Monday, May 20, 2002
7:00-8:00 AM    Early Bird Forum
  "AMCP FORMAT FOR FORMULARY SUBMISSIONS: WHO IS USING THEM, WHO WILL BE EVALUATING THEM, AND WHAT REGULATORY CONCERNS DO THEY RAISE"

Since AMCP published its guidance, "A Format for Submission of Clinical and Economic Data in Support of Formulary Consideration by Managed Health Care Systems in the United States", a number of health plans and PBMs have adopted it. This session will focus on how this guidance is being used, who will be evaluating it, and possible regulatory concerns about its use.
7:00-7:10 AM Moderator: Dell Mather PharmD, Senior Director, Pharmacotherapy Assessment & Policy, Prime Therapeuti
7:10-7:20 AM Who Is Using Them
Speaker: Peter M. Penna PharmD, President, PM Penna LLC, Seattle, Washington, USA and AMCP Officer
7:20-7:30 AM Regulatory Concerns
Speaker: Laurie Beth Burke RPh, MPH, Chief, Regulatory Review Branch, FDA, CDER, DDMAC, Rockville, MD, USA
7:30-8:00 AM Panel Discussion and Audience Participation
 
8:00-8:30 AM Welcome
 
Peter Neumann ScD, ISPOR Annual Meeting Program Chair and Assistant Professor of Policy & Decision Sciences, Harvard School of Public Health, Boston, MA, USA

Presidential Address
Eva Lydick PhD, ISPOR 2001-2002 President and Director of Epidemiology, AstraZeneca, Wilmington, DE, USA

Presentation: ISPOR Avedis Donabedian Outcomes Research Lifetime Achievement Award & ISPOR Research Excellence Awards
 
8:30-10:00 AM First Plenary Session
  “Uses and Users of Outcomes Research: Meeting the Critical Needs?”
This session will consider the different needs of users of outcomes research (clinicians, payors, policymakers, patients, and study sponsors) and how outcomes research studies are used. Case studies will illustrate helpful and less helpful examples of these analyses and their applications. Particular attention will be paid to the perspective of the clinician in reading and acting on the results of outcomes research in making prescribing decisions. Discussants will address the particular role of (1) government in making coverage decisions, supporting and disseminating pharmaceutical outcomes research and (2) patients in making decisions to pay or not to pay for prescribed therapy.

Moderator: Sandy Schwartz MD, Professor of Medicine and Health Management and Economics, University of Pennsylvania, School of Medicine and Wharton School, Philadelphia, PA, USA

Outcomes Research and the Clinician’s Perspective
Speaker: Jerry Avorn MD, Associate Professor, Harvard Medical School, Boston, MA, USA

The Role of Government
Discussant: Deborah Zarin MD, Director, Technology Assessment Program, Agency for Healthcare Research and Quality, US Department of Health & Human Services, Rockville, MD, USA

The Role of Patients
Discussant: Edwin Hedblom PharmD, Chief Pharmacy Officer – AARP Pharmacy Division, UnitedHealth Group, Minnetonka, MN, USA

Questions and Audience Participation

 
10:00-10:30 AM Exhibits & Poster Presentations - Session I
  Coffee Breaks Sponsored by JeSTARx
10:30-12:00 PM Concurrent Podium Sessions (4 Sessions)
Pharmacoeconomic/health economic, quality-of-life and outcomes research study results for the following diseases will be presented
 
CARDIOVASCULAR DISEASE/DISORDERS I
Moderator: Gregory Hess MD, MBA, Consultant, Wayne, PA, USA
CV1 NONCOMPLIANCE WITH STATIN THERAPY: LOST CLINICAL BENEFITS AND IMPLICATIONS FOR COST-EFFECTIVENESS
Benner JS1, Ganz DA1, Weinstein MC2, Neumann PJ2, Glynn RJ1, Avorn J1, 1Brigham and Women's Hospital / Harvard Medical School, Boston, MA, USA; 2Harvard School of Public Health, Boston, MA, USA
CV2 OUTCOMES AND COSTS OF ISCHEMIC COMPLICATIONS AND BLEEDING IN PATIENTS UNDERGOING PERCUTANEOUS CORONARY INTERVENTIONS
Delea TE1, Plent S2, Edelsberg JS1, Oster G1, 1PAI, Brookline, MA, USA; 2The Medicines Company, Cambridge, MA, USA
CV3 LONG-TERM COSTS AND CLINICAL CONSEQUENCES OF DIFFERENT LEVELS OF 2-HOUR POST PRANDIAL BLOOD GLUCOSE IN NON-DIABETES PATIENTS
Palmer AJ, Roze S, Foos V, Lurati FM, Hirini S, CORE Center for Outcomes Research, Basel, Switzerland
CV4 CORRELATION BETWEEN NEW YORK HEART ASSOCIATION CLASSIFICATION AND PATIENT-REPORTED OUTCOMES
Yokoyama KK1, Blumenschein K2, Johannesson M3, Gause D4, Frech F4, 1Novartis Pharmaceuticals Corporation/Scott & White Health Plan/University of Texas at Austin, East Hanover, NJ, USA; 2University of Kentucky College of Pharmacy and Martin School of Public Policy and Administration, Lexington, KY, USA; 3Stockholm School of Economics, Stockholm, Sweden; 4Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA
MENTAL HEALTH (Including Dementia)
Moderator: David Miller PhD, Head, Health Outcomes, GlaxoSmithKline, Greenford, Middlesex, United Kingdom
MH1 A ROBUST GLOBAL TREATMENT RESPONSE AVAILABLE TO OLANZAPINE-TREATED PATIENTS IS ASSOCIATED WITH MEANINGFUL IMPROVEMENT IN NEGATIVE SYMPTOMS AND QUALITY OF LIFE
Kinon BJ1, Zhao Z2, 1Lilly Research Laboratories, Indianapolis, IN, USA; 2Eli Lilly and Company, Indianapolis, IN, USA
MH2 COMPARISON OF TREATMENT COST FOR DEPRESSION BETWEEN FLUOXETINE, PAROXETINE, SERTRALINE AND VENLAFAXINE USING MANAGED CARE CLAIMS DATA
Curkendall SM1, Goehring EL1, She D1, Pezzullo JC2, Jones JK1, 1The Degge Group, Ltd, Arlington, VA, USA; 2Georgetown University, Washington, DC, USA
MH3 DEPRESSION IN PRIMARY CARE: TREATMENT AND RESPONSE
Corey-Lisle PK1, Nash R2, Stang P3, Swindle R1, 1Eli Lilly & Company, Indianapolis, IN, USA; 2Florida A&M University, Tallahassee, FL, USA; 3Primary Care Network, Blue Bell, PA, USA
MH4 THE BURDEN OF DEPRESSION IN CANADA
Desjardins B1, Laurier C2, 1University of Montreal, Faculty of Pharmacy, Merck Frosst Canada Ltd, Kirkland, QC, Canada; 2University of Montreal, Montreal, QC, Canada
DIABETES
Moderator: Joseph Menzin PhD, President, Boston Health Economics, Inc., Waltham, MA, USA
DB1 THE VALUE OF MULTIPLE YEARS HISTORY IN IDENTIFYING COMORBID CONDITIONS IN A RETROSPECTIVE DATA ANALYSIS
Morris L, Henderson SC, von Allmen H, Margolis J, IMS Health, Plymouth Meeting, PA, USA
DB2 QOL INDICATORS OF SATISFACTION AND IMPACT ASSOCIATED WITH WEB-ENABLED DIABETES SELF-MANAGEMENT TOOLS
Atherton M1, Becker MA2, 1George Mason University, Fairfax, VA, USA; 2PDHI, INC, Bernardsville, NJ, USA
DB3 DIABETIC FOOT ULCERS: THE ECONOMIC CONSEQUENCES OF INPATIENT ADMISSIONS OVER FIVE YEARS
O'Brien J, Patrick A, Caro JJ, Caro Research Institute, Concord, MA, USA
DB4 A SYSTEMATIC ANALYSIS OF CONCOMITANT MORBIDITY AND MORTALITY IN DIABETES
Farquhar I1, Summers KH2, Sorkin A3, Weir E4,
1Health Services Solutions P.A., Columbia, MD, USA; 2Eli Lilly & Company, Indianapolis, IN, USA; 3University of Maryland Baltimore County, Baltimore, MD, USA; 4Analytical Computing, Baltimore, MD, USA
INFECTION
Moderator: John Hornberger MD, MS, Partner, Acumen LLC and Clinical Professor of Medicine, Stanford University School of Medicine, Burlingame, CA, USA
IN1 META-ANALYSIS OF UTILITY ESTIMATES: HIV/AIDS AND STROKE
Tengs TO, Lin TH, Health Priorities Research Group, University of California, Irvine, CA, USA
IN2 VALUE OF INFORMATION ANALYSIS OF THE DECISION BETWEEN CIPROFLOXACIN VS TRIMETHOPRIM SULPHAMETHOXAZOLE FOR EMPIRICAL TREATMENT OF WOMEN WITH PYELONEPHRITIS
Fenwick E1, Claxton K1, Wang J2, Sculpher M1, Kubin M3, Davey P4, 1University of York, York, UK; 2University of Dundee, Dundee, Scotland, UK; 3Bayer AG, Wuppertal, Germany; 4MEMO, University of Dundee, Dundee, Scotland, UK
IN3 COST-EFFECTIVENESS OF NEW RAPID SCREENING TECHNOLOGIES FOR GONORRHEA IN URBAN EMERGENCY ROOM DEPARTMENTS
Aledort JE, Goldie SJ, Harvard University, Boston, MA, USA
IN4 THE COST OF ANTIRETROVIRAL THERAPY IN THREE CENTRAL AMERICAN COUNTRIES
Becker R, Zaccagnini P, Rattana S, Ovation Research Group, Highland Park, IL, USA

12:00-1:30 PM Exhibits, Poster Presentations – Session I and Lunch
  Lunch Sponsored by GlaxoSmithKline
1:30-2:30 PM Concurrent Issues Panels (4 Sessions)
 
How Does Genomics Change Portfolio Management?
Genomics technologies offer substantial promise in the area of clinical development. However, decision-making in an era of a 10-fold increase in targets and limited budgets will require additional discipline and methodologies. We present an options strategy for assessing the potential of new candidate molecules, and then test the concepts with an industry expert.

Chair: Kevin Schulman MD, MBA, Director, Center for Clinical & Genetic Economics, Duke University, Durham, NC, USA

 
  Standards of Evidence: What is Appropriate?
This panel will address the question: What should the standards of evidence be for promotional claims by the pharmaceutical and possibly the medical device industries regarding cost effectiveness to assist health care decision-making?

Chair: Bryan Luce PhD, MBA, Senior Research Leader & CEO, MEDTAP International, Bethesda, MD, USA
 
 Should Meta-Analysis Only Include Clinical Trial Data?
This session debates Cochrane collaboration approaches to meta-analysis that excludes all non-RCT data and Bayesian approaches that include uncontrolled trials and observational studies.

Chair: Adrian Towse MA, Mphil, Director, Office of Health Economics, London, United Kingdom
 
  Who Will Develop New Drugs for Tuberculosis or Malaria?
Recent scientific advances offer new promise that breakthrough therapies for the treatment of tuberculosis and malaria could soon be discovered. An increasing focus on global health issues in the public sector and in industry provides a framework for the business case and the partnerships to move these discoveries out of the lab and into the market.

Chair: Doris Rouse PhD, Director, Global Health, RTI International, Research Triangle Park, NC, USA
2:30-2:45 PM Break
2:45-3:45 PM Concurrent Contributed Workshop Presentations (9 sessions)
 
Methodology Issues
WW1 USE AND MISUSE OF DIAGNOSIS RELATED GROUPS (DRGS) IN ESTIMATING COSTS
O'Brien J, Caro Research Institute, Concord, MA, USA
WW2 INCIDENCE OR PREVALENCE: IMPLICATIONS FOR FORMULARY DECISION-MAKING
Shaya FT1, Mullins CD1, Wong W2, 1University of Maryland, Baltimore, MD, USA; 2CareFirst BlueCross BlueShield, Baltimore, MD, USA
WW3 PROBABILISTIC COST-EFFECTIVENESS MODELING: OVERVIEW OF METHODS AND CHALLENGES WITH AN INTERACTIVE ILLUSTRATION
Briggs AH1, Gagnon YM2, Levy AR3, 1University of Oxford, Oxford, UK; 2OCCAM Research & Consulting Inc, Vancouver, BC, Canada; 3University of British Columbia, Vancouver, BC, Canada
WW4 MEASURING PATIENT-REPORTED OUTCOMES IN CANCER STUDIES: PRELIMINARY FINDINGS FROM THE CANCER OUTCOMES MEASUREMENT WORKING GROUP
Lipscomb J1, Gotay CC2, Snyder C1, 1National Cancer Institute, Bethesda, MD, USA; 2University of Hawaii, Honolulu, HI, USA
Health Policy
WW5 THE ROLE OF ECONOMIC EVALUATION OF PHARMACEUTICALS IN HEALTH DEVELOPMENT ASSISTANCE
Rovira J, Preker AS, Musgrove PA, The World Bank, Washington, DC, USA
 
Quality of Life
WW6 IMPUTATION OF MISSING QOL DATA: METHODS AND INTERPRETATION
Crawford B1, Massaro J2, 1Mapi Values, Boston, MA, USA; 2Boston University, Boston, MA, USA
Design and Implementation
WW7 USING HEALTHCARE CLAIMS DATA TO DEVELOP DISEASE RISK PREDICTION MODELS
Russell MW1, Huse DM2, 1ICSL Healthcare Research, Waltham, MA, USA; 2PharMetrics, Inc, Watertown, MA, USA
WW8 COMPARISON OF "TOP-DOWN" VS "BOTTOM-UP" BUDGET IMPACT MODELS
Kleinstiver PW, Katalyst Health Technology Assessments, London, ON, Canada
Practical Issues
WW9 INCORPORATING ECONOMIC OUTCOMES INTO FORMULARY DECISIONS
Mauskopf J1, Wright A2, Hocker S3, 1MEDTAP International, Durham, NC, USA; 2Advance PCS, Hunt Valley, MD, USA; 3PAREXEL, Baltimore, MD, USA
   
3:45-4:00 PM Break
4:00-5:00 PM Concurrent Contributed Workshop Presentations (9 sessions)
 
Methodology Issues
WW10 NUMBER NEEDED TO TREAT (NNT): IS IT A USEFUL BENCHMARK FOR THE EFFICIENCY OF THERAPIES?
Caro J1, Huybrechts K1, Kamae I2, 1Caro Research Institute, Concord, MA, USA; 2Kobe University, Chuou-ku, Kobe, Japan
WW11

 

THE APPLICATION OF EXPERT OPINION IN PHARMACOECONOMIC STUDIES
Evans C, Crawford B, Mapi Values, Boston, MA, USA
WW12 THE USE OF PATIENT SELF-REPORTED HUMANISTIC OUTCOMES INFORMATION TO IMPROVE QUALITY OF CARE
Schmeichel CJ, LeVine P, Netherton D, InfoMedics, Inc, Woburn, MA, USA
WW13 THE SEER-MEDICARE DATABASE: A UNIQUE RESOURCE FOR PHARMACOECONOMIC RESEARCH IN ONCOLOGY
de Lissovoy G1, Warren JL2, 1MEDTAP International, Bethesda, MD, USA; 2National Cancer Institute, Bethesda, MD, USA
Design and Implementation
WW14 INCORPORATING FUTURE EVENTS INTO COST-EFFECTIVENESS MODELS
Mauskopf JA1, Bala MV2, 1MEDTAP International, Durham, NC, USA; 2Centocor, Inc, Malvern, PA, USA
WW15 METHODOLOGICaL AND PRACTICAL ISSUES IN DEVELOPING AND ANALYZING ONCOLOGY MODELS
Shih YCT1, Sorensen S1, Nuijten M2, 1MEDTAP International Inc, Bethesda, MD, USA; 2MEDTAP International, Jisp, Netherlands
WW16 BENEFITS OF A SIMPLE DECISION ANALYTIC APPROACH TO CLINICAL DRUG DEVELOPMENT
Richter A, RTI Health Solutions, Research Triangle Park, NC, USA
WW17 DECISION ANALYSIS IN THE DRUG DEVELOPMENT PROCESS: USE OF PHARMACOECONOMICS TO INFORM "GO/NO-GO" DECISION MAKING
Thompson D1, Bird A2, Weinstein MC2, 1Innovus Research, Inc, Medford, MA, USA; 2Harvard School of Public Health, Boston,
MA, USA
Practical Issues
WW18 EVIDENCE OF THERAPEUTIC EQUIVALENCE: IMPLICATIONS FOR ECONOMIC ANALYSES
Ortiz MS, Neighbors DM, Irish W, RTI Health Solutions, Durham, NC, USA
   
5:10-6:00 PM ISPOR Health Science Forum
 
Moderator: John Hutton BSc, Bphil, Chair, ISPOR Health Science Committee & Vice President, European Operations, MEDTAP International, London, UK

ISPOR Health Science Committee Task Force Chairs will provide an update on the "Good Research Practices" initiatives, code of ethics, and use of pharmacoeconomic/health economic information in healthcare decision-making
  • Good Modeling Research Practices
  • Good Research Practices in Prospective Studies
  • Good Research Practices in Retrospective Database Studies
  • Good Research Practices in Quality of Life and Performance-based Measurement Studies
  • Good Research Practices in the Use of Pharmacoeconomic/Health Economic Information in Healthcare Decision-Making
  • Good Research Practices in Code of Ethics
5:10-6:00 PM ISPOR Student Forum
  Introduction and Student Network Report

Speaker: C. Denise Clemmons, ISPOR Student Network Chair & Graduate Student, University of Illinois, Chicago, IL, USA

"Careers in Academia, Consulting, Government and Industry: A View From the Ivory Towers"

Pharmacoeconomics and outcomes research (POR) spans a broad spectrum of issues from studies evaluating the costs and effectiveness of a particular pharmaceutical intervention to the impact of reimbursement policies on the outcomes of care. It also ranges from the development and use of tools to perform patient-based assessments to analyses of the best way to disseminate the results to consumers, providers and payers. Persons with training in POR have a variety of opportunities within academia, consulting, government (as a payor or regulator) and industry. Within each of these environments there are aspects of conducting, evaluating, monitoring and communicating research – with the proportion of effort and viewpoint varying among the alternatives. We will discuss the major activities and expectations within each environment and the importance of finding a place that fits with ones interests and skills, which may vary over a career path. This will be an informal session with time for questions and discussion.

Speakers:
C. Daniel Mullins PhD, Associate Professor, School of Pharmacy, University of Maryland, Baltimore, MD, USA and Dean G. Smith PhD, Professor, University of Michigan, Ann Arbor, MI, USA
 

6:00-8:00 PM Exhibitors’ Open House, Poster Presentations – Session I and Reception
  Reception Sponsored by MEDTAP International

  Click here to view podium presentations
 

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