A multi-stakeholder approach in optimising patients’ needs in the benefit assessment process of new metastatic breast cancer treatments

• Published in: Breast (Edinburgh) 2020-08, Vol.52, p.78-87
• Main Authors: Cardoso, Fatima, Wilking, Nils, Bernardini, Renato, Biganzoli, Laura, Espin, Jaime, Miikkulainen, Kaisa, Schuurman, Susanne, Spence, Danielle, Spitz, Sabine, Ujupan, Sonia, Zernik, Nicole, Gordon, Jenn
• Format: Article
• Language: English
• Subjects: Breast Neoplasms - psychology; Breast Neoplasms - therapy; Decision Making; Health Planning - standards; Health technology assessment; Humans; Medicin och hälsovetenskap; Metastatic breast cancer; Patient Preference - psychology; Patient preferences; Policy; Quality of Life - psychology; Review; Stakeholder Participation; Stakeholders; Technology Assessment, Biomedical; Treatment benefit
• ISSN: 0960-9776; 1532-3080; 1532-3080
• DOI: 10.1016/j.breast.2020.04.011

There is a growing understanding as science evolves that different cancer types require different approaches to treatment evaluation, especially in the metastatic stages. The introduction of new metastatic breast cancer (MBC) treatments may be hindered by several elements, including the availability of relevant evidence related to disease-specific outcomes, the benefit assessment process around the evaluation of the clinical benefit and the patients’ need of new treatments. The Steering Committee (SC) found that not all issues relevant to MBC patients are consistently considered in the current benefit assessment process of new treatments. Among these are overall survival, time-to-event endpoints (e.g. progression-free survival), patients’ priorities, burden of disease, MBC-specific quality of life, value in delaying chemotherapy, route of administration, side effects and toxicities, treatment adherence and the benefit of real-world evidence. This paper calls on decision makers to (1) Include MBC-specific patient priorities and outcomes in the overall benefit assessments of new MBC treatments; (2) Enhance multi-stakeholder collaboration in order to improve MBC patient outcomes. •Patient preferences should be considered in MBC treatment decision making.•The patient perspective should be integrated into treatment guidelines for MBC.•Patients should be involved in MBC policy decision making.•Multi-stakeholder collaboration could improve MBC patient outcomes and access to treatments.