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COMPARING THE HTA CORE MODEL WITH A NATIONAL HEALTH TECHNOLOGY ASSESSMENT REPORT

  • Iris Pasternack (a1), Ingrid de Groot (a2), Sarah Kleijnen (a2) and Paula Polman (a2)
Abstract

Objectives: The HTA Core Model is a framework for producing health technology assessments (HTAs) in a structured format. The Model splits the content of a HTA into assessment elements. The objective is to explore the adaptability of these assessment elements in national report production in a pilot case study comparing a national HTA report and the HTA Core Model.

Methods: An on-going Dutch HTA report on endovascular repair of abdominal aortic aneurysm (EVAR) was chosen as a typical representative of a national report on medical interventions. The author of the EVAR report assessed the relevance and comprehensiveness of the assessment elements of the HTA Core Model for her work. Another researcher annotated the Core Model specific content in the EVAR report. Matching and missing content, as well as the distribution of information in the EVAR report were tabulated and analysed in joint deliberations.

Results: Forty percent of the assessment elements of the Core Model were considered relevant for the EVAR report. Some issues relevant for EVAR but missing from the Core Model were identified: they were about re-interventions, secondary prevention, subpopulations that benefit most, and the length of the hospital stay. The distribution of information differed substantially between the Code Model and the national report.

Conclusions: The assessment elements of the HTA Core Model covered most relevant questions of the national report. In order to facilitate easy adaptation of information, the distribution of information should be more consistent in the national report and the Core model.

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References
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1. Lampe, K, Mäkelä, M, Velasco Garrido, M, et al. The HTA Core Model: A novel method for producing and reporting health technology assessments. Int J Technol Assess Health Care. 2009;25 (Suppl 2):920.
2. Pasternack, I, Anttila, H, Mäkelä, M, et al. Testing the HTA Core Model: Experiences from two pilot projects. Int J Technol Assess Health Care. 2009;25 (Suppl 2):2127.
3. Groot de, I, Ligtenberg, G, Vijgen, S. Concept achtergrondrapportage beoordeling stand van de wetenschap en praktijk. Endovasculaire behandeling van de abdominale aneurysma van de aorta. College voor zorgverzekeringen, Diemen. 2011.
4. HTA Core Model Online [Internet]. THL National Institute for Health and Welfare (Finland). [updated 2013, cited 2013 Oct 21]. http://meka.thl.fi/htacore/ (accessed 9th December 2014).
5. Guyatt, GH, Oxman, AD, Vist, G, et al. for the GRADE Working Group. Rating quality of evidence and strength of recommendations GRADE: An emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008;336:924926.
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International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
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