How to Ease the Pain of Taking a Diagnostic Point of Care Test to the Market: A Framework for Evidence Development

Bringing a diagnostic point of care test (POCT) to a healthcare market can be a painful experience as it requires the manufacturer to meet considerable technical, financial, managerial, and regulatory challenges. In this opinion article we propose a framework for developing the evidence needed to su...

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Main Authors: Sara Graziadio, Amanda Winter, B. Clare Lendrem, Jana Suklan, William S. Jones, Samuel G. Urwin, Rachel A. O’Leary, Rachel Dickinson, Anna Halstead, Kasia Kurowska, Kile Green, Andrew Sims, A. John Simpson, H. Michael Power, A. Joy Allen
Format: Article
Language:English
Published: MDPI AG 2020-03-01
Series:Micromachines
Subjects:
Online Access:https://www.mdpi.com/2072-666X/11/3/291
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language English
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sources DOAJ
author Sara Graziadio
Amanda Winter
B. Clare Lendrem
Jana Suklan
William S. Jones
Samuel G. Urwin
Rachel A. O’Leary
Rachel Dickinson
Anna Halstead
Kasia Kurowska
Kile Green
Andrew Sims
A. John Simpson
H. Michael Power
A. Joy Allen
spellingShingle Sara Graziadio
Amanda Winter
B. Clare Lendrem
Jana Suklan
William S. Jones
Samuel G. Urwin
Rachel A. O’Leary
Rachel Dickinson
Anna Halstead
Kasia Kurowska
Kile Green
Andrew Sims
A. John Simpson
H. Michael Power
A. Joy Allen
How to Ease the Pain of Taking a Diagnostic Point of Care Test to the Market: A Framework for Evidence Development
Micromachines
point of care
medical device
diagnostic
care pathway analysis
value proposition
evidence generation
preparation for marketing
adoption
implementation
author_facet Sara Graziadio
Amanda Winter
B. Clare Lendrem
Jana Suklan
William S. Jones
Samuel G. Urwin
Rachel A. O’Leary
Rachel Dickinson
Anna Halstead
Kasia Kurowska
Kile Green
Andrew Sims
A. John Simpson
H. Michael Power
A. Joy Allen
author_sort Sara Graziadio
title How to Ease the Pain of Taking a Diagnostic Point of Care Test to the Market: A Framework for Evidence Development
title_short How to Ease the Pain of Taking a Diagnostic Point of Care Test to the Market: A Framework for Evidence Development
title_full How to Ease the Pain of Taking a Diagnostic Point of Care Test to the Market: A Framework for Evidence Development
title_fullStr How to Ease the Pain of Taking a Diagnostic Point of Care Test to the Market: A Framework for Evidence Development
title_full_unstemmed How to Ease the Pain of Taking a Diagnostic Point of Care Test to the Market: A Framework for Evidence Development
title_sort how to ease the pain of taking a diagnostic point of care test to the market: a framework for evidence development
publisher MDPI AG
series Micromachines
issn 2072-666X
publishDate 2020-03-01
description Bringing a diagnostic point of care test (POCT) to a healthcare market can be a painful experience as it requires the manufacturer to meet considerable technical, financial, managerial, and regulatory challenges. In this opinion article we propose a framework for developing the evidence needed to support product development, marketing, and adoption. We discuss each step in the evidence development pathway from the invention phase to the implementation of a new POCT in the healthcare system. We highlight the importance of articulating the value propositions and documenting the care pathway. We provide guidance on how to conduct care pathway analysis as little has been published on this. We summarize the clinical, economic and qualitative studies to be considered for developing evidence, and provide useful links to relevant software, on-line applications, websites, and give practical advice. We also provide advice on patient and public involvement and engagement (PPIE), and on product management. Our aim is to help device manufacturers to understand the concepts and terminology used in evaluation of <i>in vitro</i> diagnostics (IVDs) so that they can communicate effectively with evaluation methodologists, statisticians, and health economists. Manufacturers of medical tests and devices can use the proposed framework to plan their evidence development strategy in alignment with device development, applications for regulatory approval, and publication.
topic point of care
medical device
diagnostic
care pathway analysis
value proposition
evidence generation
preparation for marketing
adoption
implementation
url https://www.mdpi.com/2072-666X/11/3/291
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spelling doaj-6f2da531a61c4d9280189716af6ed74d2020-11-25T02:28:41ZengMDPI AGMicromachines2072-666X2020-03-0111329110.3390/mi11030291mi11030291How to Ease the Pain of Taking a Diagnostic Point of Care Test to the Market: A Framework for Evidence DevelopmentSara Graziadio0Amanda Winter1B. Clare Lendrem2Jana Suklan3William S. Jones4Samuel G. Urwin5Rachel A. O’Leary6Rachel Dickinson7Anna Halstead8Kasia Kurowska9Kile Green10Andrew Sims11A. John Simpson12H. Michael Power13A. Joy Allen14NIHR Newcastle In Vitro Diagnostics Co-operative, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne NE1 4LP, UKNIHR Newcastle In Vitro Diagnostics Co-operative, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne NE1 4LP, UKNIHR Newcastle In Vitro Diagnostics Co-operative, Room M2.088, Translational and Clinical Research Institute, William Leech Building, Medical School, Newcastle University, Newcastle NE2 4HH, UKNIHR Newcastle In Vitro Diagnostics Co-operative, Room M2.088, Translational and Clinical Research Institute, William Leech Building, Medical School, Newcastle University, Newcastle NE2 4HH, UKNIHR Newcastle In Vitro Diagnostics Co-operative, Room M2.088, Translational and Clinical Research Institute, William Leech Building, Medical School, Newcastle University, Newcastle NE2 4HH, UKNIHR Newcastle In Vitro Diagnostics Co-operative, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne NE1 4LP, UKNIHR Newcastle In Vitro Diagnostics Co-operative, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne NE1 4LP, UKNIHR Newcastle In Vitro Diagnostics Co-operative, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne NE1 4LP, UKNIHR Newcastle In Vitro Diagnostics Co-operative, Room M2.088, Translational and Clinical Research Institute, William Leech Building, Medical School, Newcastle University, Newcastle NE2 4HH, UKNIHR Newcastle In Vitro Diagnostics Co-operative, Room M2.088, Translational and Clinical Research Institute, William Leech Building, Medical School, Newcastle University, Newcastle NE2 4HH, UKNIHR Newcastle In Vitro Diagnostics Co-operative, Room M2.088, Translational and Clinical Research Institute, William Leech Building, Medical School, Newcastle University, Newcastle NE2 4HH, UKNIHR Newcastle In Vitro Diagnostics Co-operative, The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne NE1 4LP, UKNIHR Newcastle In Vitro Diagnostics Co-operative, Room M2.088, Translational and Clinical Research Institute, William Leech Building, Medical School, Newcastle University, Newcastle NE2 4HH, UKNIHR Newcastle In Vitro Diagnostics Co-operative, Room M2.088, Translational and Clinical Research Institute, William Leech Building, Medical School, Newcastle University, Newcastle NE2 4HH, UKNIHR Newcastle In Vitro Diagnostics Co-operative, Room M2.088, Translational and Clinical Research Institute, William Leech Building, Medical School, Newcastle University, Newcastle NE2 4HH, UKBringing a diagnostic point of care test (POCT) to a healthcare market can be a painful experience as it requires the manufacturer to meet considerable technical, financial, managerial, and regulatory challenges. In this opinion article we propose a framework for developing the evidence needed to support product development, marketing, and adoption. We discuss each step in the evidence development pathway from the invention phase to the implementation of a new POCT in the healthcare system. We highlight the importance of articulating the value propositions and documenting the care pathway. We provide guidance on how to conduct care pathway analysis as little has been published on this. We summarize the clinical, economic and qualitative studies to be considered for developing evidence, and provide useful links to relevant software, on-line applications, websites, and give practical advice. We also provide advice on patient and public involvement and engagement (PPIE), and on product management. Our aim is to help device manufacturers to understand the concepts and terminology used in evaluation of <i>in vitro</i> diagnostics (IVDs) so that they can communicate effectively with evaluation methodologists, statisticians, and health economists. Manufacturers of medical tests and devices can use the proposed framework to plan their evidence development strategy in alignment with device development, applications for regulatory approval, and publication.https://www.mdpi.com/2072-666X/11/3/291point of caremedical devicediagnosticcare pathway analysisvalue propositionevidence generationpreparation for marketingadoptionimplementation