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. 2013 Jan 4;31(2):137–149. doi: 10.1007/s40273-012-0013-6

Table 1.

Data extracted

Category of data Specific items recorded
Appraisal characteristics Date of publication
Appraisal process (STA or MTA)
Type of document (ACD or FAD)
Was the guidance an update to a previous appraisal?
Has the guidance been subsequently reviewed?
Technology and condition Prevalence and incidence of the condition
Total population size
Type of technology (pharmaceutical, device, diagnostic, other)
Guidance Type of recommendation (OIR or AWR)
Type of research recommended (experimental or observational)
Recommendations for subgroups and subgroup definitions
Was the guidance conditional on a PAS?
Cost effectiveness Sponsor and independent Assessment Group estimates:
 the ICERs for the whole population and the OIR/AWR subgroup
 the probability of the technology being cost effective at a £20,000 and a £30,000 per QALY gained threshold
The ICER (mean and/or range) reportedly judged by the NICE Appraisal Committee to be the most plausible
Stated rationale for the OIR/AWR recommendation
 Clinical effectiveness Insufficient evidence of:
 relative clinical effectiveness (whole population)
 relative clinical effectiveness (OIR/AWR subgroup)
 natural history/progression of disease
 long-term data
 potential adverse effects
 mechanism of treatment action
 Cost effectiveness High uncertainty in cost-effectiveness estimates
The need for cost-effectiveness data with appropriate comparator
The need for more information on quality of life
The need for more information on costs
Other uncertainties
 Other considerations Concern about potential budget impact
Concern about potential investment and irreversible costs
Concern about potential impact on ongoing research

ACD Appraisal Consultation Document, AWR approval with research, FAD Final Appraisal Determination, ICER incremental cost-effectiveness ratio, MTA multiple technology appraisal, NICE National Institute for Health and Clinical Excellence, OIR only in research, PAS patient access scheme, STA single technology appraisal