James Chambers has put collectively a collection of papers well being good points (and price effectiveness) utilizing the Tufts Value Effectiveness Evaluation Registry. In these research , he finds that therapies for uncommon ailments, specialty medicine, and people who obtain expedited evaluate are extra seemingly to offer the biggest well being profit (≥0.9 QALYs gained versus comparator).
Chambers et al. (2020) reveals that is true for therapies for uncommon illness:
Chambers et al. (2017) reveals that is true for therapies receiving expedited evaluate:
and Chambers et al. (2014) reveals that that is true for specialty medicine.
Be aware that the bigger well being good points are sometimes correlated with increased drug costs. Within the case of uncommon illness, these extremely helpful therapies are much less prone to be value efficient, as a result of excessive remedy value. This shouldn’t be shocking, nevertheless, as increased costs are wanted to fund R&D efforts since–by definition–market sizes are smaller for uncommon ailments. Then again the Chambers et al. (2014) research reveals that whereas specialty medicine value extra, value effectiveness is akin to conventional medicine as a result of well being good points are increased on common.
