The impact of quality-of-life data in relative effectiveness assessments of new anti-cancer drugs in European countries

Author:

Kleijnen Sarah,Leonardo Alves Teresa,Meijboom Kim,Lipska Iga,De Boer Anthonius,Leufkens Hubertus G.,Goettsch Wim G.

Abstract

Abstract Purpose The aim of this study is to investigate the role of health-related quality-of-life (QoL) data in relative effectiveness assessments (REAs) of new anti-cancer drugs across European jurisdictions, during health technology assessment procedures. Methods Comparative analysis of guidelines and publicly available REAs in six European jurisdictions of anti-cancer drugs approved by EMA between 2011 and 2013. Results Fourteen anti-cancer drugs were included, adding up to 79 REAs. Whilst all guidelines state that QoL is a relevant endpoint to determine the relative effectiveness of new cancer drugs, QoL data were included in only 54% of the 79 reports and their impact on the recommendations was limited. Conclusions Whilst national guidelines recognize the relevance of QoL to determine the relative effectiveness of new anti-cancer drugs, this is not well-reflected in current assessments. Developing and implementing into REAs specific evidence requirements for QoL data would improve the use of this patient-centred outcome in future reimbursement and pricing decisions.

Funder

Zorginstituut Nederland

Utrecht Institute for Pharmaceutical Sciences

Publisher

Springer Science and Business Media LLC

Subject

Public Health, Environmental and Occupational Health

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