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The EUnetHTA perspective on the HTA database

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Presentation at HTAi Annual meeting 2017, panel session "Rescuing the HTA database – future options and challenges"

A central, international database for HTA reports and other HTA products is considered to be a vital source of information for healthcare researchers and stakeholders. The current HTA database, which contains over 15,000 documents submitted by numerous HTA agencies, was originally established by the International Network of Agencies for Health Technology Assessment (INAHTA) in 2007 and is available on the website of the UK Centre for Reviews and Dissemination (CRD). The database has so far been funded by the UK National Institute for Health Research (NIHR). Its existence is however endangered as future funding is unclear. If no alternative is found, it will no longer be maintained and only an archived version will be available. There would thus no longer be a single access point to HTA reports.
Previous research has indicated that more than 75% of HTA agencies use the HTA database and more than half adapt common HTA products from reports produced by other agencies.1 The lack of an HTA database would have a direct impact on these activities. Smaller HTA agencies would be particularly affected, as they often have insufficient resources to produce their own reports and rely on reports from larger agencies. The wider consequences should also be considered: for instance, the decreasing visibility of HTA reports would diminish their relevance. It may also become more difficult to establish collaborations between HTA agencies. The problem would thus affect the whole HTA community.
Often, however, a crisis also offers opportunities. The establishment of a new HTA database should include a re-evaluation of its structure and technical functions (e.g. inclusion of ongoing projects).

Structure of the session: Short presentations will be held to provide an overview of the different perspectives of the various HTA agencies and networks currently involved in the discussions on the future of the HTA database. The panel will focus on the initiatives to rescue the database and present the options for funding, hosting, structure and technical functions. There will also be a guided discussion on the possible solutions presented and the challenges faced.

Panel/Workshop outcome and objectives: At the end of the session, participants should be aware of the overall importance of the HTA database, the current status quo, and the potential features of a future HTA database.


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The EUnetHTA perspective on the HTA database

  1. 1. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu The EUnetHTA perspective Rescuing the HTA database – future options and challenges HTAi 2017 Annual Meeting Rome, Italy June 17-21, 2017 Patrice X. Chalon, coordinator of the EUnetHTA Work Package 6 Activity Centre B “Scientific guidance and tools”
  2. 2. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu 2 EUNETHTA EUNETHTA AND THE HTA DATABASE TECHNICAL OPTION CONCLUSION
  3. 3. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu 3 The European network for Health Technology Assessment (EUnetHTA) Network: 81 partners consisting of national, regional and non-for- profit agencies that produce or contribute to HTA Project Coordinator: Dutch National Health Care Institute (ZIN) Funded by: 2006-2008: Project 2010-2012: Joint Action 1 2012-2015: Joint Action 2 2016-2020: Joint Action 3
  4. 4. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu EUnetHTA objectives To produce high quality HTA joint assessments To favor uptake and implementation of joint HTA work at the national, regional and local level and therefore reduce duplication of efforts and enhance efficiency To build a sustainable network JA3
  5. 5. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu 5 EUnetHTA Outputs Assessments • 23 published (since 2006) • 7 ongoing Tools • EUnetHTA Evidence Submission Templates • HTA Adaptation toolkit • HTA Core Model® • POP database • EVIDENT database Methods • 1 Procedure manual • 14 Methodological guidelines • 1 Concept paper
  6. 6. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu EUnetHTA Assessments 1. Health problem and current use of technology (CUR) 2. Description and technical characteristics of technology (TEC) 3. Safety (SAF) 4. Clinical effectiveness (EFF) 5. Costs and economic evaluation (ECO) 6. Ethical analysis (ETH) 7. Organisational aspects (ORG) 8. Patients and Social aspects (SOC) 9. Legal aspects (LEG) Core assessments Rapid Relative Effectiveness Assessments 1. Health problem and current use of technology (CUR) 2. Description and technical characteristics of technology (TEC) 3. Safety (SAF) 4. Clinical effectiveness (EFF) 5. Costs and economic evaluation (ECO) 6. Ethical analysis (ETH) 7. Organisational aspects (ORG) 8. Patients and Social aspects (SOC) 9. Legal aspects (LEG) 1-4 Rapid REA model 6-9 Replaced by checklists Sources: https://meka.thl.fi/htacore/model/HTACoreModel3.0.pdf; http://meka.thl.fi/htacore/model/HTACoreModel_ForRapidREAs4.2.pdf JA3
  7. 7. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu 7 EUNETHTA EUNETHTA AND THE HTA DATABASE TECHNICAL OPTION CONCLUSION
  8. 8. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu Description of ongoing projects 8 Sharing information about planned projects helps to identify topics that may could result in a EUnetHTA Joint / Collaborative assessment Some EUnetHTA partners may not make their research program public EUnetHTA developed its own tool: the Planned and Ongoing Projects database (POP DB) EUnetHTA and CRD have been in contact to evaluate the options for interoperability between EUnetHTA POP DB and HTA DB (public ongoing projects)
  9. 9. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu Description of reports Sharing information about published reports (national or EUnetHTA assessments) at international level is considered as a priority for EUnetHTA CRD HTA DB being existing and well established, EUnetHTA did not planned to develop a database describing published reports but invited its partners to provide content to the HTA DB 9
  10. 10. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu INAHTA initiative • EUnetHTA does not participate as such, but EUnetHTA partners were encouraged to participate in the consortium 10 • EUnetHTA participates in the task group 1. HTA database should keep the MeSH indexation 2. HTA database should allow to avoid multiple encoding of the same information Consortium Task group
  11. 11. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu 11 EUNETHTA EUNETHTA AND THE HTA DATABASE OPTION 3: INSTITUTIONAL REPOSITORY PLATFORM (OAI-PMH COMPLIANT) CONCLUSION
  12. 12. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu Similar to current functionalities 12 Search Access
  13. 13. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu Option 3 : Expected added value Automatic dissemination to other grey literature aggregators Reduce burden 13 Favour immediacy Option for the “long term” archiving of HTA reports
  14. 14. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu Protocol “OAI-PMH” = Client - server principle 14 Client (HARVEST meta data) Server (EXPOSE meta data) Sync 1 IMPORT 2 ˗ Open Archives Initiative – Protocol for Metadata Harvesting (OAI-PMH) FOR DUMMIES
  15. 15. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu Protocol “OAI-PMH” = Client - server principle 15 Server (EXPOSE meta data) Client (HARVEST meta data) Sync 1 IMPORT 2 ˗ Open Archives Initiative – Protocol for Metadata Harvesting (OAI-PMH) FOR DUMMIES
  16. 16. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu HTA DB: Actors and roles 16 Disseminate reports description Ensure HTA db brokering Identify HTA reports
  17. 17. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu HTA DB feeding: legacy situation 17 1 MeSH Abstract Encode (1st) 3 Use (Search) Search Access 2 HTA DB Encode (2nd) MeSH Abstract
  18. 18. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu HTA DB feeding: Option 3 18 1 MeSH Abstract Encode (once) 2 HTA DB Meta data Import (automatic) 3 Use (Search) Search Access
  19. 19. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu Option 3 : Expected added value Automatic dissemination to other grey literature aggregators Reduce burden 19 Favour immediacy Option for the “long term” archiving of HTA reports
  20. 20. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu 20 EUNETHTA EUNETHTA AND THE HTA DATABASE TECHNICAL OPTION CONCLUSION
  21. 21. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu EUnetHTA plans for the HTA DB • If this content type is maintained at the HTA DB, contacts will be pursued to avoid multiple encoding of the same information • EUnetHTA wish the HTA DB to include the description of EUnetHTA assessments to help to reduce the global duplication of efforts and support the global HTA community Description of projects Description or reports
  22. 22. European network for Health Technology Assessment | JA3 2016-2020 | www.eunethta.eu Towards An HTA Ecosystem: From Local Needs To Global Opportunities
  23. 23. European network for Health Technology Assessment | JA2 2016-2020 | www.eunethta.eu Thank you! Visit us at https://www.eunethta.eu This presentation arises from the EUnetHTA Joint Action 3 which has received funding from the European Union, in the framework of the Health Programme

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