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https://www.readbyqxmd.com/read/28359391/study-types-and-reliability-of-real-world-evidence-compared-with-experimental-evidence-used-in-polish-reimbursement-decision-making-processes
#1
N Wilk, N Wierzbicka, I Skrzekowska-Baran, P Moćko, J Tomassy, K Kloc
OBJECTIVES: The aim of this study was to identify the relationship and impact between Real World Evidence (RWE) and experimental evidence (EE) in Polish decision-making processes for the drugs from selected Anatomical Therapeutic Chemical (ATC) groups. STUDY DESIGN: Descriptive study. METHODS: A detailed analysis was performed for 58 processes from five ATC code groups in which RWE for effectiveness, or effectiveness and safety were cited in Agency for Health Technology Assessment and Tariff System's (AOTMiT) documents published between January 2012 and September 2015: Verification Analysis of AOTMiT, Statement of the Transparency Council of AOTMiT, and Recommendation of the President of AOTMiT...
April 2017: Public Health
https://www.readbyqxmd.com/read/28152718/ontario-s-approach-to-tackling-drug-funding-sustainability
#2
Scott Gavura, Robin McLeod, Virginia McLaughlin, Craig Earle, Jessica Arias, Michelle Rey, Hasina Jamal
38 Background: One of the challenges facing Ontario relates to managing the rising costs of cancer drug treatments. The annual growth rate of cancer drug spending has increased by 10-20% since 2010, exceeding other therapeutic categories and is expected to continue to grow significantly faster than expenditures in other areas. Paradoxically, the price of a drug seems to have little relation to its demonstrated efficacy ( http://www.asco.org/practice-research/cancer-care-america-2015/focus-cost ). The Cancer Quality Council of Ontario (CQCO) and Cancer Care Ontario (CCO) embarked on a journey to systematically address this challenge...
March 2016: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28144725/-noac-real-life-data-and-the-role-of-antidotes-for-the-treatment-of-bleeding
#3
H Darius
The non-vitamin K antagonists (NOAC) are an integral component of our antithrombotic prevention and therapy. For four of the NOAC, their non-inferiority or even superiority versus vitamin K antagonists (VKA) has been proven. Thus, the management of special patient cohorts or the management of active bleeding complications is a focus of current discussion.In addition to prospective trials, numerous retrospective analyses of health insurers or public health provider data have been analyzed and published as "real life" or "real-world evidence" data...
March 2017: Medizinische Klinik, Intensivmedizin und Notfallmedizin
https://www.readbyqxmd.com/read/28121595/integrated-plans-fertile-for-real-world-evidence
#4
Frank Diamond
But most insurers are taking a wait-and-see attitude even though in some clinical areas, such as diabetes, real-world evidence (RWE) has been a true game-changer. Payers have a pessimistic view that RWE can help them. It doesn't help that respected voices in health care agree.
January 2017: Managed Care
https://www.readbyqxmd.com/read/28062643/visualising-and-quantifying-excess-deaths-in-scotland-compared-with-the-rest-of-the-uk-and-the-rest-of-western-europe
#5
Jon Minton, Richard Shaw, Mark A Green, Laura Vanderbloemen, Frank Popham, Gerry McCartney
BACKGROUND: Scotland has higher mortality rates than the rest of Western Europe (rWE), with more cardiovascular disease and cancer among older adults; and alcohol-related and drug-related deaths, suicide and violence among younger adults. METHODS: We obtained sex, age-specific and year-specific all-cause mortality rates for Scotland and other populations, and explored differences in mortality both visually and numerically. RESULTS: Scotland's age-specific mortality was higher than the rest of the UK (rUK) since 1950, and has increased...
January 6, 2017: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/27972532/cost-effectivness-analysis-of-axitinib-in-the-treatment-of-metastatic-renal-cell-carcinoma-clinical-data-vs-rwe
#6
M Karbusicka, L Losenicky, P Mazan, J Doleckova, J Duba, M Kolek
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27972356/the-assessment-of-value-for-medical-devices-using-real-world-evidence-rwe-to-quantify-unmet-needs-in-diabetes-management
#7
R Charter, A Yeung, M Smith, C Hopley
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27972141/real-world-evidence-rwe-to-enhance-value-based-market-access-of-the-pcsk9-inihibitors-in-italy-treatment-patterns-and-cv-related-hospitalizations-among-high-risk-hefh-and-secondary-prevention-patients-in-three-real-world-data-systems
#8
E Pessina, L Degli Esposti, F Lapi, A P Maggioni, C Uslenghi
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27964759/voluntary-resistance-wheel-exercise-from-mid-life-prevents-sarcopenia-and-increases-markers-of-mitochondrial-function-and-autophagy-in-muscles-of-old-male-and-female-c57bl-6j-mice
#9
Zoe White, Jessica Terrill, Robert B White, Christopher McMahon, Phillip Sheard, Miranda D Grounds, Tea Shavlakadze
BACKGROUND: There is much interest in the capacity of resistance exercise to prevent the age-related loss of skeletal muscle mass and function, known as sarcopenia. This study investigates the molecular basis underlying the benefits of resistance exercise in aging C57BL/6J mice of both sexes. RESULTS: This study is the first to demonstrate that long-term (34 weeks) voluntary resistance wheel exercise (RWE) initiated at middle age, from 15 months, prevents sarcopenia in selected hindlimb muscles and causes hypertrophy in soleus, by 23 months of age in both male and female C57BL/6J mice...
December 13, 2016: Skeletal Muscle
https://www.readbyqxmd.com/read/27884846/real-world-evidence-studies-into-treatment-adherence-thresholds-for-intervention-and-disparities-in-treatment-in-people-with-type-2-diabetes-in-the-uk
#10
Andrew McGovern, William Hinton, Ana Correa, Neil Munro, Martin Whyte, Simon de Lusignan
PURPOSE: The University of Surrey-Lilly Real World Evidence (RWE) diabetes cohort has been established to provide insights into the management of type 2 diabetes mellitus (T2DM). There are 3 areas of study due to be conducted to provide insights into T2DM management: exploration of medication adherence, thresholds for changing diabetes therapies, and ethnicity-related or socioeconomic-related disparities in management. This paper describes the identification of a cohort of people with T2DM which will be used for these analyses, through a case finding algorithm, and describes the characteristics of the identified cohort...
November 24, 2016: BMJ Open
https://www.readbyqxmd.com/read/27843789/real-world-evidence-an-indian-perspective
#11
REVIEW
Amit Dang, B N Vallish
Randomized controlled trials (RCTs) are the gold standard for measuring the safety and efficacy of drugs. However, they are being challenged by payers and health care providers since they are looking for real world evidence (RWE) to validate whether the new intervention provides similar safety and efficacy as reported in RCT data. RWE uses real world data (RWD) to generate insight, foresight, and explorative findings on diseases, products, and patient populations. There are varied sources of RWD such as administrative data, large pragmatic trials, registries, electronic health records, and health surveys...
October 2016: Perspectives in Clinical Research
https://www.readbyqxmd.com/read/27456701/is-real-world-evidence-influencing-practice-a-systematic-review-of-cprd-research-in-nice-guidances
#12
Jessie O Oyinlola, Jennifer Campbell, Antonis A Kousoulis
BACKGROUND: There is currently limited evidence regarding the extent Real World Evidence (RWE) has directly impacted the health and social care systems. The aim of this review is to identify national guidelines or guidances published in England from 2000 onwards which have referenced studies using the governmental primary care data provider the Clinical Practice Research Datalink (CPRD). METHODS: The methodology recommended by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was followed...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27347219/alternating-periods-of-high-and-low-entropy-neural-ensemble-activity-during-image-processing-in-the-primary-visual-cortex-of-rats
#13
Xiaoyuan Li, Qiwei Li, Li Shi, Liucheng Jiao
The response properties of individual neurons in the primary visual cortex (V1) are among the most thoroughly described in the mammalian central nervous system, but they reveal less about higher-order processes like visual perception. Neural activity is highly nonlinear and non-stationary over time, greatly complicating the relationships among the spatiotemporal characteristics of visual stimuli, local field potential (LFP) signal components, and the underlying neuronal activity patterns. We applied discrete wavelet transformation to detect new features of the LFP that may better describe the association between visual input and neural ensemble activity...
2016: Open Biomedical Engineering Journal
https://www.readbyqxmd.com/read/27265056/application-of-the-relative-wavelet-energy-to-heart-rate-independent-detection-of-atrial-fibrillation
#14
Manuel García, Juan Ródenas, Raúl Alcaraz, José J Rieta
BACKGROUND AND OBJECTIVES: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and a growing healthcare burden worldwide. It is often asymptomatic and may appear as episodes of very short duration; hence, the development of methods for its automatic detection is a challenging requirement to achieve early diagnosis and treatment strategies. The present work introduces a novel method exploiting the relative wavelet energy (RWE) to automatically detect AF episodes of a wide variety in length...
July 2016: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/27164918/hybrid-approach-improves-success-of-chronic-total-occlusion-angioplasty
#15
W M Wilson, S J Walsh, A T Yan, C G Hanratty, A J Bagnall, M Egred, E Smith, K G Oldroyd, M McEntegart, J Irving, J Strange, H Douglas, J C Spratt
OBJECTIVES: Treatment options for coronary chronic total occlusions (CTO) are limited, with low historical success rates from percutaneous coronary intervention (PCI). We report procedural outcomes of CTO PCI from 7 centres with dedicated CTO operators trained in hybrid approaches comprising antegrade/retrograde wire escalation (AWE/RWE) and dissection re-entry (ADR/RDR) techniques. METHODS: Clinical and procedural data were collected from consecutive unselected patients with CTO between 2012 and 2014...
September 15, 2016: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/27152194/molecular-characterization-of-gleason-patterns-3-and-4-prostate-cancer-using-reverse-warburg-effect-associated-genes
#16
Ilinca Georgescu, Robert J Gooding, R Christopher Doiron, Andrew Day, Shamini Selvarajah, Chris Davidson, David M Berman, Paul C Park
BACKGROUND: Gleason scores (GS) 3+3 and 3+4 prostate cancers (PCa) differ greatly in their clinical courses, with Gleason pattern (GP) 4 representing a major independent risk factor for cancer progression. However, Gleason grade is not reliably ascertained by diagnostic biopsy, largely due to sampling inadequacies, subjectivity in the Gleason grading procedure, and a lack of more objective biomarker assays to stratify prostate cancer aggressiveness. In most aggressive cancer types, the tumor microenvironment exhibits a reciprocal pro-tumorigenic metabolic phenotype consistent with the reverse Warburg effect (RWE)...
2016: Cancer & Metabolism
https://www.readbyqxmd.com/read/27042763/abnormalities-in-diffusional-kurtosis-metrics-related-to-head-impact-exposure-in-a-season-of-high-school-varsity-football
#17
Elizabeth M Davenport, Kalyna Apkarian, Christopher T Whitlow, Jillian E Urban, Jens H Jensen, Eliza Szuch, Mark A Espeland, Youngkyoo Jung, Daryl A Rosenbaum, Gerard A Gioia, Alexander K Powers, Joel D Stitzel, Joseph A Maldjian
The purpose of this study was to determine whether the effects of cumulative head impacts during a season of high school football produce changes in diffusional kurtosis imaging (DKI) metrics in the absence of clinically diagnosed concussion. Subjects were recruited from a high school football team and were outfitted with the Head Impact Telemetry System (HITS) during all practices and games. Biomechanical head impact exposure metrics were calculated, including: total impacts, summed acceleration, and Risk Weighted Cumulative Exposure (RWE)...
December 1, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27003547/using-certification-to-promote-uptake-of-real-world-evidence-by-payers
#18
Jodi B Segal, Joel D Kallich, Emma R Oppenheim, Louis P Garrison, Sheikh Usman Iqbal, Marla Kessler, G Caleb Alexander
Most randomized controlled trials are unable to generate information about a product's real-world effectiveness. Therefore, payers use real-world evidence (RWE) generated in observational studies to make decisions regarding formulary inclusion and coverage. While some payers generate their own RWE, most cautiously rely on RWE produced by manufacturers who have a strong financial interest in obtaining coverage for their products. We propose a process by which an independent body would certify observational studies as generating valid and unbiased estimates of the effectiveness of the intervention under consideration...
March 2016: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/26876874/effects-of-extraction-methods-on-the-yield-chemical-structure-and-anti-tumor-activity-of-polysaccharides-from-cordyceps-gunnii-mycelia
#19
Zhen-Yuan Zhu, Fengying Dong, Xiaocui Liu, Qian Lv, YingYang, Fei Liu, Ling Chen, Tiantian Wang, Zheng Wang, Yongmin Zhang
This study was to investigate the effects of different extraction methods on the yield, chemical structure and antitumor activity of polysaccharides from Cordyceps gunnii (C. gunnii) mycelia. Five extraction methods were used to extract crude polysaccharides (CPS), which include room-temperature water extraction (RWE), hot-water extraction (HWE), microwave-assisted extraction (MAE), ultrasound-assisted extraction (UAE) and cellulase-assisted extraction (CAE). Then Sephadex G-100 was used for purification of CPS...
April 20, 2016: Carbohydrate Polymers
https://www.readbyqxmd.com/read/26856623/impact-of-protein-rich-meals-on-glycaemic-response-of-rice
#20
RANDOMIZED CONTROLLED TRIAL
Rina Quek, Xinyan Bi, Christiani Jeyakumar Henry
Asians typically consume carbohydrate-rich and high-glycaemic-index diets that have been associated with an increased risk of developing type 2 diabetes. Rice is rarely eaten alone such that it is of interest to investigate the effects of co-ingesting different protein-rich meals with rice on insulin and glycaemic response. This study had a randomised, controlled, non-blind, cross-over design in which fifteen healthy Chinese male participants were required to come on non-consecutive days. Five rice-based test meals were served: rice alone (control), rice with fish (RWF), rice with egg white (RWE), rice with soya beancurd (taukwa) (RWT) and rice with chicken (RWC)...
April 14, 2016: British Journal of Nutrition
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