Health Technology Assessment in nephrology and dialysis

Autori

DOI:

https://doi.org/10.33393/gcnd.2023.2509

Parole chiave:

Dialysis, Digital health, Governance, Health Technology Assessment, Innovation, Nephrology

Abstract

The nephrology and dialysis sector is characterized by a high technological content, considerable technological and digital complexity, continuous innovation within the care processes and a strong economic impact on the national and regional health system. The purpose of this article is to illustrate the application of the Health Technology Assessment (HTA) methodology in the evaluation of technological innovations in the nephrology and dialysis field. In particular, the evaluation steps of the multidimensional and multidisciplinary process applied to the nephrodialysis field will be described, specifically a device to be used in patients with chronic kidney disease, also considering important comorbidities such as cardiomyopathies and arrhythmias, which often require implantation of electronic cardiac implantable devices in renal patients. The HTA uses a rigorous scientific methodology, and today represents an essential tool for a governance of the modern health system, in which every innovative technological element that significantly modifies the organization must be evaluated. For this strategic reason, HTA becomes an important intervention for the dialysis sector, where technological innovations are a fundamental sector. For a precise understanding of the function of HTA in dialysis, a complete example of the application of HTA for the evaluation of a resorbable antibacterial device for the prevention of infections from cardiac implantable electronic devices on patients with high infectious risk has been shown, such as patients with chronic kidney disease.

Downloads

I dati di download non sono ancora disponibili.

Riferimenti bibliografici

Draborg E, Gyrd-Hansen D, Poulsen PB, Horder M. International comparison of the definition and the practical application of health technology assessment. Int J Technol Assess Health Care. 2005;21(1):89-95. https://doi.org/10.1017/S0266462305050117 PMID:15736519 DOI: https://doi.org/10.1017/S0266462305050117

Banta D, Jonsson E. History of HTA: introduction. Int J Technol Assess Health Care. 2009;25(S1)(suppl 1):1-6. https://doi.org/10.1017/S0266462309090321 PMID:19500432 DOI: https://doi.org/10.1017/S0266462309090321

Lancet T; The Lancet. Is digital medicine different? Lancet. 2018;392(10142):95. https://doi.org/10.1016/S0140-6736(18)31562-9 PMID:30017135 DOI: https://doi.org/10.1016/S0140-6736(18)31562-9

May C, Finch T, Mair F, et al. Understanding the implementation of complex interventions in health care: the normalization process model. BMC Health Serv Res. 2007;7(1):148. https://doi.org/10.1186/1472-6963-7-148 PMID:17880693 DOI: https://doi.org/10.1186/1472-6963-7-148

Polisena J, De Angelis G, Kaunelis D, Gutierrez-Ibarluzea I. Environmental impact assessment of a health technology: a scoping review. Int J Technol Assess Health Care. 2018;34(3):317-326. https://doi.org/10.1017/S0266462318000351 PMID:29897036 DOI: https://doi.org/10.1017/S0266462318000351

Eunethta. HTA Core Model ®. https://www.eunethta.eu/hta-core-model/ (Accessed January 2023).

Burrai F, Othman S, Brioni E, et al. Effects of Virtual Reality in Patients Undergoing Dialysis: study Protocol. Holist Nurs Pract. 2019;33(6):327-337. https://doi.org/10.1097/HNP.0000000000000330 PMID:31045610 DOI: https://doi.org/10.1097/HNP.0000000000000330

Ministero della Salute. Documento di indirizzo per la malattia renale cronica. 2014. https://www.salute.gov.it/portale/documentazione/p6_2_2_1.jsp?id=2244 (Accessed January 2023).

Eunethta. HTA Core Model ®. EUnetHTA JA2 WP8 DELIVERABLE. https://www.eunethta.eu/wp-content/uploads/2018/03/HTACoreModel3.0-1.pdf (Accessed January 2023).

Gillespie F, Amicosante AMV, Lo Scalzo A, et al. Cerbo M– Agenas - HTA Report Adaptation – “Valutazione HTA delle Modalità di dialisi in Italia”, Roma, Ottobre 2015.http://www.sitinazionale.org/bds/index.php/gruppi-di-lavoro/health-technology-assessment/organizzazione/220-hta-report-adaptation-valutazione-hta-delle-modalita-di-dialisi-in-italia (Accessed January 2023).

Fantuzzi AL, Berri E, Tartaglione L, et al. Porreca S. Telemedicina tra clinica e nutrizione nella Malattia Renale Cronica (MRC): appunti di esperienze al femminile. G Clin Nefrol Dial. 2021;33:12-19. https://doi.org/10.33393/gcnd.2021.2236 DOI: https://doi.org/10.33393/gcnd.2021.2236

Barakat AF, Wazni OM, Tarakji KG, et al. Transvenous Lead Extraction in Chronic Kidney Disease and Dialysis Patients With Infected Cardiac Devices. Circ Arrhythm Electrophysiol. 2018 Jan;11(1):e005706. https://doi.org/10.1161/CIRCEP.117.005706. PMID 29321192 DOI: https://doi.org/10.1161/CIRCEP.117.005706

Regione Emilia-Romagna. Scheda di Valutazione del dispositivo medico TYRX™ involucro anti-batterico riassorbibile. https://salute.regione.emilia-romagna.it/normativa-e-documentazione/rapporti/dispositivi-medici/scheda-di-valutazione-del-dispositivo-medico-tyrxtm-involucro-antibatterico-riassorbibile-doc-crdm-n-3-2016/@@download/file/DM-TYRX-settembre-2016.pdf (Accessed January 2023).

Medtronic TYRX. UC201405268gEN. https://europe.medtronic.com/content/dam/medtronic-com/products/cardiac-rhythm/infection-control/documents/tyrx-cardiac-brochure-clinician.pdf (Accessed January 2023).

Ehlers L, Vestergaard M, Kidholm K, et al. Doing mini-health technology assessments in hospi-tals: a new concept of decision support in health care? Int J Technol Assess Health Care. 2006;22(3):295-301. https://doi.org/10.1017/S0266462306051178 PMID:16984056 DOI: https://doi.org/10.1017/S0266462306051178

Delibera 173 del 28/02/2019. ATS Sardegna. Linee di indirizzo per le health technology assess-ment e modalità di funzionamento della relativa commissione nella ATS Sarde-gna. https://www.atssardegna.it/documenti/12_111_20190228163709.pdf (Accessed January 202

Pubblicato

2023-02-09

Come citare

Cabula, S., Frongia, E., Burrai, F., Mura, F., & Marcias, M. (2023). Health Technology Assessment in nephrology and dialysis. Giornale Di Clinica Nefrologica E Dialisi, 35(1), 1–8. https://doi.org/10.33393/gcnd.2023.2509

Fascicolo

Sezione

Articoli originali
Received 2022-10-24
Accepted 2023-01-18
Published 2023-02-09

Metrics

Puoi leggere altri articoli dello stesso autore/i

<< < 1 2 3 > >>