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Farmaci, biomarcatori, efficacia e sostenibilità

Take home messages

Massimo Di Maio, MD

SCDU Oncologia Medica, AO Mauriziano, Torino Dipartimento di Oncologia, Università di Torino

massimo.dimaio@unito.it

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…una sessione

ricca di prospettive ma soprattutto

di quesiti aperti!

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Courtesy

of Romano Danesi

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Kerr, ESMO meeting 2016

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Kerr, ESMO meeting 2016

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Courtesy

of Cristiano Rampinelli

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Courtesy

of Cristiano Rampinelli

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Immunoterapia: cosa chiedono i pazienti?

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Immunoterapia: cosa chiedono i pazienti?

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11. Treatment equity

In order to avoid individual economic concerns over the risk-benefit assessment of the treatment options, financial choices should be undertaken at the highest decisional level, as far as possible from the individual doctor-patient relationship.

Gori et al, Tumori Journal 2016 Dec 1;102(6):e25-e27.

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Of course, this does not mean that doctors should not be

aware of the cost of the drugs: the economic implications of treatment decisions should be always taken into account.

Indeed, due to the relevance of these topics, decision-making should involve the contribution of all the stakeholders, the

doctors and even the patients themselves.

Di Maio M et al, ESMO Open 2016;1:e000109.

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Richard Sullivan, ESMO meeting, October 10, 2016

Equitable and affordable cancer care: Is Europe a union for real?

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“Il lavandino traboccante”

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Il “fondo

speciale” per i farmaci

oncologici

Una soluzione provvisoria

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Ridurre il numero di casi!

Nel breve termine:

“Precision medicine”

Nel medio termine:

Prevenzione!

Alla ricerca di soluzioni più durature…

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Ridurre il costo dei farmaci!

Alla ricerca di soluzioni più durature…

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ESMO

magnitude of benefit scale

ASCO value framework

Risultati delle

sperimentazioni cliniche

Approvazione da parte delle agenzie regolatorie

Decisione sul prezzo

Impiego

nella pratica clinica Inclusione dei farmaci

nelle linee-guida

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ESMO

magnitude of benefit scale

ASCO value framework Definizione cruciale del

VALORE

Risultati delle

sperimentazioni cliniche

Approvazione da parte delle agenzie regolatorie

Decisione sul prezzo

Impiego

nella pratica clinica Inclusione dei farmaci

nelle linee-guida

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Farmaci, biomarcatori, efficacia e sostenibilità

Take home messages

Massimo Di Maio, MD

SCDU Oncologia Medica, AO Mauriziano, Torino Dipartimento di Oncologia, Università di Torino

massimo.dimaio@unito.it

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