ISPOR Seventh Annual European Congress
24-26 October 2004, CCH Congress Centrum Hamburg, Hamburg, Germany

 PROGRAM - Tuesday, October 26, 2004

7.30 –8.45

Roundtable Discussions
 
Coffee Sponsored by MEDTAP International  
 

Requirements for Economic Information: International Comparisons

Discussion Leader: Anita Burrell, MA, MBA, Director, Global Health Outcomes & Research of Outcomes, Aventis Pharma, Bridgewater, NJ, USA

This session will discuss the growing international requirements for the provision of economic information for new active substances (NAS). An overview of the data requirements for the National Institute for Clinical Excellence in the UK will be compared with the data requested in the Academy of Managed Care Pharmacy (AMCP) dossier used by Managed Care Organisations (MCO's) in the USA. The impact of meeting the data requirements will be the focus of a lively discussion with the attendees. 

Naturalistic Studies: An Alternative to Randomized Clinical Trials (Rcts)?

Discussion Leader: J. Jaime Caro, MDCM, FRCPC, FACP, Scientific Director, Caro Research Institute, Concord, MA, USA

This session will focus on naturalistic study designs and randomized clinical trials to discuss whether RCTs are the only way to evaluate new medical technologies and whether there are appropriate alternatives to better capture the real world dimensions of the patients' response to medical treatment.
 

Providing Relevant Health Economics Evidence for Innovative Pharmaceuticals: What Can Be Delivered When?
 

Discussion Leader: Jens Grueger PhD
, Global Head, Pricing & Health Economics, Novartis Pharma AG, Basel, Switzerland

Most major markets require comprehensive evidence of the value of innovative pharmaceuticals, either for market access, for formulary listing or for provision of guidance on the appropriate use of the pharmaceutical. Manufacturers are making efforts to provide this data, however, there are methodological and logistic limitations as to what data can realistically be generated as part of the phase III trial program. While phase IIIb studies offer more flexibility, they are still not "naturalistic", and the size and duration of these trials is often not sufficient to answer questions about long-term effectiveness of new drugs, specifically for chronic therapies. Some degree of modelling of trial outcomes beyond trial duration, and in other clinical settings or against additional comparators will be required to augment the clinical trial data. We will discuss how to optimise the generation of policy relevant value evidence! and processes to make sure that this data can be used to update market access decisions as new data becomes available. 

Commissioning and Supervising Studies for Outcomes Research: Challenges of External International Collaboration

Discussion Leader: Anne Marciniak MD, MPhil, MSc, MBA, Director, Worldwide Outcomes Research, Pfizer Ltd., Sandwich, Kent, UK

Outcomes Research projects often involved the complex collaboration of researchers from multiple disciplines, horizons and countries. For example developing a quality of life instrument for use in multinational clinical trials may involve psychologists, clinicians, sociologists, statisticians, from academia, CRO and industry, across multiple countries. Organising such projects implies choosing the right mix of people and keeping momentum and motivation over long periods of time. It may also give rise to ethical and various other conflicts of interest. Participants will discuss their experience of such projects and share critical components of success.
 

8.00– 9.00

Contributed Poster Presentations – Session II  Viewing (see poster presentations at: http://www.ispor.org/congresses/germany1004/index.asp)
9.00– 9.10

Contributed Research Poster Presentation Awards Presentation

9.10 10.30 Third Plenary Session

“GREYING SOCIETIES – CHALLENGES FOR OUTCOMES RESEARCH, QOL-RESEARCH AND HEALTH ECONOMICS”

Moderator:
Wolfgang Greiner PhD, Associate Professor, University of Hannover, Hannover, Germany

Aging Population – Burden or Blessing?
Speaker: Alan Williams, Professor, University of York, Heslington, UK


Trends and Implications for Outcomes Research
Speaker: Clemens Tesch-Roemer, Professor, German Center Gerontology, Germany


Challenges for outcomes research
Speaker:
Stefan Felder, Professor, University of Magdeburg, Magdeburg, Germany
 
10.30 10.45
Break - Coffee Sponsored by MEDTAP International  
10.45 11.45 Contributed Podium Presentations - Session IV (4 podium groups with 4 presentations per group)
 

Neurological/Pain 

Moderator: Mike Aristides MSc, Director, M-TAG Limited, London, UK 

NP1 HEALTH-RELATED QUALITY OF LIFE IN NEUROMUSCULAR DISEASES
Spottke EA
1, Mylius V2, Claus D3, Grothe C1, Heuss D4, Kiefer R5, Klockgether T1, Schrank B6, Schröder R1, Vielhaber S7, Walbert T1, Dodel R1, Schepelmann K2, 1Friedrich-Wilhelms-University, Bonn, Germany; 2Philipps-University, Marburg, Germany; 3Clinic Darmstadt, Darmstadt, Germany; 4University Erlangen, Erlangen, Germany; 5University Muenster, Muenster, Germany; 6Clinic of Diagnostics, Wiesbaden, Germany; 7Otto-von-Guericke University, Magdeburg, Germany

NP2 COST ASSOCIATED WITH PERSISTENCY AMONG PATIENTS WITH PARTIAL SEIZURE DISORDER SWITCHING TO OXCARBAZEPINE MONOTHERAPY
Lee WC
1, Arcona S2, Thomas SK2, Wang Q1, Hoffmann MS1, Pashos CL3, 1Abt Associates Inc, Bethesda, MD, USA; 2Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA; 3Abt Associates Inc, Cambridge, MA, USA

NP3 A COST-UTILITY MODEL OF TREATMENT OF NEWLY DIAGNOSED EPILEPSY IN GERMANY COMPARING TOPIRAMATE, CARBAMAZEPINE AND VALPROATE
Remák E
1, Steinhoff B2, 1MEDTAP International Inc, London, UK; 2Klinik und Ambulanz für Erwachsene Epilepsiezentrum Kork, Kehl, Germany

NP4 12-MONTHS COSTS OF PARKINSON’S DISEASE IN GERMANY - RESULTS OF A PROSPECTIVE STUDY
Spottke EA
1, Peter H2, Reuther M1, Campenhausen S1, Berger K3, Machat O4, Koehne-Volland R4, Klockgether T1, Oertel WH2, Dodel R1, 1Friedrich-Wilhelms-University, Bonn, Germany; 2Philipps University, Marburg, Germany; 3MERG Medical Economics Research Group, Munich, Germany; 4Metronomia, Munich, Germany

Eye/Ear/Skin

Moderator: Karin Berger MSc, Managing Director, Medical Economics Research Group, Munich, Germany

EE1  SUNBURNS ACCORDING TO GENDER
Guitera P
1, Dubertret L1, Myon E2, Perez N3, Nocera T3, Martin N2, Taieb C2, 1Hopital Saint Louis, Paris, France; 2IRPF, Boulogne-Billancourt, France; 3Avene Dermatological Laboratories, Lavaur, France

EE2  LIVING WITH A DERMATOSIS: A NATIONAL SURVEY OF DEPRESSIVE SYMPTOMATOLOGY IN BELGIUM
Lambert J
1, De la Brassinne M1, Myon E2, Weckx H3, Monnier F3, Martin N2, Taieb C2, 1Royal Belgium Society of Dermatology, Brussels, Belgium; 2Health Economics & Quality of Life Dept, Boulogne-Billancourt, France; 3AVENE Dermatological Laboratories, Brussels, Belgium

EE3  COST-EFFECTIVENESS OF TREATMENT FOR MODERATE-TO-SEVERE PSORIASIS
Hankin CS
1, Feldman SR2, Pearce D2, 1BioMedEcon, San Jose, CA, USA; 2Wake Forest University School of Medicine, Winston-Salem, NC, USA

EE4  COMPARING TREATMENT COSTS ASSOCIATED WITH SCREENING FOR GLAUCOMA VS NOT SCREENING: EVALUATING THE ECONOMIC IMPACT OF THE NEW HEDIS MEASURE
Goldberg LD
1, Walt JG2, Lee J2, 1Goldberg, MD and Associates, Battle Ground, WA, USA; 2Allergan Inc, Irvine, CA, USA

Cost Studies

Moderator: Jacob Drapkin, Director, Reimbursement Systems, Ethicon Endosurgery, Cincinnati, OH, USA

CS1  TEGASEROD IS COST-EFFECTIVE IN THE TREATMENT OF PATIENTS WITH IBS: AN ECONOMIC ANALYSIS OF THE TENOR (TEGASEROD IN NORDIC COUNTRIES) STUDY
Jonsson B
1, Bracco A2, Drummond MF3, Ricci JF2, Nyhlin H4, 1Stockholm School of Economics, Stockholm, Sweden; 2Novartis Pharma AG, Basel, Switzerland; 3University of York, York, UK; 4Ersta Hospital, Stockholm, Sweden

CS2  COST-EFFECTIVENESS OF COMPETING ANTIPSYCHOTIC MONOTHERAPIES IN ACUTE BIPOLAR MANIA IN THE UK
McGarry LJ
1, Thompson D1, Knudsen AP2, Trakas K3, Cookson JC4, Weinstein MC2, 1Innovus Research, Inc, Medford, MA, USA; 2Harvard School of Public Health & Innovus Research, Inc, Boston, MA, USA; 3Johnson & Johnson Pharmaceutical Services L.L.C, Raritan, NJ, USA; 4Royal London, St. Clement’s Hospital, London, England, UK

CS3  IRBESARTAN IS PROJECTED TO BE COST AND LIFE SAVING COMPARED TO STANDARD BLOOD PRESSURE CONTROL ALONE FOR TREATMENT OF PATIENTS WITH TYPE 2 DIABETES, HYPERTENSION, AND MICROALBUMINURIA IN SPANISH, SWEDISH AND SWISS SETTINGS
Palmer AJ
1, Roze S1, Valentine WJ1, Annemans L2, Gabriel S3, Chen R4, 1CORE Center for Outcomes Research, Binningen/Basel, Switzerland; 2HEDM, Meise, Belgium; 3Sanofi-Synthélabo, Bagneux, France; 4Bristol-Myers Squibb, Princeton, NJ, USA

CS4  ANTIPSYCHOTIC PATTERNS AND TREATMENT COST IN FRANCE
Riou-França L
1, Westerloppe J2, Launois R1, 1REES France, Paris, France; 2Bristol-Myers Squibb, Rueil-Malmaison, France

Health Policy II 

Moderator: Matthias von der Schulenburg, Professor, University of Hannover, Hannover, Germany

HP5 WHAT HAPPENS WHEN A PHARMACEUTICAL PRODUCT IS REMOVED OUT OF REIMBURSEMENT?
Le Pen C,
Aremis Consultants and Paris Dauphine University, Paris, France

HP6 MODELLING USE OF HOSPITAL SERVICES AS A FUNCTION OF NEEDS AND SUPPLY IN ITALY
Petrelli A
1, Picariello R1, Costa G2, 1Piedmont Region, Grugliasco (TO), Italy; 2University of Turin, Italy

HP7 STRATEGIES OF PRIORIZATION BASED ON THE SOCIAL WELFARE FUNCTION
Plans-Rubio P,
General Direction of Public Health, Barcelona, Spain

HP8 EXPLAINING THE LACK OF SUCCESS OF GENERIC DRUGS IN BELGIUM: A POLICY PERSPECTIVE
Simoens S
, Laekeman G, Katholieke Universiteit Leuven, Leuven, Belgium
 

 

11.45 13.15 Lunch, Exhibits & Contributed Poster Presentations – Session II (see poster presentations at the ISPOR website page at: http://www.ispor.org/congresses/germany1004/index.asp)
 
Lunch sponsored by Aegisnet  
13.15 14.15

ISPOR Forums

ISPOR MEDICAL DEVICE & DIAGNOSTICS FORUM

HOSPITAL COSTING OF MEDICAL DEVICE THERAPY IN THE DRG ENVIRONMENT
 

Increasingly European health care systems are switching to a DRG based hospital financing system. Even though the rational to introduce DRG based financing systems may differ between the countries all variations of DRG systems do share a common set of features. The introduction of DRGs in Europe will create new challenges and opportunities for providers and purchasers of health care and the health care industry. Europe will best benefit form DRGs if they are willing to learn form countries with a DRG history such as the United States.

 

Moderator: Jenifer Ehreth PhD, Director Reimbursement and Government Affairs, Medtronic Europe, Tolochenaz, Switzerland
 

 

Impact Of DRGs On The Introduction Of New Technologies - Experience From The United States

Speaker: Deborah Williams, MS, Director, United States House of Representatives, Ways and Means Subcommittee on Health, Washington, DC, USA

 

Experiences in the United States with mechanisms to encourage the adoption of new technology in the Diagnosis-Related Group (DRG) environment will be presented.  Both the hospital and the United States government perspectives will be presented.

 

Hospital Incentives Under a DRG System – European Perspectives 
Speaker:
Karl-Peter Pfeiffer MD, Professor, University of Innsbruck, Innsbruck, Austria

Many countries in Europe are implementing DRGs into their health care systemChallenges in providing hospital incentives as well as mechanisms to stimulate adoption of innovation under a DRG system will be discussed.

 

Open Discussion


ISPOR CENTRAL & EASTERN EUROPEAN FORUM (Hall 4)

FORMULARY DEVELOPMENT AND REIMBURSEMENT SYSTEMS IN CENTRAL AND EASTERN EUROPE: CURRENT STATUS AND FUTURE DIRECTION  

This forum will discuss the use of pharmacoeconomics in health care decisions, including formulary development in the public and private sectors and reimbursement systems in Central and Eastern Europe.  

Formulary Development and Reimbursement Systems in Russia
Speaker:
Pavel Vorobiev MD, PhD,
President, ISPOR Russia Chapter and President, Newdiamed, Moscow, Russia    

Formulary Development and Reimbursement Systems in Poland
Speaker:
Aleksander P. Mazurek, President, ISPOR Polish Chapter and Professor, Institute of Public Health, Warsaw, Poland

Formulary Development and Reimbursement Systems in Hungary
Speaker:
Imre Boncz MD, MSc, National Health Insurance Fund Administration, Budapest, Hungary

Formulary Development and Reimbursement Systems in Latvia
Speaker:
Daiga Behmane, Director, Medicines’ Pricing and Reimbursement Agency, Riga, Latvia

Formulary Development and Reimbursement Systems in the Slovak Republic
Speaker:
Angelika Szalayova, Chief of Drug Department, Slovakian Ministry of Health, Kosice, Slovak Republic


Formulary Development and Reimbursement Systems in the Czech Republic

Speaker:
Tomas Sechser MD, Head of Clinical Pharmacology, Institute for Clinical and Experimental Medicine, Prague, Czech Republic


ISPOR RCT-CEA TASK FORCE FORUM

ISPOR TASK FORCE ON DEVELOPING STANDARDS FOR ECONOMIC ANALYSIS ALONGSIDE CLINICAL TRIALS

Co-Chairs: Scott Ramsey MD, PhD, Associate Member, Fred Hutchinson Cancer Research Center, Seattle, WA, USA and Richard Willke PhD, Senior Director, Group Leader, Worldwide Outcomes Research, Pfizer, Inc., Bridgewater, NJ, USA

Task Force Leadership Group Leaders:
Andrew Briggs Dphil, University of Oxford, Health Economics Research Centre, Institute of Health Sciences, Headington, Oxford, UK; Ruth Brown MS, Director, MEDTAP International, London, UK; Martin Buxton PhD, Professor, Brunel University, Health Economics Research Group, Uxbridge, Middlesex, UK; Anita Chawla PhD, Associate Director, Health Economics, Genentech, South San Francisco, CA, USA; John Cook PhD, Director, Merck Research Laboratories, Biostatistics & Research Data Systems Vaccines, Blue Bell PA, USA; Henry Glick PhD, Health Economist, University of Pennsylvania, Division of Internal Medicine, Philadelphia PA ,USA; Jens Grueger PhD, Head of Health Economics Department, Novartis Pharmaceuticals AG, Basel, Switzerland; Bengt Liljas PhD, Market Access Director, AstraZeneca, Lund, Sweden; Diana Petitti MD, Director of Research & Evaluation, Kaiser Permanente, Pasadena, CA,USA; Shelby Reed PhD, Assistant Research Professor, Duke Clinical Research Institute, Durham, NC, USA

During this forum, the draft guidance document for the design, conduct, and reporting of economic analyses that are conducted as part of clinical trials developed by the ISPOR Randomized Clinical Trial - Cost Effectiveness Analysis (RCT-CEA) Task Force will be presented. The ISPOR Task Force was formed to develop a document that would enhance the credibility and usefulness of cost-effectiveness analyses to decision-makers worldwide. The following topics are presented in this draft document: Introduction & Rationale for Standards in Economic Analysis Alongside Clinical Trials, Trial Design Issues, Choosing Data Elements, Database Design Issues, Analysis of Data, Reporting The Results, Research Agenda For Methods And Reporting. A Question and Answer period will follow.

 

14.00

Contributed Research Podium Presentation Awards Posted

14.15 14.30 Break 
Coffee Sponsored by MEDTAP International  
14.30 15.30 Contributed Workshops III (5 workshops in 5 categories)
 

Clinical study methodology issues including pharmacoepidemiology (COS)

W15: PARAMETRIC SURVIVAL MODELS AND DECISION MODELS: RELATING CONTINUOUS HAZARDS TO DISCRETE-TIME TRANSITION PROBABILITIES
Briggs A
HERC - University of Oxford, Oxford, UK

 

Compliance issues (CMP)

W16: ESTIMATING MEDICATION PERSISTENCY USING ADMINISTRATIVE CLAIMS DATA
Sikka R1, Aubert R2
1Boston University School of Medicine, Boston, MA, USA; 2Medco Health Solutions, Franklin Lakes, NJ, USA

 

Cost study methodology issues (CS)

W17: PROPENSITY SCORE METHODS AND OTHER SAMPLE SELECTION MODELS: AN APPLIED EXAMPLE USING RETROSPECTIVE ADMINISTRATIVE CLAIMS DATA
Schultz J1, Riedel AA1, Crown WH2, Harley C1
1Ingenix Pharmaceutical Services, Eden Prairie, MN, USA; 2Ingenix, Auburndale, MA, USA

 

Health care policy development issues using outcomes research (HP)

W18: USE AND INTEGRATION OF FREELY AVAILABLE U.S. PUBLIC USE FILES TO ANSWER PHARMACOECONOMIC QUESTIONS: DECIPHIRING THE ALPHABET SOUP

Cisternas M, Noe L

Ovation Research Group, Highland Park, IL, USA

Risk assessment/risk management issues (RK)

W19: TOWARDS A MORE EFFICIENT CLINICAL DEVELOPMENT PROCESS WITH SCENARIO ANALYSES
Van Loon J1, Van Genugten ML1, Piercy J2, Postma MJ3
1Mapi Values, Houten, The Netherlands; 2Adelphi Group, Bollington, UK; 33University of Groningen, Groningen, The Netherlands
 

15.30 15.45 Break
Coffee Sponsored by MEDTAP International  
15.45 16.45 Contributed Workshops IV (5 workshops in 4 categories)
 

 

W20: DISEASE REGISTRIES: TRICKS AND TIPS IN THE ANALYSIS OF OBSERVATIONAL DATA
Silva SJ, Pasta DJ, Miller DP
Ovation Research Group, San Francisco, CA, USA

 

Cost study methodology issues (CS)

W21: THE ANALYSIS OF INCOMPLETE (COST) DATA – THE APPROPRIATENESS OF AVAILABLE METHODS IN DIFFERENT SITUATIONS
Oostenbrink JB, Al MJ
Erasmus MC, Rotterdam, The Netherlands

 

Formulary development research issues (FS)

W22: COMMUNICATING THE VALUE: DEVELOPING MESSAGES FOR PAYERS
Lucero M, Neighbors D
RTI Health Solutions, Research Triangle Park, NC, USA

 

Health care policy development issues using outcomes research (HP)

W23: NEW CONCEPTS OF CAUSAL INFERENCE IN MEDICAL DECISION MAKING AND OUTCOMES RESEARCH
Siebert U

Harvard Medical School, Boston, MA, USA

 

Health care policy development issues using outcomes research (HP)

W24: INFECTIOUS-DISEASES-RELATED BIOTERRORISM AND PANDEMIC THREATS: ASSESSING PHARMACOECONOMIC IMPACTS AND COST-EFFECTIVENESS OF RESPONSES
Bos JM1, Versmoren DR2, Mesrobian X3, Van Genugten ML4, Postma MJ2
1The Netherlands Vaccine Institute, Bilthoven, Utrecht, The Netherlands; 2University of Groningen, Groningen, The Netherlands; 3MAPI values, Boston, MA, USA; 4MAPI values, Houten, Utrecht, The Netherlands


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