On May 31, 2016, ASCO 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,1 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. (Watch for an in-depth interview with Dr. Schnipper and more on the Value in Cancer Care Framework in the next issue of The ASCO Post.)
After publishing the initial version of the framework last year, ASCO invited public feedback during a 60-day comment period. More than 400 comments were submitted from patients, patient advocates, physicians, representatives of the pharmaceutical industry, and other members of the cancer community.
Changes to the Framework
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.
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 (see members of the task force below). ■
Disclosure: For full disclosures of the authors, visit jco.ascopubs.org.
1. Schnipper LE, Davidson NE, Wollins DS, et al: Updating the American Society of Clinical Oncology Value Framework: Revisions and reflections in response to comments Received. J Clin Oncol. May 31, 2016 (early release online).