Development of a core minimum data set to advance real-world evidence generation for uterine fibroids treatment technologies.

Delphi Device Surveillance Obstetrics and Gynecology Devices Real World Evidence Women's Health

Journal

BMJ surgery, interventions, & health technologies
ISSN: 2631-4940
Titre abrégé: BMJ Surg Interv Health Technol
Pays: England
ID NLM: 101764673

Informations de publication

Date de publication:
2022
Historique:
received: 07 05 2021
accepted: 13 05 2022
entrez: 17 11 2022
pubmed: 18 11 2022
medline: 18 11 2022
Statut: epublish

Résumé

The accumulation of data through a prospective, multicenter coordinated registry network (CRN) is a robust and cost-effective way to gather real-world evidence on the performance of uterine fibroids treatment technologies for device-based and intervention-based studies. To develop the CRN, a group of uterine fibroids experts, consisting of representatives from professional societies, the US Food and Drug Administration, academia, industry, and the patient community, was convened to discuss the role and feasibility of the CRN and to identify the core data elements needed to assess uterine fibroid treatment technologies. A Delphi method approach was employed to achieve consensus on a core minimum data set for the CRN. A series of surveys were sent to the panel and answered by each expert anonymously and individually. Results from the surveys were collected, collated, and analyzed by a study design team from Weill Cornell Medicine. Questions for the next round were based on the analysis process and discussed with group members via a conference call. This process was repeated twice over a 3-month time period until consensus was achieved. Twenty-nine experts participated in the Delphi surveys, which began with an initial list of 200 data elements. The working group reached final consensus on 97 data elements capturing patient medical history, imaging data, procedure-related data, post-procedure data, and long-term follow-up data. The CRN successfully convened an expert panel on uterine fibroids treatment technologies and used the Delphi method to produce a consensus-based core set of data elements. These identified data elements include important outcomes related to efficacy and safety and thus, influence patient, provider, and regulatory decision-making about treatments for uterine fibroids. Finally, the core data elements provide the foundation of the infrastructure needed for the CRN that will allow for the comparative study of uterine fibroid treatment devices and technologies.

Identifiants

pubmed: 36393887
doi: 10.1136/bmjsit-2021-000094
pii: bmjsit-2021-000094
pmc: PMC9660574
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e000094

Subventions

Organisme : FDA HHS
ID : U01 FD006936
Pays : United States

Informations de copyright

© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Courtney E Baird (CE)

Health Services, Policy, and Practice, Brown University School of Public Health, Providence, Rhode Island, USA.
Population Health Sciences, Weill Cornell Medicine, New York, New York, USA.

Evan Myers (E)

Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina, USA.

Vanessa Jacoby (V)

Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco, California, USA.

Laura Elisabeth Gressler (LE)

Department of Pharmaceutical Evaluation and Policy, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

Sateria Venable (S)

The Fibroid Foundation, Bethesda, Maryland, USA.

Allison O'Neill (A)

Center for Devices and Radiological Health, United States Food and Drug Administration, Silver Spring, Maryland, USA.

Veronica Price (V)

Center for Devices and Radiological Health, United States Food and Drug Administration, Silver Spring, Maryland, USA.

Angie Lee (A)

Center for Devices and Radiological Health, United States Food and Drug Administration, Silver Spring, Maryland, USA.

Jason Roberts (J)

Center for Devices and Radiological Health, United States Food and Drug Administration, Silver Spring, Maryland, USA.

Sharon Andrews (S)

Center for Devices and Radiological Health, United States Food and Drug Administration, Silver Spring, Maryland, USA.

Art Sedrakyan (A)

Healthcare Polcy and Research, Weill Cornell Medical College, New York, New York, USA.

Danica Marinac-Dabic (D)

Center for Devices and Radiological Health, United States Food and Drug Administration, Silver Spring, Maryland, USA.

Classifications MeSH