癌症治疗的不断变化的价值评估:来自修改后的Delphi研究的结果
Myrto Lee1, Hugo Larose1, Martin Gräbeldinger2
1Boston Consulting Group, London, UK.
Health policy OPEN
|March 11, 2024
概括
传统的癌症治疗价值评估已经过时了. 癌症治疗价值评估的新原则现在包括患者报告的结果和早期癌症护理的更广泛的经济影响.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 基于价值的医疗保健
背景情况:
- 传统的癌症治疗价值评估依赖于过时的终点.
- 目前的方法往往忽略了癌症治疗的全部经济和社会益处.
- 向早期检测和治疗的转变需要更新的价值评估框架.
研究的目的:
- 制定定义和评估癌症治疗价值的原则.
- 将价值评估与当前的瘤学研究趋势和更广泛的价值概念相协调.
- 为了应对评估早期癌症治疗的挑战.
主要方法:
- 一个经过修改的Delphi过程,在5个月内涉及24名专家.
- 结构化的互动,包括调查,全体会议和采访.
- 在瘤学相关的终点和附加价值组件上建立共识.
主要成果:
- 对瘤学相关终点 (超出整体存活率) 的4个原则达成共识.
- 侧重于表明早期疗效和下一代预测措施的终点.
- 关于整合附加价值组件的3个原则的协议.
- 包括患者报告的结果和广泛的经济影响评估.
结论:
- 开发的原则为全面的癌症治疗价值评估提供了一个框架.
- 建议支持纳入与患者和社会相关的更广泛的价值方面.
- 这些原则促进价值评估与现代瘤学和早期治疗策略保持一致.
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