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Lookup NU author(s): Kim Keltie,
Dr Andrew Sims
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).
© 2016 Fellowship of Postgraduate Medicine Objectives To review the progression decisions for notifications considered at National Institute of Health and Care Excellence (NICE) Medical Technology Advisory Committee (MTAC) meetings during its first three years (2010–2013) to identify trends. Methods The list of medical devices discussed at committee, briefing notes, committee decisions, and non-progression letters, where applicable, were obtained from NICE. Each medical device presented to committee was classified using five different medical device categorisation systems. Trends in progression decision, scores against programme selection criteria over time, and reasons provided by committee to support the non-progression decision, were analysed. Results Between January 2010 and March 2013 31 MTAC meetings were held. Of the 110 medical technologies considered, 45 were given a progression decision (23 selected for Medical Technologies Guidance development, 22 routed for guidance development in other NICE programmes), 64 did not progress to guidance development and 1 was excluded from analysis whilst awaiting final committee decision. The six programme categories and total scores were not sensitive or specific predictors of progression to guidance decision. No significant change in the proportion selected for progression over time was observed (P>0.05). No compelling evidence of an association between the type of medical device and progression decision was found. Fifteen distinct reasons for non-progression were identified; ‘lack of evidence’ being provided in the majority, 93.8%, of cases. Conclusions During its first three years, MTAC׳s progression decisions for guidance development on medical technologies were not associated with device type and there is no evidence of changes over time.
Author(s): Keltie K, Bousfield DR, Cole H, Sims AJ
Publication type: Article
Publication status: Published
Journal: Health Policy and Technology
Print publication date: 01/09/2016
Online publication date: 01/04/2016
Acceptance date: 01/01/1900
Date deposited: 20/04/2017
ISSN (print): 2211-8837
ISSN (electronic): 2211-8845
Publisher: Elsevier B.V.
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