IMPORTANCE OF CONTEXTUAL DATA IN PRODUCING HEALTH TECHNOLOGY ASSESSMENT RECOMMENDATIONS: A CASE STUDY

International Journal of Technology Assessment in Health Care
Thomas G Poder, Christian A Bellemare

Abstract

Contextual data and local expertise are important sources of data that cannot be ignored in hospital-based health technology assessment (HTA) processes. Despite a lack of or unconvincing evidence in the scientific literature, technology can be recommended in a given context. We illustrate this using a case study regarding biplane angiography for vascular neurointervention. A systematic literature review was conducted, along with an analysis of the context in our setting. The outcomes of interest were radiation doses, clinical complications, procedure times, purchase cost, impact on teaching program, the confidence of clinicians in the technology, quality of care, accessibility, and the volume of activity. A committee comprising managers, clinical experts, physicians, physicists and HTA experts was created to produce a recommendation regarding biplane technology acquisition to replace a monoplane device. The systematic literature review yielded nine eligible articles for analysis. Despite a very low level of evidence in the literature, the biplane system appears to reduce ionizing radiation and medical complications, as well as shorten procedure time. Contextual data indicated that the biplane system could improve operator confi...Continue Reading

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Citations

Jul 11, 2018·International Journal of Technology Assessment in Health Care·Thomas G PoderSuzanne K Bédard
May 15, 2020·Journal of Medical Internet Research·Hassane AlamiJean-Paul Fortin
Sep 30, 2020·International Journal of Technology Assessment in Health Care·Thomas G PoderMarie-Pierre Gagnon
Aug 9, 2020·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Federico AugustovskiRomina A Tejada

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