Payer perceptions of the use of real-world evidence in oncology-based decision making

Brixner, Diana I.; Biskupiak, Joseph; Oderda, Gary M.; Burgoyne, Douglas; Malone, Daniel C.; Arondekar, Bhakti; Niyazov, Alexander

doi:10.18553/jmcp.2021.27.8.1096

Cited by 6 publications

(1 citation statement)

References 17 publications

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“…However, they were largely of the opinion that RWE was more likely to be applied for supporting reimbursement-related decisions than for influencing the conditions under which marketing authorizations are granted. The perceived value of RWE for payer decision-making has been examined in other studies ( Hampson et al, 2018 ; Malone et al, 2018 ; Clausen et al, 2020 ; Brixner et al, 2021 ; Sievers et al, 2021 ), which employed a variety of different qualitative research methodologies. The perspectives of stakeholders regarding the utility of RWE for regulatory assessments have been less frequently characterized in the literature ( Sievers et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

How do cancer clinicians perceive real-world data and the evidence derived therefrom? Findings from an international survey of the European Organisation for Research and Treatment of Cancer

et al. 2022

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Background: The role of real-world evidence (RWE) in the development of anticancer therapies has been gradually growing over time. Regulators, payers and health technology assessment agencies, spurred by the rise of the precision medicine model, are increasingly incorporating RWE into their decision-making regarding the authorization and reimbursement of novel antineoplastic treatments. However, it remains unclear how this trend is viewed by clinicians in the field. This study aimed to investigate the opinions of these stakeholders with respect to RWE and its suitability for informing regulatory, reimbursement-related and clinical decisions in oncology.Methods: An online survey was disseminated to clinicians belonging to the network of the European Organisation for Research and Treatment of Cancer between May and July 2021.Results: In total, 557 clinicians across 30 different countries participated in the survey, representing 13 distinct cancer domains. Despite seeing the methodological challenges associated with its interpretation as difficult to overcome, the respondents mostly (75.0%) perceived RWE positively, and believed such evidence could be relatively strong, depending on the designs and data sources of the studies from which it is produced. Few (4.6%) saw a future expansion of its influence on decision-makers as a negative evolution. Furthermore, nearly all (94.0%) participants were open to the idea of sharing anonymized or pseudonymized electronic health data of their patients with external parties for research purposes. Nevertheless, most clinicians (77.0%) still considered randomized controlled trials (RCTs) to be the gold standard for generating clinical evidence in oncology, and a plurality (49.2%) thought that RWE cannot fully address the knowledge gaps that remain after a new antitumor intervention has entered the market. Moreover, a majority of respondents (50.7%) expressed that they relied more heavily on RCT-derived evidence than on RWE for their own decision-making.Conclusion: While cancer clinicians have positive opinions about RWE and want to contribute to its generation, they also continue to hold RCTs in high regard as sources of actionable evidence.

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Section: Discussionmentioning

confidence: 99%

How do cancer clinicians perceive real-world data and the evidence derived therefrom? Findings from an international survey of the European Organisation for Research and Treatment of Cancer

et al. 2022

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Evidence on Real-World Data and Real-World Evidence As a Driver for Precision Medicine Implementation in Pharmacy Practice

Hendricks‐Sturrup

Francis

2023

Encyclopedia of Evidence in Pharmaceutical Public Health and Health Services Research in Pharmacy

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Evidence on Real-World Data and Real-World Evidence as a Driver for Precision Medicine Implementation in Pharmacy Practice

Hendricks-Sturrup,

Francis

2023

Encyclopedia of Evidence in Pharmaceutical Public Health and Health Services Research in Pharmacy

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Payer perceptions of the use of real-world evidence in oncology-based decision making

Abstract: BACKGROUND: Randomized controlled trials (RCTs), the gold standard of safety and efficacy evidence, are conducted in select patients that may not mirror real-world populations.

Cited by 6 publications

References 17 publications

How do cancer clinicians perceive real-world data and the evidence derived therefrom? Findings from an international survey of the European Organisation for Research and Treatment of Cancer

How do cancer clinicians perceive real-world data and the evidence derived therefrom? Findings from an international survey of the European Organisation for Research and Treatment of Cancer

Evidence on Real-World Data and Real-World Evidence As a Driver for Precision Medicine Implementation in Pharmacy Practice

Evidence on Real-World Data and Real-World Evidence as a Driver for Precision Medicine Implementation in Pharmacy Practice

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