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Principles of Comparative Effectiveness in PsA and AS

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Presentation on theme: "Principles of Comparative Effectiveness in PsA and AS"— Presentation transcript:

1 Principles of Comparative Effectiveness in PsA and AS

2

3 Introduction

4 Evolving Complexity of the Treatment Landscape for PsA and AS

5 How Can We Compare the Value of New Agents vs Existing Agents?

6 Desired Situation

7 Also Pretty Good to Have...

8 Current Situation

9 Levels of Evidence and Bias

10 Forms of Bias

11 Forms of Bias

12 Meta-Analysis Is a Form of Observational Research!

13 Meta-Analysis Is a Form of Observational Research! (cont)

14 Indirect Comparison: Standard Approach

15 Indirect Comparison: More Assumptions

16 Correction for PBO

17 Correction for PBO (cont)

18 Correction for PBO (cont)

19 Indirect Comparison: New Approaches

20 Indirect Comparison: New Approaches

21 Indirect Comparison: New Approaches (cont)

22 Indirect Comparisons: Limitations

23 Concluding Remarks

24 Principles of Comparative Effectiveness in PsA and AS

25 The Need for Indirect Comparisons

26 Network Meta-Analysis

27 Network Meta-Analysis

28 Barrier to NMA: Disconnected Networks

29 Matching-Adjusted Indirect Comparison

30 Matching-Adjusted Indirect Comparison (cont)

31 Matching-Adjusted Indirect Comparison (cont)

32 Simulated Treatment Comparisons

33 Simulated Treatment Comparisons (cont)

34 Comparison of Methods: Summary

35 Comparison of Methods: Summary

36 Principles of Comparative Effectiveness in PsA and AS

37 Evolving Complexity of the Treatment Landscape for PsA

38 ADA vs ETA vs INF: Methods

39 ADA vs ETA vs INF: Results and Interpretation

40 ADA vs SEC: Methods

41 ADA vs SEC: Results and Interpretation

42 SEC vs ADA: Methods

43 SEC vs ADA: Results and Interpretation

44 SEC vs INF: Methods

45 SEC vs INF: Results and Interpretation

46 Conclusions

47 Principles of Comparative Effectiveness in PsA and AS

48 Evolving Complexity of the Treatment Landscape for AS

49 ADA vs SEC: Methods

50 ADA vs SEC: Results and Interpretation

51 SEC vs ADA: Methods

52 SEC vs ADA: Results and Interpretation

53 SEC vs ADA: Methods

54 SEC vs ADA: Results and Interpretation

55 SEC vs GOL: Methods

56 SEC vs GOL: Results and Interpretation

57 Conclusions

58 Abbreviations

59 Abbreviations (cont)

60 Abbreviations (cont)


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