Tuesday, May 21, 2002

7:00-8:00 AM

Breakfast with the Experts
 
Theoretical Issues in Cost-Effectiveness Analysis

Milton Weinstein PhD, Professor, Health Policy & Management, Center for Risk Analysis, Harvard School of Public Health, Boston, MA, USA

N.I.C.E.
Andrew H. Briggs DPhil, Health Economics Research Centre, Institute
of Health Sciences, Oxford University, Oxford, United Kingdom

Quality of Life Research
Pennifer Erickson PhD, Co-founder, O.L.G.A, State College, PA, USA

Outcomes Research in the Pharmaceutical Industry
Marc Berger MD, Vice President, Outcomes Research & Management, Merck & Company, Inc., West Point, PA, USA

 

8:00-9:30 AM

Concurrent Podium Sessions (4 sessions)
 

Study results and issues on the following topics will be discussed. 

METHODOLOGY ISSUES I
Moderator: David Thompson PhD, Managing Director, US Operations, Innovus Research, Inc., Medford, MA, UA
MI1 HANDLING MISSING DATA IN STOCHASTIC COST-EFFECTIVENESS ANALYSIS: THE IMPACT OF IMPUTATION METHODS ON ESTIMATES OF THE PHYSICAL QUANTITIES OF MEDICAL CARE RESOURCE USE
Bell TJ1, Liu J1, Backhouse M2, 1Research Triangle Institute, Raleigh-Durham, NC, USA; 2Research Triangle Institute, Manchester, UK
MI2 COST-EFFECTIVENESS VS. COST-UTILITY ANALYSIS: DOES ADJUSTING FOR HEALTH-RELATED QUALITY OF LIFE REALLY MATTER?
Tengs TO, Lin TH, Health Priorities Research Group, University of California, Irvine, CA, USA
MI3 IMPORTANCE OF CONSIDERING SENSITIVITY AND SPECIFICITY OF SCREENING METHODS IN HEALTH ECONOMIC ANALYSES OF DIABETIC NEPHROPATHY SCREENING POLICIES
Palmer AJ, Roze S, CORE Center for Outcomes Research, Basel, BS, Switzerland
MI4 THE DANGER OF IGNORING POPULATION HETEROGENEITY WHEN MARKOV MODELS ARE USED FOR COST EFFECTIVENESS ANALYSIS
Zaric GS, University of Western Ontario, London, ON, Canada
HEALTH POLICY – COMPLIANCE ISSUES
Moderator: Joseph DiCesare RPh, MPH, Executive Director, Outcomes Research, Novartis Pharmaceuticals, East Hanover, NJ, USA
HP1 SUB-OPTIMAL STATIN COMPLIANCE IN PRIMARY AND SECONDARY PREVENTION POPULATIONS: SHOULD WE TARGET PATIENTS WITH THE MOST TO GAIN?
Ellis JJ1, Erickson SR1, Stevenson JG1, Bernstein SJ2, Stiles RA3, Fendrick AM1, 1University of Michigan, Ann Arbor, MI, USA; 2Veterans Affairs Medical Center, Ann Arbor, MI, USA; 3Vanderbilt University, Nashville, TN, USA
HP2 IS IT COST-EFFECTIVE TO IMPROVE COMPLIANCE WITH LIPID-LOWERING THERAPY?
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
HP3 IMPROVING THE SAFETY OF AMIODARONE IN THE CONGESTIVE HEART FAILURE POPULATION: BASELINE ASSESSMENT OF COMPLIANCE WITH NATIONAL GUIDELINES IN A LARGE CHF CLINIC
Just VL, Williams RE, Evanston Northwestern Healthcare, Evanston, IL, USA
HP4 THE IMPACT OF ADHERENCE TO OSTEOPOROSIS THERAPY ON FRACTURE RATES IN ACTUAL PRACTICE
Caro J1, Huybrechts K1, Ishak K2, Naujoks C3, 1Caro Research Institute, Concord, MA, USA; 2Caro Research Institute, Dorval, QC, Canada; 3Novartis Pharma AG, Basel, Switzerland
CARDIOVASCULAR DISEASE/DISORDERS II
Moderator: Gerry Oster PhD, Vice President, Policy Analysis, Inc., Brookline, MA, USA
CV5 COST-EFFECTIVENESS OF STATINS IN PRIMARY PREVENTION OF CHD
Wendland G1, Lauterbach K2, 1Cologne, NW, Germany; 2University of Cologne, Cologne, Germany
CV6 COMPARING RECENT CARDIOVASCULAR MEDICATIONS USING AN NNT MODEL
Caro J1, Ishak K2, Caro I2, Migliaccio-Walle K1, 1Caro Research Institute, Concord, MA, USA; 2Caro Research Institute, Dorval,
QC, Canada
CV7 COST-EFFECTIVENESS OF ADENOSINE AND DIPYRIDAMOLE IN TECHNETIUM-99M SESTAMIBI SINGLE PHOTON COMPUTED TOMOGRAPHY IMAGING
Reddy P1, Coleman CI1, Ahlberg AW2, Aoun G2, Vellasamy M2, McGill C2, Alexander L2, Fleming RA2, Heller GV2, 1University of Connecticut, Storrs, CT, USA; 2Hartford Hospital, Hartford, CT, USA
CV8 FORMULARY DECISIONS: THE USE OF MULTI-ATTRIBUTE ANALYSIS – A BASELINE CASE STUDY OF PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY
Hess GP1, Kroch E2, Yaffe K3, Barbaccia JG4, 1Wayne, PA, USA; 2CareScience, Philadelphia, PA, USA; 3Norristown, PA, USA; 4Washington Hospital Center, Washington, DC, USA
CANCER
Moderator: Joseph Lipscomb, Chief, Outcomes Research Branch, National Cancer Institute, Bethesda, MD, USA
CN1 ECONOMIC EVALUATION OF CAPECITABINE-DOCETAXEL COMBINATION TREATMENT OF METASTATIC BREAST CANCER: A MICRO-SIMULATION STUDY
Hornberger J1, Jamieson C2, O’Shaughnessy J3, 1Acumen, LLC and Stanford University School of Medicine, Burlingame, CA, USA; 2Roche Pharmaceuticals, Palo Alto, CA, USA; 3US Oncology-Baylor-Sammons Cancer Center, Dallas, TX, USA
CN2 COST-UTILITY ANALYSIS OF LHRH AGONISTS IN THE TREATMENT OF METASTATIC PROSTATE CANCER
Hemels M1, Iskedjian M2, Iscoe N3, Fleshner N4, Einarson T1, 1University of Toronto, Toronto, ON, Canada; 2Pharmideas Research and Consulting Inc, Oakville, ON, Canada; 3Toronto-Sunnybrook Regional Cancer Centre, Toronto, ON, Canada; 4Sunnybrook and Women's Health Sciences Center, Toronto, ON, Canada
CN3 BEHIND THE VEIL OF IGNORANCE: ASSESSMENT OF PREFERENCES AND UTILITIES FROM MEN AT-RISK FOR PROSTATE CANCER
Bruner DW1, Hanlon A1, Sargent T1, Mazzoni S1, Raysor S1, Hanks G2, 1Fox Chase Cancer Center, Cheltenham, PA, USA; 2formerly from Fox Chase Cancer Center, Philadelphia, PA, USA
CN4 COMPARISON OF TREATMENT MODALITIES IN PROSTATE CANCER PATIENTS
Morris L, Margolis J, Henderson SC, von Allmen H, IMS HEALTH, Plymouth Meeting, PA, USA

9:30-10:00 AM

Exhibits & Poster Presentations – Session II
  Coffee Breaks Sponsored by Caro Research

10:00-10:30AM

Incoming Presidential Address

Peter Davey MD, FRCP, 2002-2003 ISPOR President & Head of Pharmacoeconomics, University of Dundee, Dundee, Scotland, UK

Presentation: 2002 ISPOR Distinguished Service Awards
 

  Presentation of the PhRMA Foundation 2002 Research Starter Grants in Health Outcomes

Presented by: Del Persinger, President and CEO, Pharmaceutical Research Manufacturers Association (PhRMA)

Awardees: Marc Lipsitch Dphil, Harvard University, Department of Epidemiology, Boston, MA, USA; Judith A. Shinogle PhD, University of South Carolina, College of Pharmacy, Columbia, SC, USA; Lisa A. Prosser PhD, Harvard Medical School, Department of Ambulatory Care and Prevention, Boston, MA, USA
 

10:30-12:00 AM

Second Plenary Session
 

"THE RISE OF RISK MANAGEMENT"
Recent trends in the withdrawal of drugs from the market highlight a new era of risk control. The Food and Drug Administration (FDA) has publicly exclaimed that traditional means of assuring safe use (e.g. product labels, dear health professional letters) may not be sufficient to assure continued marketing of pharmaceutical products. Rather, new risk management techniques may be necessary to assure that drugs are used safely and effectively. This session will discuss the FDA’s new philosophy of risk management as a public health priority. It will also discuss alternative models for examining risk management from an economic/public policy perspective. In addition, this session will discuss an evolving role for outcomes researchers in the development and evaluation of risks management mechanisms.

Moderator: Peter Neumann ScD, ISPOR Annual Meeting Program Chair and Assistant Professor of Policy & Decision Sciences, Harvard School of Public Health, Boston, MA, USA and Louis A. Morris PhD, ISPOR Annual Meeting Plenary Session Chair and President, Louis A. Morris & Associates, Dix Hills, NY, USA

"Cost-Effectiveness Analysis in Health Policy"

Speaker: John D. Graham PhD, Administrator, Office of Management and Budget, Washington, DC, USA

"Risk Management: Issues for Outcomes Researchers"

Speaker: Janet Woodcock MD, Director, Center for Drug Evaluation &  Research, Food & Drug Administration, Rockville, MD, USA

Questions and Audience Discussion


12:00-1:30 PM

Exhibits, Poster Presentations – Session II and Lunch
  Lunch Sponsored by Polidais LLC

1:30-2:30 PM

Concurrent Issues Panels (4 Sessions)
 
Is $50,000/QALY High Enough for a US Benchmark?


Panel will debate the appropriateness of the use of quality adjusted life years (QALYs) as common benefit measure of medical interventions. The implications of setting a specific threshold level and whether the oft-quoted $50,000/QALY threshold is a feasible benchmark for the US will be discussed.

Chair: A. Mark Fendrick MD, Associate Professor, University of Michigan Medical Center, Ann Arbor, MI, USA

What’s Next for Outcomes Research in Asia?

This session will identify and discuss key issues of conducting pharmacoeconomics and heath outcomes research in Asia. Also, the roles of different players (government, academic, industry, etc) will be discussed.

Chair: Hong Li PhD, Associate Director, Bristol-Myers Squibb, Wallingford, CT, USA

Medication Compliance: How Can It Be Included in Pharmacoeconomic Studies?
Panelists will discuss compliance in the context of modeling clinical and economic outcomes of care.

Chair: Joyce Cramer BS, Associate Research Scientist, Yale University School of Medicine, West Haven, CT, USA

Using Health Economic and Other Outcomes Information to Develop Sound Prescription Drug Plans: Practical or Improbable in the US?

Managed care and others are looking to pharmacoeconomic and outcomes research in developing drug plans. Will different, more informed decisions result? What are the obstacles?

Chair: Joanna Siegel ScD, Director, Research Initiative in Clinical Economics, Agency for Healthcare Research & Quality, Rockville, MD, USA

2:30-2:45 PM

Break

2:45-3:45 PM

Concurrent Contributed Workshop Presentations (8 sessions in 4 categories)
   
Methodology Issues
WW19 METHODOLOGICAL ISSUES IN MEASURING AND INFLUENCING ANTIBIOTIC PRESCRIBING IN HOSPITALS
Davey PG1, Ofori BD2, 1University of Dundee, Dundee, United Kingdom; 2Ninewells Hospital and Medical School, Dundee, United Kingdom
WW20 METHODOLOGICAL CHALLENGES IN RETROSPECTIVE DATABASE STUDIES: STEPS FOR GETTING IT RIGHT
Menzin J, Lang K, Boston Health Economics, Waltham, MA, USA
WW21 ISSUES IN THE SPECIFICATION OF PERFORMANCE MEASURES: INSIGHTS FROM THE STUDY OF CLINICALLY RELEVANT INDICATORS OF PHARMACOLOGIC THERAPY (THE SCRIPT PROJECT)
Edward W, Kogut S, Massachusetts Peer Review Organization, Inc, Waltham, MA, USA
WW22 PSYCHOMETRICS FOR THE NON-PSYCHOMETRICIAN
Fehnel SE, McLeod LD, RTI Health Solutions, Research Triangle Park, NC, USA
Health Policy
WW23 PAVING A ROAD TO SUCCESS: HOW TO OBTAIN AN OUTCOMES RESEARCH FELLOWSHIP WITHIN THE PHARMACEUTICAL INDUSTRY
Carter CT, Maio V, Pizzi L, Lofland J, Thomas Jefferson University, Philadelphia, PA, USA
WW24 RISE OF CONSUMERISM – UNDERSTANDING CONSUMER SOVEREIGNTY
Heissel A, Ethicon Endo-Surgery (Europe) GmbH, Norderstedt, Germany
Design and Implementation
WW25 MEASURING VALUE IN THE DRUG DEVELOPMENT PROCESS: HOW DO YOU KNOW IT IS THERE?
Paul JE1, Backhouse ME2, 1RTI Health Solutions, Research Triangle Park, NC, USA; 2RTI Health Solutions, Manchester, United Kingdom
WW26 MAXIMIZING THE SCIENTIFIC AND STRATEGIC VALUE OF PATIENT REGISTRIES
Trotter J, Larson L, Vreeland MG, Ovation Research Group, Highland Park, IL, USA
Practical Issues
WW27 EVALUATION OF HEALTH ECONOMIC INFORMATION USED IN PROMOTION
Piault E, Cronin K, Mathieu J, Hu EJ, Burke LB, Food and Drug Administration, Rockville, MD, USA

3:45-4:00 PM

Break

4:00-5:30 PM

Medical Device & Diagnostics Forum
  "USING MEDICAL DEVICE AND DIAGNOSTICS OUTCOMES RESEARCH TO SUPPORT HEALTH POLICY & REIMBURSEMENT DECISIONS"

This Forum is coordinated by the ISPOR Medical Device and Diagnostics Council (http://www.ispor.org/committees/advcouncils.asp)

FORUM PROGRAM

   4:00-4:45 PM

USING OUTCOMES RESEARCH STUDIES TO SUPPORT IMPROVED PRODUCTIVITY
Private payers are using HEDIS measurements to imply greater productivity to employers. This presentation will focus on how outcomes research studies can be used to support improved workplace productivity.

4:00-4:10

Moderator: Pamela Koo, Director, Global Reimbursement Policy Welch Allyn, Inc

4:10-4:35

Speaker: Sean Sullivan, President & CEO, Institute for Health and Productivity Management, Scottsdale, AZ, USA

4:35-4:45

Questions and Answers

4:45-5:30 PM

HOW TO SUPPORT REIMBURSEMENT OF OFF-LABEL USE OF MEDICAL DEVICES AND DIAGNOSTICS: WILL OUTCOMES RESEARCH HELP?
During the diffusion of innovation process, new medical technologies are used to treat or reduce symptoms in ways other than described on the labeling. This presentation will focus on off-label use of medical and diagnostic technologies, associated reimbursement issues, as well as research opportunities to support reimbursement decisions.

4:45-5:00

Moderators: Randel Richner RN, MPH, Vice President, Federal Affairs, Reimbursement and Outcomes Planning, Boston Scientific Corporation, Natick, MA, USA and Sarah Wells, Boston Scientific Federal Affairs, Washington, DC, USA

5:00-5:20

Speaker: Stuart Langbein Esq., Partner, Hogan & Hartson L.L.P. Washington, DC, USA

   5:20-5:30 PM

QUESTIONS AND ANSWERS

4:00-5:30 PM

Quality of Life Forum
  "Summary Measures Of Population Health Status – WHO Cares?"

This Forum is coordinated by the ISPOR Quality of Life Special Interest Group ( http://www.ispor.org/sigs/sigsindex.asp)

Measuring health outcomes is a key component in establishing the cost-effectiveness of any new therapy as well as the measurement of population health. The World Health Organization (WHO) has setup new programmes to describe and value health/health-related quality of life (HRQOL) for the evaluation of healthcare. This work has serious implications for government health agencies, the pharmaceutical industry and the wider research community. Can there ever be a single common means of describing health/HRQOL? How portable are concepts of health between countries? How are they influenced by factors such as age, gender, education or ethnicity? Whose values should count and do values transcend countries? Is it meaningful to consider a single "world" value set? If our governments listen to WHO on this agenda, ISPOR members should be sufficiently well informed to be able to have their say too.

Moderator: Joyce Cramer, Associate Research Scientist, Yale University School of Medicine, New Haven, CT, USA

FORUM PROGRAM

   4:00-4:20

THE WHO MEASUREMENT OF POPULATION HEALTH INITIATIVE

Speaker: Dean Jamison PhD, Senior Research Fellow, Division of International Epidemiology and Populations Studies, Fogarty International Center, National Institute of Health, Bethesda, MD USA
 

   4:20-4:40

MEASURING HEALTH STATUS IN NATIONAL POPULATION SURVEYS: US EXPERIENCE AND ISSUES RELEVANT TO THE WHO INITIATIVE

Speaker: Edward Sondik PhD, Director, National Center for Health Statistics, Center for Disease Control, Hyattsville, MD, USA

   4:40-5:00

USING POPULATION HEALTH STATUS MEASURES IN CLINICAL STUDIES: INFORMATIONAL AND INTERNATIONAL IMPLICATIONS

Speakers: Pennifer Erickson PhD, Co-founder, O.L.G.A, State College, PA, USA and Diane Wild MSc, Partner, Oxford Outcomes, Headington, Oxford, UK

   5:00-5:20

PANEL AND AUDIENCE DISCUSSION

   5:20-5:30

RAPPORTEUR

Presenter: Paul Kind Mphil, Senior Research Fellow, Outcomes Research Group, Centre for Health Economics, University of
York, York, UK
 

4:00-5:30 PM

Clinical Practice Forum
  "Using Cost-Effectiveness & Outcomes Research To Increase A Patient's Access To New Drugs: Case Study In Diabetic Complications"
What Can We Learn? How Can We Serve Patients Better?

This Forum is coordinated by the ISPOR Clinical Practice Special Interest Group (http://www.ispor.org/sigs/cp.htm).

This forum will focus on the use of cost-effectiveness and outcomes research information to determine the value of new treatment options in clinical practice. Information needed by the clinician to assure the best care for the patient will be discussed.

(This program qualifies for 2 hours [0.2 CME credits] Category II. This program complies with the AMA’s definition of CME.)
 

  FORUM PROGRAM

4:00 – 4:15 PM

 

WELCOME AND INTRODUCTION TO THE ISPOR CLINICAL PRACTICE SPECIAL INTEREST GROUP

Pamela Chavis MD, Chair, ISPOR Clinical Practice Special Interest Group, and Associate Professor, Department of Ophthalmology, Medical College of Virginia, Richmond, VA, USA

4:15 – 4:35 PM

 

THE ROLE OF OUTCOMES RESEARCH IN CLINICAL DECISIONS

A. Mark Fendrick MD, Associate Professor, University of Michigan Medical Center, Ann Arbor, MI, USA

4:35 – 4:55 PM

 

EPIDEMIOLOGY OF DIABETIC RETINOPATHY

Stephen Schwartz MD, Assistant Professor, Department of Ophthalmology, Medical College of Virginia, Richmond, VA, USA

4:55 – 5:20 PM

 

NEW TREATMENT PARADIGMS FOR DIABETIC RETINOPATHY & MACULAR EDEMA

Matthew Sheetz MD, PhD, Clinical Research Physician, Eli Lilly and Company, Indianapolis, IN, USA

5:20 – 6:00 PM

 

PANEL DISCUSSION AND AUDIENCE PARTICIPATION

Pamela Chavis MD, Chair, ISPOR Clinical Practice Special Interest Group, and Associate Professor, Department of Ophthalmology, Medical College of Virginia, Richmond, VA, USA
 

5:30-6:00 PM

ISPOR Quality of Life Special Interest Group Meetings (followed by reception)

5:30-6:00 PM

ISPOR Business Meeting (followed by reception)

6:00-7:00 PM

Exhibits, Poster Presentations - Session II & Closing Reception

  Click here to view podium presentations


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