Table 2.
Criteria for preliminary ranking of topics
Criteria related to health burden | What is the potential public health impact based on the prevalence/incidence of the disorder, the prevalence of gene variants, or the number of individuals likely to be tested? |
What is the severity of the disease? | |
How strong is the reported relationship between a test result and a disease/drug response? | |
Is there an effective intervention for those with a positive test or their family members? | |
Who will use the information in clinical practice (e.g., healthcare providers, payers) and how relevant might this review be to their decision-making? | |
Criteria related to practice issues | What is the availability of the test in clinical practice? |
Is an inappropriate test use possible or likely? | |
What is the potential impact of an evidence review or recommendations on clinical practice? On consumers? | |
Other considerations | How does the test add to the portfolio of EGAPP evidence based reviews? As a pilot project, EGAPP aims to develop a portfolio of evidence reviews that adequately tests the process and methodologies. |
Will it be possible to make a recommendation, given the body of data available? EGAPP is attempting to balance selection of somewhat established tests versus emerging tests for which insufficient evidence or unpublished data are more likely. | |
Are there other practical considerations? For example, avoiding duplication of evidence reviews already underway by other groups. | |
How does this test contribute to diversity in reviews? In what category is this test? As a pilot project, EGAPP aims to consider different categories of tests (e.g., pharmacogenomics or cancer), mutation types (e.g., inherited or somatic) or test types (e.g., predictive or diagnostic). |