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Table 3 MCDA Core Model (criteria appraised quantitatively) and MCDA Contextual Tool (criteria appraised qualitatively)

From: Implementing reflective multicriteria decision analysis (MCDA) to assess orphan drugs value in the Catalan Health Service (CatSalut)

MCDA Core Model

Domains

Criteria

 Disease Impact

Disease severity

Unmet needs

 Comparative outcomes of orphan drugs

Improvement of efficacy/effectiveness

Improvement of safety/ tolerability

Improvement of patient perceived health/PRO

Type of therapeutic benefit

 Economic consequences of intervention

Annual patient cost of treatment

Other medical costs

 Knowledge about intervention

Quality of evidence

Expert consensus/clinical practice guidelines

MCDA Contextual Tool

Domains

Criteria

 Normative contextual criteria

Population priorities and access (principle of equity)

Common goal and specific interests

 Feasibility contextual criteria

System capacity and appropriate use of orphan drugs

Opportunity costs and affordability (budget impact)

  1. MCDA Multiple Criteria Decision Analysis