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. 2024 Jun 20;24:208. doi: 10.1186/s12876-024-03297-6

Table 1.

The Evidence and Value: Impact on DEcisionMaking framework

Domains Criteria Type Scoring Scale High→Low Indicators
Need for intervention Disease severity Absolute

5 4 3 2 1 0

Very severe→Not severe

Morbidity, Progression, Quality of life
Size of the affected population Absolute

5 4 3 2 1 0

Common diseases→Very rare diseases

Disease incidence
Unmet needs Absolute

5 4 3 2 1 0

Many unmet needs→No unmet needs

Compliance, Response rate, Nocturnal acid breakthrough, Genetic polymorphism
Comparative outcomes of intervention Comparative effectiveness Relative

5 4 3 2 1 0–1 -2 -3 -4 -5

Much better than the comparator→No difference→Much worse than the comparator

Reflux esophagitis healing rate, Intragastric pH
Comparative safety Relative Incidence of adverse effects
Comparative patient-perceived health Relative Heartburn
Type of benefit of intervention Type of preventive benefit Absolute

5 4 3 2 1 0

Eradication→No preventive benefit

Preventive benefit
Type of therapeutic benefit Absolute

5 4 3 2 1 0

Cure→No therapeutic benefit

Therapeutic benefit
Economic consequences of intervention Comparative cost consequences—costs of intervention Relative

5 4 3 2 1 0–1 -2 -3 -4 -5

Substantial savings/Good affordability→No change in spending→Substantial additional expenditures/Bad affordability

Drug cost
Comparative cost consequences—other medical costs Relative Pharmacoeconomic research in China
Comparative cost consequences—non-medical costs Relative Pharmacoeconomic research in China
Knowledge about intervention Quality of evidence Absolute

5 4 3 2 1 0

Highly relevant and valid→Not relevant and/or invalid

Type of evidence, Level of evidence
Expert consensus/clinical practice guidelines Absolute

5 4 3 2 1 0

Strong recommendation for intervention above all other alternatives→Not recommended or invalid

Recommendation