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                                Current & archive

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                                Identification of ineffective interventions and technologies Existing models and their implementation

                                Due to rising health care costs, limited resources and the fact that many interventions and technologies currently in use have never been systematically assessed regarding effectiveness, cost-effectiveness and safety, active identification of ineffective interventions and technologies is gaining importance.

                                This systematic analysis of 8 already implemented models for the identification of ineffective interventions and technologies highlights existing commonalities between these models as well as general challenges that arise from the development and implementation of such models.

                                Publication: LBI-HTA Projektbericht Nr. 68: https://eprints.aihta.at/1014

                                Contakt: Julia Mayer

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                                Mental Health Rehabilitation for Children and Adolescents – Systematic overview of evaluation outcomes and instruments

                                ‘Mental Health Rehabilitation’ (MHR) for children and adolescents cover a wide range of psychosocial measures. The primary project aim was to collect and analyse evaluation indicators and instruments for MHR-programmes for children and adolescents. Within the context of a systematic literature search, we identified 6 studies involving 5 evaluation indicators (clinical symptoms, quality of life, functionality, rehabilitation process and rehabilitation satisfaction). In total, we described 21 instruments for outcome assessment; most of the instruments have been used in assessments across various mental health disorders affecting children and adolescents (‘generic tools’).
                                 
                                Publication: LBI-HTA Project report No. 67: https://eprints.aihta.at/1012/

                                Contact: Roman Winkler
                                 

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                                Zostavax® for the prevention of herpes zoster and postherpetic neuralagia. Pilot assessment using the draft HTA Core Model for Rapid Relative Effectiveness Assessment. Pilot-ID: WP-SA-1

                                Herpes Zoster (Shingles) primarily occurs in people over 50 years old. The disease is hardly lethal, however, it is often associated with long-term pain (postherpetic neuralgia) and decreased quality of life. Since 2006, a vaccine against Herpes Zoster (Zostavax®) has been licensed for persons aged 50+. Completed studies so far have shown that vaccination decreases Herpes Zoster incidence, however, the benefit for patients in terms of quality of life or long-term pain is unclear. Moreover, the vaccine’s efficacy in terms of Herpes Zoster incidence decreases substantially with age. Overall mortality and hospital admissions on a population level won’t be reduced with vaccination. Because safety data have indicated an increased risk for severe adverse events in people over 80 years of age after vaccination, members of this age group should rigorously weigh benefit against risks.

                                Publication: Decision Support Document Nr. 73: https://eprints.aihta.at/1013/

                                Contact: Ingrid Zechmeister-Koss

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                                Horizon Scanning in Onkology - Reports

                                We are pleased to introduce two new HSO reports.

                                DSD HSO No. 39
                                Pomalidomide (Pomalyst®) for the ? 3rd-line therapy of patients with relapsed and refractory multiple myeloma

                                DSD HSO No. 40
                                Regorafenib (Stivarga®) for heavily pretreated patients with metastatic colorectal cancer (mCRC)

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                                202

                                Horizon Scanning in Onkology - Reports

                                We are pleased to introduce our new HSO report.

                                DSD HSO No. 38
                                Aflibercept (Zaltrap®) in addition to FOLFIRI for the 2nd line therapy of metastatic colorectal cancer

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                                Cervical cancer screening: p16/KI-67 Dual Stain test (CINtec® PLUS) in the triage of equivocal results or mild to moderate dysplasia in pap cytology

                                Each year around 30 000 women in Austria receive a PAPIII or PAPIIID cytology result during routine cervical cancer screening. Roughly equivalent to ASC-US or LSIL cytology, the risk of progression to cancer for these patients is unclear and requires further diagnostic investigation: for many of the women the ensuing procedures and potential adverse effects turn out to be unnecessary. The p16/Ki-67 Dual Stain test (CINtec® PLUS) claims to improve the triage of these women. In a systematic review though we could not identify sufficient evidence to support the utility of the p16/Ki-67 Dual Stain test in the triage of equivocal or mild to moderate dysplasia results in Austria.

                                Publication: LBI-HTA Project report No. 72: https://eprints.aihta.at/1009/

                                Contact: Agnes Kisser

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