Potential use of routine databases in health technology assessment

Abstract

Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £300 per volume. Please see our website for details. Subscriptions can only be purchased for the current or forthcoming volume. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NHS R&D HTA ProgrammeT he research findings from the NHS R&D Health Technology Assessment (HTA) Programme directly influence key decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC) who rely on HTA outputs to help raise standards of care. HTA findings also help to improve the quality of the service in the NHS indirectly in that they form a key component of the 'National Knowledge Service' that is being developed to improve the evidence of clinical practice throughout the NHS.The HTA Programme was set up in 1993. Its role is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care.The HTA Programme commissions research only on topics where it has identified key gaps in the evidence needed by the NHS. Suggestions for topics are actively sought from people working in the NHS,...

Wounds research for patient benefit: a 5-year programme of research

“…98,99 Both the Newton and Garner 98 and Raftery et al 99 papers were reviews of registers, clinical databases and routine databases with similar aims and objectives to those of our planned review. In effect, these reviews had already comprehensively addressed what we were setting out to do; therefore, to meet our objective of informing our own register design, this project became a 'review of reviews', although this was not the original intent.…”

“…The lack of detail in the review by Newton and Garner 98 meant that it was not possible to cross-reference the English registers identified in both reviews, but we assumed that a large number of the registers would have been identified by both reviews. Newton and Garner 98 did list six national treatment and device registers by name and these were all also included in the review by Raftery et al, 99 with Raftery et al 99 also presenting a more extensive list of named registers from across the UK. Around 60 of the registers identified by Raftery et al 99 had the potential for HTA and approximately half of these were group I registries.…”

“…Newton and Garner 98 did list six national treatment and device registers by name and these were all also included in the review by Raftery et al, 99 with Raftery et al 99 also presenting a more extensive list of named registers from across the UK. Around 60 of the registers identified by Raftery et al 99 had the potential for HTA and approximately half of these were group I registries. Eighteen clinical registries were identified as having the greatest potential although only two could be directly used in costing.…”

Registers for networked medical research in Germany

“…The linkage from experimental research to health care (from bench to bedside, "vertical linkage") was only partially fulfilled. This corresponds with a limited use of socalled "disease-only registers" claimed by Raftery et al in a health technology assessment about routine databases [16]. Further criticism against the evidence of register research was formulated by Roovers concerning confounding, data quality, and business interests [17].…”

Hjertekirurgiregisteret og fagmiljøene

“…At registeret ikke er pasientidentifiserbart fratar oss muligheten for langtids overlevelsesstudier. En omfattende større analyse av medisinske kvalitetsregistre viser at få registre inkluderer kostnader ved behandling (15). Vårt register gir heller ikke mulighet for å beregne kostnader knyttet til de enkelte prosedyrer.…”