By Mr. Turki A. Al-Thunian, Bpharm, MClinPharm, MSc.Epi, PhD, Acting Director of the Research Informatics Department, Saudi Food and Drug Authority (SFDA), delivered at the Global Forum 2020 Drug Safety and Supply Chains session.
Dr. Kelvin Chan gave a short explanation on what real-world evidence (RWE) is, how they can be used in cancer care and what benefits patients can get from the real-world evidence. He will also introduce the Canadian Real-world Evidence for Value of Cancer Drugs (CanREValue) collaboration, which is a pan-Canadian collaboration working on developing a framework to generate and use real-world evidence to inform cancer drug funding decisions.
The webinar was followed by an interactive question & answer session.
Dr. Kelvin Chan gave a short explanation on what real-world evidence (RWE) is, how they can be used in cancer care and what benefits patients can get from the real-world evidence. He will also introduce the Canadian Real-world Evidence for Value of Cancer Drugs (CanREValue) collaboration, which is a pan-Canadian collaboration working on developing a framework to generate and use real-world evidence to inform cancer drug funding decisions.
The webinar was followed by an interactive question & answer session.
Smart phone-based herd health management tool ILRI
Poster prepared by Solomon Gizaw, Crawford Revie, Gennaro Imperatore, Dagim Berhanu and Barbara Wieland for the Virtual Livestock CRP Planning Meeting, 8-17 June 2020. Nairobi, Kenya: ILRI.
Presentation by David Farber, FDA Life Science Partner at King & Spalding, about US Reimbursement.
I. Introduction
• II. FDA Approval vs. Reimbursement
• a. Different Standards
b. Clinical Evidence Needed
• III. The Three Keys to Reimbursement
A. Coverage
B. Coding
C. Payment
• IV. What’s New for 2019
• V. Reimbursement for MedTech AI Solutions
• VI. Tips for Successful Reimbursement
Mr James Downie, CEO, presented on the topic 'Emergency care costing study and classification development' at the 9th Annual Emergency Department Management Conference, hosted by informa on 31 July 2017.
Patient handling equipment is an assistive devices allowing the hospitalized patients to transfer to other places who lack the strength to control the body movements. Patient handling equipment’s are specially designed in helping the patients in hospitals, nursing homes and medical centers with some mobility. The equipment’s are cost efficient than retrofitting, assures increased productivity of care givers and ensures patient’s safety.
Mr James Downie, CEO, presented on the topic 'Moving towards value based funding' at the Healthcare reform, funding and innovation conference, hosted by AventEdge on 27 June 2017.
Real-World Evidence: The Future of Data Generation and UsageApril Bright
As data is captured through electronic health records, registries and unique device identifiers, the generation of evidence based on this data is expected to play a crucial role in informing orthopedic manufacturers’ decisions before and after regulatory approval. While regulators, payors, hospitals and manufacturers support this shift, they acknowledge that gaps remain in its optimal execution. Priority considerations include how to generate evidence to expedite regulatory market decisions, device indication expansion, postmarket studies, postmarket surveillance and reimbursement decisions. The National Evaluation System for health Technology Coordinating Center (NESTcc), an initiative of the Medical Device Innovation Consortium (MDIC), is leading the conversation with various stakeholders, including FDA and orthopedic device companies to support the sustainable generation of Real-World Evidence (RWE) using Real-World Data (RWD).
Real-World Data – What’s Next? by Michael Seewald, AstraZeneca for mHealth Is...Levi Shapiro
Presentation by Michael Seewald, Michael Seewald, Ph.D.
Global Head Evidence, AstraZeneca Biopharmaceuticals for mHealth Israel, October 19th, 2021.
Real-World Data is able to uncover local unmet medical need – Call to action to build Learning Healthcare Systems. Significant Variations in Care and Large Potential for Improvement. Real-World Data helps to benchmark efficient use of resources and detect “waste”. Healthcare systems need to address the problem of waste. But fundamental change is hard, and progress slow. Outcomes Transparency Improves ComplianceExample: Swedish myocardial infarction registry. Outcomes Transparency Improves Compliance. Example: Swedish myocardial infarction registry. Improving Outcomes and Creating Value will continue to guide Learning Healthcare Systems- enabled by RWD. Four technological trends as accelerators on our path. Empowered patients- Molecular screening and 24/7 monitoring driving a step change in diagnosis. Algorithmic decision-making: Artificial intelligence supports physician intelligence. Evidence-generating healthcare systemsLive insights on clinical efficacy from digital monitoring. 360° care delivery. Home replaces hospital via digital therapeutics and on-demand remote support. AstraZeneca Areas of Partnering Interest: (https://www.astrazeneca.com/partnering/our-areas-of-partnering-interest.html).
El 12 de mayo de 2017 celebramos en la Fundación Ramó Areces una jornada con IS Global y Unitaid sobre enfermedades transmitidas por vectores, como la malaria, entre otras.
Smart phone-based herd health management tool ILRI
Poster prepared by Solomon Gizaw, Crawford Revie, Gennaro Imperatore, Dagim Berhanu and Barbara Wieland for the Virtual Livestock CRP Planning Meeting, 8-17 June 2020. Nairobi, Kenya: ILRI.
Presentation by David Farber, FDA Life Science Partner at King & Spalding, about US Reimbursement.
I. Introduction
• II. FDA Approval vs. Reimbursement
• a. Different Standards
b. Clinical Evidence Needed
• III. The Three Keys to Reimbursement
A. Coverage
B. Coding
C. Payment
• IV. What’s New for 2019
• V. Reimbursement for MedTech AI Solutions
• VI. Tips for Successful Reimbursement
Mr James Downie, CEO, presented on the topic 'Emergency care costing study and classification development' at the 9th Annual Emergency Department Management Conference, hosted by informa on 31 July 2017.
Patient handling equipment is an assistive devices allowing the hospitalized patients to transfer to other places who lack the strength to control the body movements. Patient handling equipment’s are specially designed in helping the patients in hospitals, nursing homes and medical centers with some mobility. The equipment’s are cost efficient than retrofitting, assures increased productivity of care givers and ensures patient’s safety.
Mr James Downie, CEO, presented on the topic 'Moving towards value based funding' at the Healthcare reform, funding and innovation conference, hosted by AventEdge on 27 June 2017.
Real-World Evidence: The Future of Data Generation and UsageApril Bright
As data is captured through electronic health records, registries and unique device identifiers, the generation of evidence based on this data is expected to play a crucial role in informing orthopedic manufacturers’ decisions before and after regulatory approval. While regulators, payors, hospitals and manufacturers support this shift, they acknowledge that gaps remain in its optimal execution. Priority considerations include how to generate evidence to expedite regulatory market decisions, device indication expansion, postmarket studies, postmarket surveillance and reimbursement decisions. The National Evaluation System for health Technology Coordinating Center (NESTcc), an initiative of the Medical Device Innovation Consortium (MDIC), is leading the conversation with various stakeholders, including FDA and orthopedic device companies to support the sustainable generation of Real-World Evidence (RWE) using Real-World Data (RWD).
Real-World Data – What’s Next? by Michael Seewald, AstraZeneca for mHealth Is...Levi Shapiro
Presentation by Michael Seewald, Michael Seewald, Ph.D.
Global Head Evidence, AstraZeneca Biopharmaceuticals for mHealth Israel, October 19th, 2021.
Real-World Data is able to uncover local unmet medical need – Call to action to build Learning Healthcare Systems. Significant Variations in Care and Large Potential for Improvement. Real-World Data helps to benchmark efficient use of resources and detect “waste”. Healthcare systems need to address the problem of waste. But fundamental change is hard, and progress slow. Outcomes Transparency Improves ComplianceExample: Swedish myocardial infarction registry. Outcomes Transparency Improves Compliance. Example: Swedish myocardial infarction registry. Improving Outcomes and Creating Value will continue to guide Learning Healthcare Systems- enabled by RWD. Four technological trends as accelerators on our path. Empowered patients- Molecular screening and 24/7 monitoring driving a step change in diagnosis. Algorithmic decision-making: Artificial intelligence supports physician intelligence. Evidence-generating healthcare systemsLive insights on clinical efficacy from digital monitoring. 360° care delivery. Home replaces hospital via digital therapeutics and on-demand remote support. AstraZeneca Areas of Partnering Interest: (https://www.astrazeneca.com/partnering/our-areas-of-partnering-interest.html).
El 12 de mayo de 2017 celebramos en la Fundación Ramó Areces una jornada con IS Global y Unitaid sobre enfermedades transmitidas por vectores, como la malaria, entre otras.
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More Info:- https://www.imarcgroup.com/companion-diagnostics-market
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The Singapore Healthcare landscape and advice to health tech players on navigating it, presentation by Dr. Zubin Daruwalla, Health Industries Leader, PwC Singapore, for mHealth Israel, April 30, 2020.
Organ Preservation Market PPT: Demand, Trends and Business Opportunities 2022-27IMARC Group
The global organ preservation market reached a value of US$ 163.5 Million in 2021. Looking forward, IMARC Group expects the market to reach US$ 242.6 Million by 2027, exhibiting at a CAGR of 6.8% during 2022-2027.
More info:- https://www.imarcgroup.com/organ-preservation-market
The global intrauterine devices market size reached US$ 4.3 Billion in 2022. Looking forward, IMARC Group expects the market to reach US$ 5.7 Billion by 2028, exhibiting a growth rate (CAGR) of 4.75% during 2023-2028.
More Info:- https://www.imarcgroup.com/intrauterine-devices-market
Organ Preservation Market PPT: Demand, Trends and Business Opportunities 2022-27IMARC Group
Looking forward, the organ preservation market value is projected to reach a strong growth during the forecast period (2022-2027).
More info:- https://www.imarcgroup.com/organ-preservation-market
Roundup of This Year's AACC Meeting in AtlantaBruce Carlson
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Medical Diagnostic Centre, Medical diagnosis Services, Pathology Laboratory, ...Ajjay Kumar Gupta
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More Info:- https://www.imarcgroup.com/organ-on-chip-market
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The IMI EHDEN project: large-scale analysis of observation data in Europe - C...Maxim Moinat
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4. Differentiate between intervals and segments
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2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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Real-world Evidence A Saudi Regulatory Perspective
1. GLOBAL FORUM2020
3 R D S A V I N G L I V E S SU S T A I N A B L Y:
SUSTAINABLE PRODUCTION IN THE HEALTH SECTOR
GLOBAL FORUM | 2020 RIYADH
Real-world Evidence: a Saudi
Regulatory Perspective
Turki A Althunian, Bpharm, MClinPharm, MScEpi, PhD
Director of the SFDA Research Informatics Department
Research and Laboratory Sector
Vice-chair ISPE GRIG
2. INTRODUCTION
Phasellus viverra nulla ut metus varius laoreet. Quisque rutrum. Aenean imperdiet. Etiam
ultricies nisi vel augue. Curabitur ullamcorper ultricies nisi. Nam eget dui. Etiam rhoncus.
Maecenas tempus,
Matthews et al. Proteomes 2016
Drug development is subjected to strict and controlled experimentation
prior approval!
3. INTRODUCTION
Phasellus viverra nulla ut metus varius laoreet. Quisque rutrum. Aenean imperdiet. Etiam
ultricies nisi vel augue. Curabitur ullamcorper ultricies nisi. Nam eget dui. Etiam rhoncus.
Maecenas tempus,
Forte G 2017
Assessing drug journeys in the market is a function of BIG DATA!
4. Big data in the regulatory context are best shaped by the routine
clinical care
Real-world data
(RWD)
Real-world
evidence (RWE)
“data relating to patient health
status and/or the delivery of
health care routinely collected
from a variety of sources” .. FDA
“clinical evidence regarding the
usage and potential benefits or
risks of a medical product
derived from analysis of RWD ”
.. FDA
5. “Never before in the history of medicines regulation, regulators have
initiated platforms for ‘own data’ or extensive access data. Usually
sponsors are required to deliver quality, pre-clinical, PK or clinical
data ” .. Leufkens B 2020
6. RWE is not only for post-marketing safety assessment!
RWE
Effectiveness
Safety
Health
policies
Regulatory
actions
Shortage
Repurposing
10. Challenges in the Saudi context
Alnofal et al. PDS 2019
• Adopting electronic health recording systems is relatively new
• Separate recording systems within one hospital
• Different hospitals use different coding systems and
algorithms
• Lack of validation studies
• Data completeness?
11. 2018 ‘where it all
started’
GLOBAL FORUM 2020
Establishing the National
Saudi Pharmacoepidemiology
Database
17. Assessing the readiness for RWE 2020
Validation
study I
Step I
Step II
Step III
Stakeholder I
TEXT TEXT
Stakeholder II Stakeholder III
Effectiveness
study
Feasibility for
advanced
analysis I
Feasibility for
advanced analysis
II
Validation
study II
Regulatory
science I
Regulatory
science II
Study III Study III