Table 1. . Influential uses of real-world evidence discussed in appraisals since the publication of NICE's RWE framework in June 2022 (non-exhaustive).
RWE use discussed by NICE committee | Appraisal | Ref. |
---|---|---|
To demonstrate the generalisability of trail evidence to the UK population for patient characteristics | TA904, TA883 | [18,19] |
To estimate cost-per-use for diagnostic technology | DG48 | [20] |
To estimate baseline event rates, in modelling, to which relative effects from trial data are applied | TA897 | [21] |
To demonstrate an early signal of value for conditional recommendation of a digital therapy | HTE9 | [22] |
To scrutinize or support extrapolated outcomes in economic modelling | TA883, TA870, TA864, TA801 | [19,23,24,25] |
To enable effectiveness, or cost-effectiveness estimation for an important subpopulation | TA880, HST23 | [26,27] |
To provide reassurance that outcomes observed in key trial data are reflected in routine practice | TA872 | [28] |
As the main source of comparative effectiveness evidence | HST22, TA855, TA850 | [29,30,31] |
To estimate dose in clinical practice, and therefore, costs | TA866, TA808 | [32,33] |
To estimate rates of complications beyond the duration of available trial data and health state transition probabilities in economic modelling | TA860, TA804 | [34,35] |
To provide supportive evidence for an uncertain indirect treatment comparison | TA816 | [36] |
NICE: National Institute for Health and Care Excellence; RWE: Real-world evidence.