerland, Zurich, University of Washington, DC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The move toward early detection and treatment of cancer presents challenges for value assessment using traditional endpoints. Current cancer management rarely considers the full economic and societal benefits of therapies. Our study used a modified Delphi process to develop principles for defining and assessing value of cancer therapies that aligns with the current trajectory of oncology research and reflects broader notions of value. 24 experts participated in consensus-building activities across 5 months (16 took part in structured interactions, including a survey, plenary sessions, interviews, and off-line discussions, while 8 participated in interviews). Discussion focused on: 1) which oncology-relevant endpoints should be used for assessing treatments for early-stage cancer and access decisions for early-stage treatments, and 2) the importance of additional value components and how these can be integrated in value assessments. The expert group reached consensus on 4 principles in relation to the first area (consider oncology-relevant endpoints other than overall survival; build evidence for endpoints that provide earlier indication of efficacy; develop evidence for the next generation of predictive measures; use managed entry agreements supported by ongoing evidence collection to address decision-maker evidence needs) and 3 principles in relation to the second (routinely use patient reported outcomes in value assessments; assess broad economic impact of new medicines; consider other value aspects of relevance to patients and society).

Identifiers

PMID38464704
PMCPMC10924144

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Registered trials

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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.