Table 1.
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