Evidence map›Paper›PMID 40524330›Full record

ArticleInternational journal of technology assessment in health care2025

Actions for stakeholders to develop better real-world evidence for HTA bodies/payers decision making.

Ashley A Jaksa, Alina N Pavel, Matti Aapro, Niklas Hedberg, Victoria Hodgkinson, Laurie J Lambert, Francois Meyer, Matias Olsen, Piia K Rannanheimo, Karen M Facey

Abstract read
In one paragraph

Article in International journal of technology assessment in health care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

10 authors.

Ashley A Jaksahttps://ror.org/02efksf92Aetion, Inc., Boston, MA, USA.ORCID https://orcid.org/0000-0003-3571-3345
Alina N PavelRWE4Decisions Secretariat, FIPRA, Brussels, Belgium.
Matti AaproGenolier Cancer Center, Genolier, Switzerland.
Niklas HedbergTandvårds- och läkemedelsförmånsverket, TLV (the Dental and Pharmaceuticals Benefits Agency), Stockholm, Sweden.
Victoria HodgkinsonLumiio Inc., Calgary, AB, Canada.
Laurie J LambertCanada's Drug Agency, Ottawa, ON, Canada.
Francois MeyerIndependent Consultant, France.
Matias OlsenEuropean Confederation of Pharmaceutical Entrepreneurs (EUCOPE), Brussels, Belgium.
Piia K Rannanheimohttps://ror.org/04mjpp490Finnish Medicines Agency, Fimea, Kuopio, Finland.
Karen M FaceyRWE4Decisions Secretariat, FIPRA, Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn 2020, RWE4Decisions, a multi-stakeholder initiative commissioned by the Belgian payer, published stakeholder actions to support the generation, analysis, and interpretation of real-world evidence (RWE) to inform the decision making of health technology assessment (HTA) bodies/payers for highly innovative medicines in the European Union (EU). Since 2020, changes in the decision-making environment and advancements in RWE have created an impetus to update stakeholder actions for the EU and Canada.

methodsRWE4Decisions' experts led focus groups with individual stakeholder groups (HTA bodies/payers, pharmaceutical industry, clinicians, patients, registry holders, and data analytical experts). Each focus group crafted new actions for their stakeholder, then the actions were discussed and revised in a multi-stakeholder meeting, a public webinar, and a public consultation. Themes across actions and meetings were identified.

resultsDetailed new actions for each stakeholder group are presented. Key themes identified are the need to address interorganizational fragmentation regarding secondary data use and methodologies to build robust RWE. HTA bodies/payers need to develop a common vision about the potential use of RWE. The role of the whole clinical team as primary data collectors is critical. Opportunities for scientific advice across the life cycle of a medicine are essential, and the implementation of RWE guidance related to HTA is paramount. Progress requires specific, operational actions and a collective effort by a variety of stakeholders.

conclusionsCarrying out these actions will facilitate the development of methodological best practices for generating RWE to inform HTA of highly innovative medicines and build trust between stakeholders in the use of RWE.

Indexed as

Decision MakingStakeholder ParticipationTechnology Assessment, BiomedicalCanadaEuropean UnionFocus GroupsHumansIntersectoral Collaborationdecision makingreal-world datareal-world evidencestakeholder participation

Identifiers

PMID40524330
PMCPMC12350084

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.