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The National Oncologic PET Registry: lessons learned for coverage with evidence development
1Center for Medical Technology Policy, Baltimore, Maryland 21202, USA. sean.tunis@cmtpnet.org
Journal of the American College of Radiology : JACR
|April 28, 2009
Summary
The National Oncologic PET Registry (NOPR) pioneered coverage with evidence development, assessing if PET scan results impact patient management plans. Its experience offers insights for future evidence-based healthcare technology decisions.
Area of Science:
- Health Services Research
- Health Economics
- Oncology
Background:
- The Centers for Medicare & Medicaid Services (CMS) implemented the National Oncologic PET Registry (NOPR) as an early model for coverage with evidence development.
- This policy links payment for new technologies to participation in prospective studies or registries.
Purpose of the Study:
- To evaluate whether positron emission tomography (PET) scan results influence physicians' patient management decisions.
- To assess the feasibility and challenges of implementing and financing coverage with evidence development programs.
Main Methods:
- The NOPR involved prospective enrollment of patients and providers agreeing to gather data on PET scan utilization and its impact.
- Minimal restrictions were placed on the clinical use of PET scans within the registry framework.
Main Results:
- The NOPR provided valuable experiences for policymakers, methodologists, clinicians, and patients regarding coverage with evidence development.
- Insights were gained into the practical utility, implementation challenges, and financing of such programs.
Conclusions:
- The NOPR experience highlights the complexities of generating robust evidence for medical technology adoption.
- Future healthcare systems require collaborative efforts in evidence generation and agreement on evidence standards for informed decision-making.
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