Patient Input to HTA

Facey, Karen; Single, Ann N. V.

doi:10.1007/978-981-10-4068-9_6

Cited by 35 publications

(61 citation statements)

References 8 publications

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“…For academics and HTA professionals requiring in depth information, a new text book was published in 2017 covering patient participation and research into ways of taking account of patients' expertise and preferences (8). The book addresses the rationale for patient involvement, a guide to consistent terminology, discussion of approaches to participation and detailed descriptions of applicable research methods.…”

Section: Discussionmentioning

confidence: 99%

EUPATI Guidance for Patient Involvement in Medicines Research and Development: Health Technology Assessment

et al. 2018

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The main aim of health technology assessment (HTA) is to inform decision making by health care policy makers. It is a systematic process that evaluates the use of health technologies and generally involves a critical review of international evidence related to clinical effectiveness of the health technology vs. the best standard of care. It can also include an evaluation of cost effectiveness, and social and ethical impacts in the local health care system. The HTA process advises whether or not a health technology should be used, and if so, how it is best used and which patients are most likely to benefit from it. The importance of patient involvement in HTA is becoming widely recognized, for scientific and democratic reasons. The extent of patient involvement in HTA varies considerably across Europe. Commonly HTA is still focused on quantitative evidence to determine clinical and/or cost effectiveness, but the interest in understanding patients' experiences and preferences is increasing. Some HTA bodies provide support for participation in their processes, but again this varies widely across Europe. The involvement of patients in HTA is determined at the national and regional level, and is not subject to any European-wide legislation. The guidance text presented in this article was developed as part of the work of the European Patients' Academy on Therapeutic Innovation (EUPATI) and covers the interaction between HTA bodies and patients and their representatives when medicines are being assessed. Other EUPATI guidance documents relate to patient involvement in pharmaceutical industry-led research and development, ethics committees, and regulatory authorities. The guidance provides recommendations for activities to support patient involvement in HTA bodies and specific guidance for individual HTA processes. It seeks to improve patient involvement, using the outcomes of published research and consensus-building exercises. It also draws on good practice examples from individual HTA bodies. The guidance is not intended to be prescriptive and should be used according to specific circumstances, national legislation, or the unique needs of each interaction. This article represents the formal publication of the HTA guidance text with discussion about recent progress in, and continuing barriers to, patient involvement in HTA.

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Section: Discussionmentioning

confidence: 99%

EUPATI Guidance for Patient Involvement in Medicines Research and Development: Health Technology Assessment

et al. 2018

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“…Variation in quality can explain variation in the results of studies included in a systematic review. More rigorously designed (better ‘quality’) trials are more likely to yield results that are closer to the ‘truth’ [7]. …”

Section: Methodsmentioning

confidence: 99%

Changes in oral microbiota due to orthodontic appliances: a systematic review

Lucchese

Bondemark

Marcolina

et al. 2018

Journal of Oral Microbiology

131

115

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Background: Oral microbiota has been at the center of cultural attention in recent years. In daily clinical practice, orthodontic appliances may be associated with an increased cariogenic risk and a worsening of preexisting periodontal diseases.Objective: The purpose of this review is to investigate the available evidence regarding the association between orthodontic appliances and changes in the quality and quantity of the oral microbiota.Design: The research included every article published up to October 2017 featuring the keywords ‘Orthodontic appliance* AND (microbiological colonization OR periodontal pathogen* OR Streptococcus mutans OR Lactobacillus spp. OR Candida OR Tannerella forsythia OR Treponema denticola OR Fusobacterium nucleatum OR Aggregatibacter actinomycetemcomitans OR Prevotella intermedia OR Prevotella nigrescens OR Porphyromonas gingivalis)’ and was conducted in the major medical databases. The methodological quality of selected papers was scored using the ‘Swedish Council on Technology Assessment in Health Care Criteria for Grading Assessed Studies’ (SBU) method.Results: Orthodontic appliances influence the oral microbiota with an increase in the counts of S. mutans and Lactobacillus spp. and in the percentage of potentially pathogenic gram-negative bacteria.Conclusions: There is moderate/high evidence regarding the association between orthodontic appliances and changes in the oral microbiota.PROSPERO registration number CRD42018091589.

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“…9 Patients may provide comment on the scope and approach of an assessment or on contextual knowledge that is not available in scientific evidence. 9 In this way, patients have some involvement in the HTA process and contribute to the requirement for HTA programs to communicate effectively with the decision-makers whom they inform. 1 To provide such input, patients and their caregivers must interact in some way with organizations that are responsible for undertaking HTAs.…”

Section: Obtaining Evidence On Patients' Perspectivesmentioning

confidence: 99%

“…include providing written comments on draft documents, submitting written information, and face-to-face participation in committees. 9 Many HTA programs offer opportunities for patient organizations to provide input. 6 Some programs also allow individuals to provide comments to committees or multi-stakeholder advisory groups.…”

Section: Obtaining Evidence On Patients' Perspectivesmentioning

confidence: 99%

Involvement of Patients in Health Technology Assessment: Further Perspectives for Informing Decision-Makers

Hailey

2017

Hosp Pract Res

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Patient Input to HTA

Cited by 35 publications

References 8 publications

EUPATI Guidance for Patient Involvement in Medicines Research and Development: Health Technology Assessment

EUPATI Guidance for Patient Involvement in Medicines Research and Development: Health Technology Assessment

Changes in oral microbiota due to orthodontic appliances: a systematic review

Involvement of Patients in Health Technology Assessment: Further Perspectives for Informing Decision-Makers

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