Literature DB >> 20579285

EBM, HTA, and CER: clearing the confusion.

Bryan R Luce1, Michael Drummond, Bengt Jönsson, Peter J Neumann, J Sanford Schwartz, Uwe Siebert, Sean D Sullivan.   

Abstract

CONTEXT: The terms evidence-based medicine (EBM), health technology assessment (HTA), comparative effectiveness research (CER), and other related terms lack clarity and so could lead to miscommunication, confusion, and poor decision making. The objective of this article is to clarify their definitions and the relationships among key terms and concepts.
METHODS: This article used the relevant methods and policy literature as well as the websites of organizations engaged in evidence-based activities to develop a framework to explain the relationships among the terms EBM, HTA, and CER.
FINDINGS: This article proposes an organizing framework and presents a graphic demonstrating the differences and relationships among these terms and concepts.
CONCLUSIONS: More specific terminology and concepts are necessary for an informed and clear public policy debate. They are even more important to inform decision making at all levels and to engender more accountability by the organizations and individuals responsible for these decisions.

Mesh:

Year:  2010        PMID: 20579285      PMCID: PMC2980346          DOI: 10.1111/j.1468-0009.2010.00598.x

Source DB:  PubMed          Journal:  Milbank Q        ISSN: 0887-378X            Impact factor:   4.911


  20 in total

1.  Evidence-based medicine: a unified approach.

Authors:  David M Eddy
Journal:  Health Aff (Millwood)       Date:  2005 Jan-Feb       Impact factor: 6.301

2.  Developing a center for comparative effectiveness information.

Authors:  Gail R Wilensky
Journal:  Health Aff (Millwood)       Date:  2006-11-07       Impact factor: 6.301

3.  A rational framework for decision making by the National Institute For Clinical Excellence (NICE).

Authors:  Karl Claxton; Mark Sculpher; Michael Drummond
Journal:  Lancet       Date:  2002-08-31       Impact factor: 79.321

4.  Establishing a comprehensive continuum from an evidentiary base to policy development for health technologies: the Ontario experience.

Authors:  Leslie Levin; Ron Goeree; Nancy Sikich; Birthe Jorgensen; Melissa C Brouwers; Tony Easty; Catherine Zahn
Journal:  Int J Technol Assess Health Care       Date:  2007       Impact factor: 2.188

5.  Investigational treatments. How strict should we be?

Authors:  D M Eddy
Journal:  JAMA       Date:  1997-07-16       Impact factor: 56.272

6.  [Desirable, unfamiliar and in need of communication - the evidence-based decision aid of the Institute for Quality and Efficiency in Health Care (IQWiG)].

Authors:  Veronika Elisabeth Müller; Norbert Schmacke; Petra Kolip; Bettina Berger
Journal:  Z Evid Fortbild Qual Gesundhwes       Date:  2012-04-16

7.  Explanatory and pragmatic attitudes in therapeutical trials.

Authors:  D Schwartz; J Lellouch
Journal:  J Chronic Dis       Date:  1967-08

8.  Evidence based medicine: what it is and what it isn't.

Authors:  D L Sackett; W M Rosenberg; J A Gray; R B Haynes; W S Richardson
Journal:  BMJ       Date:  1996-01-13

Review 9.  Health policy issues and applications for evidence-based medicine and clinical practice guidelines.

Authors:  K N Lohr; K Eleazer; J Mauskopf
Journal:  Health Policy       Date:  1998-10       Impact factor: 2.980

10.  Initial antidepressant choice in primary care. Effectiveness and cost of fluoxetine vs tricyclic antidepressants.

Authors:  G E Simon; M VonKorff; J H Heiligenstein; D A Revicki; L Grothaus; W Katon; E H Wagner
Journal:  JAMA       Date:  1996-06-26       Impact factor: 56.272

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  28 in total

Review 1.  Bridging the efficacy-effectiveness gap: a regulator's perspective on addressing variability of drug response.

Authors:  Hans-Georg Eichler; Eric Abadie; Alasdair Breckenridge; Bruno Flamion; Lars L Gustafsson; Hubert Leufkens; Malcolm Rowland; Christian K Schneider; Brigitte Bloechl-Daum
Journal:  Nat Rev Drug Discov       Date:  2011-07-01       Impact factor: 84.694

2.  Resource modelling: the missing piece of the HTA jigsaw?

Authors:  Praveen Thokala; Simon Dixon; Beate Jahn
Journal:  Pharmacoeconomics       Date:  2015-03       Impact factor: 4.981

3.  Comparative effectiveness research designs: an analysis of terms and coverage in Medical Subject Headings (MeSH) and Emtree.

Authors:  Tanja Bekhuis; Dina Demner-Fushman; Rebecca S Crowley
Journal:  J Med Libr Assoc       Date:  2013-04

4.  Clinical Trial Design for Alpha-1 Antitrypsin Deficiency: A Model for Rare Diseases.

Authors:  Adam Wanner; Stephen C Groft; J Russell Teagarden; Jeffrey Krischer; Barry R Davis; Christopher S Coffey; David H Hickam; Jeffrey Teckman; David R Nelson; Michael L McCaleb; Rohit Loomba; Charlie Strange; Robert A Sandhaus; Mark Brantly; Jonathan M Edelman; Albert Farrugia
Journal:  Chronic Obstr Pulm Dis       Date:  2015-04-28

5.  Improving efficiency and reducing costs: Design of an adaptive, seamless, and enriched pragmatic efficacy trial of an online asthma management program.

Authors:  Mei Lu; Dennis R Ownby; Edward Zoratti; Douglas Roblin; Dayna Johnson; Christine Cole Johnson; Christine L M Joseph
Journal:  Contemp Clin Trials       Date:  2014-03-06       Impact factor: 2.226

Review 6.  Evaluation in Life Cycle of Information Technology (ELICIT) framework: Supporting the innovation life cycle from business case assessment to summative evaluation.

Authors:  Polina V Kukhareva; Charlene Weir; Guilherme Del Fiol; Gregory A Aarons; Teresa Y Taft; Chelsey R Schlechter; Thomas J Reese; Rebecca L Curran; Claude Nanjo; Damian Borbolla; Catherine J Staes; Keaton L Morgan; Heidi S Kramer; Carole H Stipelman; Julie H Shakib; Michael C Flynn; Kensaku Kawamoto
Journal:  J Biomed Inform       Date:  2022-02-12       Impact factor: 6.317

7.  Public Health Interventions with Harms and Benefits: A Graphical Framework for Evaluating Tradeoffs.

Authors:  Allison L Pitt; Jeremy D Goldhaber-Fiebert; Margaret L Brandeau
Journal:  Med Decis Making       Date:  2020-09-30       Impact factor: 2.583

8.  From efficacy to equity: Literature review of decision criteria for resource allocation and healthcare decisionmaking.

Authors:  Lalla Aïda Guindo; Monika Wagner; Rob Baltussen; Donna Rindress; Janine van Til; Paul Kind; Mireille M Goetghebeur
Journal:  Cost Eff Resour Alloc       Date:  2012-07-18

9.  Effects of a Novel Blood Glucose Forecasting Feature on Glycemic Management and Logging in Adults With Type 2 Diabetes Using One Drop: Retrospective Cohort Study.

Authors:  Steven D Imrisek; Matthew Lee; Dan Goldner; Harpreet Nagra; Lindsey M Lavaysse; Jamillah Hoy-Rosas; Jeff Dachis; Lindsay E Sears
Journal:  JMIR Diabetes       Date:  2022-05-03

10.  From market access to patient access: overview of evidence-based approaches for the reimbursement and pricing of pharmaceuticals in 36 European countries.

Authors:  Dimitra Panteli; Helene Eckhardt; Alexandra Nolting; Reinhard Busse; Michael Kulig
Journal:  Health Res Policy Syst       Date:  2015-09-25
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