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  4. Acceptable references to establish first/second/third line treatment
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Acceptable references to establish first/second/third line treatment

Scheduled Pinned Locked Moved Claims & Support/References for Claims
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  • M Offline
    M Offline
    Maryssa
    wrote on last edited by
    #1

    In a disease state that does not have authoritative Canadian consensus guidelines, could a CDA (previously CADTH) Provisional Funding Algorithm be used to support which products are recommended to be used first-line, second-line, third-line, etc. Providing this as an example: https://www.cda-amc.ca/sites/default/files/DRR/2024/PH0047_Multiple_Myeloma.pdf.

    Jennifer CarrollJ 1 Reply Last reply
    0
    • M Maryssa

      In a disease state that does not have authoritative Canadian consensus guidelines, could a CDA (previously CADTH) Provisional Funding Algorithm be used to support which products are recommended to be used first-line, second-line, third-line, etc. Providing this as an example: https://www.cda-amc.ca/sites/default/files/DRR/2024/PH0047_Multiple_Myeloma.pdf.

      Jennifer CarrollJ Offline
      Jennifer CarrollJ Offline
      Jennifer Carroll
      wrote on last edited by
      #2

      Good Morning, @maryssa

      Historically, as confirmed by the provided document (see Background, paragraph 2 copy “Note that provisional funding algorithms are not treatment algorithms; they are neither meant to detail the full clinical management…”), these documents are not intended to be treatment algorithms. However, Canada's Drug Agency (CDA-AMC) has an expanded mandate and role, including improving medication prescribing practices. We will reach out to CDA to discuss whether their new mandate impacts PAAB review. Stay tuned.

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      • M Offline
        M Offline
        Maryssa
        wrote on last edited by
        #3

        Thanks Jennifer!

        In the absence of authoritative Canadian consensus guidelines, is there another reference type you can recommend to support which products are recommended to be used first-line, second-line, third-line, etc?

        Jennifer CarrollJ 1 Reply Last reply
        0
        • M Maryssa

          Thanks Jennifer!

          In the absence of authoritative Canadian consensus guidelines, is there another reference type you can recommend to support which products are recommended to be used first-line, second-line, third-line, etc?

          Jennifer CarrollJ Offline
          Jennifer CarrollJ Offline
          Jennifer Carroll
          wrote on last edited by
          #4

          Hey @maryssa

          A search of the PAAB resources at paab.ca should turn up “What constitutes current medical opinion”. A search of “guidelines” on the forum should turn up 593, 743, 77, among other results. HTH.

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