Objective: Describe the characteristics of the therapeutic positioning reports (TPRs) published in Spain in the period 2013-2019.
Design And Data Source: Systematic review of all TPRs published in the website of the Spanish Agency of Medicines and Health Products (AEMPS).
Selection Of Studies: All TPRs published since May 2013, until March 2019 DATA EXTRACTION: The main variables collected were the therapeutic groups assessed, the number of TPRs, the time of elaboration, the existence of restrictions versus the authorized indications and the information on the efficiency of medicines.
Results: During the period under review, 214 TPRs were carried out, with an average production time of 8.8 months, almost three times the objective of 3-month initially set. 57% of the TPRs established restrictions of use with respect to the approved indications. 26% of TPRs referred to the existence of economic data, although none included details on the efficiency. 10% of TPRs were updated.
Conclusions: For TPRs to meet their objective of improving the efficiency of the assessment process and the consistency in the decisions on price, reimbursement and financing of medicines by the SNS, the deadlines established for publication must be met, incorporating systematically information on the efficiency of the drugs and including periodic updates with the new information generated.
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http://dx.doi.org/10.1016/j.aprim.2020.02.012 | DOI Listing |
Am J Trop Med Hyg
January 2025
U.S. President's Malaria Initiative Measure Malaria, University of North Carolina at Chapel Hill/ICF, Chapel Hill, North Carolina.
The WHO's Global Technical Strategy for malaria emphasizes the importance of reliable malaria surveillance systems to track disease burden and measure progress. A key indicator, the test positivity rate (TPR), largely depends on healthcare providers' adherence to rapid diagnostic test (RDT) results and their accurate reporting. To minimize healthcare providers' bias, this study explored the feasibility of using artificial intelligence (AI)-driven Deki Reader devices in the Democratic Republic of Congo.
View Article and Find Full Text PDFMed Decis Making
October 2024
Department of Medical Imaging, Radboud University Medical Center, Nijmegen, The Netherlands.
Purpose: To develop a model that simulates radiologist assessments and use it to explore whether pairing readers based on their individual performance characteristics could optimize screening performance.
Methods: Logistic regression models were designed and used to model individual radiologist assessments. For model evaluation, model-predicted individual performance metrics and paired disagreement rates were compared against the observed data using Pearson correlation coefficients.
J Gen Philos Sci
June 2022
Independent researcher, 761-0799, PO Box 7, Ikenobe 3011-2 Kagawa-ken, Japan.
Unlabelled: Academic publishing is undergoing a highly transformative process, and many established rules and value systems that are in place, such as traditional peer review (TPR) and preprints, are facing unprecedented challenges, including as a result of post-publication peer review. The integrity and validity of the academic literature continue to rely naively on blind trust, while TPR and preprints continue to fail to effectively screen out errors, fraud, and misconduct. Imperfect TPR invariably results in imperfect papers that have passed through varying levels of rigor of screening and validation.
View Article and Find Full Text PDFAJR Am J Roentgenol
October 2021
Digestive Endoscopy Unit, Nuovo Regina Margherita Hospital, Rome, Italy.
Noninvasive tests for colorectal cancer (CRC) screening and prevention limit the need for invasive colonoscopy to follow up positive test results. However, the relative performance characteristics of available noninvasive tests have not yet been adequately compared. We performed a systematic review and meta-analysis to compare the diagnostic performance of the available noninvasive CRC screening tests, including multitarget stool DNA (mt-sDNA) testing, fecal immunochemical testing (FIT), and CT colonography (CTC), with an emphasis on comparison of PPV and detection rate (DR) for advanced neoplasia (AN; encompassing cases of advanced adenomas and CRC).
View Article and Find Full Text PDFAten Primaria
December 2020
Departamento Médico, Lilly España, Madrid, España; Departamento de Epidemiología y Salud Pública, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, España. Electronic address:
Objective: Describe the characteristics of the therapeutic positioning reports (TPRs) published in Spain in the period 2013-2019.
Design And Data Source: Systematic review of all TPRs published in the website of the Spanish Agency of Medicines and Health Products (AEMPS).
Selection Of Studies: All TPRs published since May 2013, until March 2019 DATA EXTRACTION: The main variables collected were the therapeutic groups assessed, the number of TPRs, the time of elaboration, the existence of restrictions versus the authorized indications and the information on the efficiency of medicines.
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