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Healthy Skepticism Library item: 11717

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Poole C.
NICE transparency: Let cost effectiveness models be open to scrutiny
BMJ 2007 Oct 13; 335:(7623):735
http://www.bmj.com/cgi/content/short/335/7623/735?etoc


Abstract:

In light of the recent ruling over the National Institute for Health and Clinical Excellence’s (NICE) decision on donezepil,1 2 we wish to comment on the adversarial system of drug evaluation and the inadequacy of NICE providing read-only versions of cost effectiveness models for the purposes of reviewing their decisions.

The assertion that “[NICE] is not in a position to deal with the reality of restrictions being placed on [the models] by those who supply them“2 is not defensible. NICE could specify terms and conditions to technology assessment groups (TAGs) to allow full disclosure of what, after all, is publicly funded research. Indeed, they should be disclosed under the Freedom of Information Act, with non-disclosure acceptable only when in the public interest.

Recently, the Sheffield TAG published a correction to a cost effectiveness model for multiple sclerosis treatment caused by a coding error.3 This model underpinned a high profile and novel . . .

drchrispoole@googlemail.com

 

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As an advertising man, I can assure you that advertising which does not work does not continue to run. If experience did not show beyond doubt that the great majority of doctors are splendidly responsive to current [prescription drug] advertising, new techniques would be devised in short order. And if, indeed, candor, accuracy, scientific completeness, and a permanent ban on cartoons came to be essential for the successful promotion of [prescription] drugs, advertising would have no choice but to comply.
- Pierre R. Garai (advertising executive) 1963