ASCO today published an updated framework for assessing the relative value of cancer therapies that have been compared in clinical trials. The framework, published by Schnipper et al in the Journal of Clinical Oncology, defines value as a combination of clinical benefit, side effects, and improvement in patient symptoms or quality of life in the context of cost. The updated framework will be the basis for a software tool that doctors can use to assist shared decision-making with their patients.
After publishing the initial version of the framework last year, ASCO invited public feedback during a 60-day comment period. We were pleased to receive more than 400 comments from patients, patient advocates, physicians, representatives of the pharmaceutical industry, and other members of the cancer community. We are grateful for the extensive and thoughtful feedback, which has helped us strengthen key elements of the framework to improve its utility. We are pleased that a majority of respondents supported the framework’s goals and overall approach.
Based on the feedback received, ASCO has made several changes to the framework:
In the coming months, ASCO will work to translate the framework into a user-friendly software tool for physicians to use with patients as part of broader discussions about treatment options. Importantly, recognizing that what individual patients care about most is highly personalized, the tool will allow scored categories for toxicity and length of survival to be weighted depending on a patient’s preference.
ASCO will work closely with stakeholders, particularly patient advocates, to help ensure that the tool fully considers the needs and preferences of patients. Once it is developed, we will also provide physicians with educational resources so that they can best apply the tool in their discussions with patients. We anticipate that the tool will undergo changes as we test it, receive feedback from physicians and patients, and adapt it to multiple clinical scenarios and new clinical evidence.
We remain committed in our mission to deliver high-quality, high-value care for all patients, and look forward to working closely with the community to bring this tool to patients as soon as possible.
About ASCO’s Value Framework
The framework was developed and revised by ASCO’s Value in Cancer Care Task Force, a multidisciplinary group of physicians and other representatives of the oncology community. The Task Force was established in 2007 to educate oncologists about the importance of discussing costs associated with recommended treatments, empower patients to ask questions about the anticipated costs of their treatment options, identify the drivers of the rising costs of cancer care, and develop policy positions to promote access to the highest-quality care at the lowest cost. The Value Framework is one part of ASCO’s broader efforts to help achieve high-quality, high-value care for patients.
The content in this post has not been reviewed by the American Society of Clinical Oncology, Inc. (ASCO®) and does not necessarily reflect the ideas and opinions of ASCO®.