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评估神经瘤学临床试验的影响和价值:测试一种新的多标准决策分析应用程序
Kathryn Maree Field1, Mark Andrew Rosenthal1, Piers Gillett2
1Department of Medical Oncology, Peter MacCallum Cancer Centre (KF, MR), Australia; Sir Peter MacCallum Department of Oncology, University of Melbourne (KF, MR), Australia.
概括
一个新的网络应用程序使用多标准决策分析 (MCDA) 来对临床试验价值进行排名,优先考虑患者的结果和未满足的需求. 该工具有助于将资源集中在高影响力神经瘤学试验上.
科学领域:
- 临床研究方法论临床研究方法论
- 卫生经济学和结果研究研究.
- 决策分析 决策分析
背景情况:
- 全球临床试验在资源分配和结果优先级方面存在挑战.
- 量化临床试验"价值"对于指导临床医生的重点和资源部署至关重要.
- 一个新的基于网络的应用程序被开发用于评估和排名的临床试验价值使用多标准决策分析 (MCDA).
研究的目的:
- 评估一款旨在对临床试验价值进行排名的新型基于网络的应用程序.
- 通过比较其排名与专家临床医生评估来确定MCDA工具的面值.
- 确定临床医生在评估临床试验价值时优先考虑的关键指标.
主要方法:
- 该工具整合了七个指标:未满足的需求,目标人群规模,访问,结果,成本,学术影响和结果的使用.
- 根据该应用程序对10项已发表的神经瘤学第三期临床试验进行了排名.
- 神经瘤学临床医生通过对相同的试验进行排名和七个指标的重要性来验证该应用程序.
主要成果:
- 该应用程序的前两个排名的试验与临床医生排名一致,并对神经瘤学临床实践产生了重大影响.
- 临床医生将患者的结果和未满足的需求确定为确定临床试验价值的最关键指标.
- MCDA工具成功地为现有的神经瘤学临床试验生成了数值"值".
结论:
- 开发的指标应用程序有效地根据计算值对神经瘤学临床试验进行第3期的排名.
- 未来的发展可能会导致在选址阶段优先考虑新的临床试验的潜在工具.
- 这项技术可以帮助研究中心优化行为试验的优先级.
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