Value-based medicine in oncology

the importance of perspective in the emerging value frameworks

Authors

  • Alessandro Gonçalves Campolina Universidade de Sao Paulo. Faculdade de Medicina. Hospital das Clinicas. Instituto do Cancer do Estado de Sao Paulo

DOI:

https://doi.org/10.6061/clinics/2018/e470s

Keywords:

Neoplasms, Drug Costs, Decision Support Techniques, Clinical Decision-Making, Medical Oncology, Resource Allocation

Abstract

Recently, professional and healthcare-related entities have launched frameworks designed to assess the value of cancer innovations in multistakeholder decision processes. Among the most visible entities that propose and implement value frameworks in oncology are the European Society of Medical Oncology (ESMO), the American Society of Clinical Oncology (ASCO), the Memorial Sloan Kettering Cancer Center (MSKCC) and the National Comprehensive Cancer Network (NCCN). However, these value frameworks have been criticized for conceptual inconsistencies, inability to include a greater variety of value criteria, and inadequate explanation of the uncertainty approach used in the modeling process. On the other hand, Multi-Criteria Decision Analysis (MCDA) is a set of methods and processes that allow the multiple criteria involved in a decision to be explicitly addressed. This approach allows the identification of relevant decision criteria, gathering of evidence based on scientific literature, attribution of weights to the criteria and scores to the evidence raised, and aggregation of the weighted scores to constitute a global metric of value. The purpose of this article is to review the main features of these value frameworks in oncology and the importance of perspective for framework readiness to support healthcare decision-making based on MCDA methodology.

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Published

2019-02-18

Issue

Section

Review Articles

How to Cite

Campolina, A. G. (2019). Value-based medicine in oncology: the importance of perspective in the emerging value frameworks. Clinics, 73(Suppl. 1), e470s. https://doi.org/10.6061/clinics/2018/e470s