{"id":847,"date":"2017-11-22T15:06:28","date_gmt":"2017-11-22T15:06:28","guid":{"rendered":"http:\/\/neuroeconomix.com\/?p=847"},"modified":"2025-01-28T18:21:07","modified_gmt":"2025-01-28T23:21:07","slug":"como-se-evalua-la-evidencia-de-seguridad-y-efectividad-en-la-nominacion-a-exclusiones","status":"publish","type":"post","link":"https:\/\/neuroeconomix.com\/en\/como-se-evalua-la-evidencia-de-seguridad-y-efectividad-en-la-nominacion-a-exclusiones\/","title":{"rendered":"\u00bfC\u00f3mo se eval\u00faa la evidencia de seguridad y efectividad en la nominaci\u00f3n a exclusiones?"},"content":{"rendered":"<p>[vc_row css=\u00bb.vc_custom_1533834763111{background-color: #ffffff !important;}\u00bb][vc_column][vc_custom_heading text=\u00bb\u00bfC\u00f3mo se eval\u00faa la evidencia de seguridad y efectividad en la nominaci\u00f3n a exclusiones?\u00bb font_container=\u00bbtag:h2|text_align:center|color:%23990d0d\u00bb use_theme_fonts=\u00bbyes\u00bb][vc_row_inner content_placement=\u00bbmiddle\u00bb][vc_column_inner width=\u00bb1\/4&#8243;][\/vc_column_inner][vc_column_inner width=\u00bb1\/4&#8243;][vc_single_image image=\u00bb1869&#8243; img_size=\u00bb110&#215;110&#8243; alignment=\u00bbcenter\u00bb style=\u00bbvc_box_shadow_circle_2&#8243; css_animation=\u00bbbounceIn\u00bb][\/vc_column_inner][vc_column_inner width=\u00bb1\/4&#8243;][vc_column_text el_class=\u00bbreferencias\u00bb]<strong>Por: Fabian Hern\u00e1ndez<\/strong><br \/>\nQu\u00edmico Farmac\u00e9utico<br \/>\nInvestigador en Econom\u00eda de la Salud<br \/>\nNeuroeconomix[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00bb1\/4&#8243;][\/vc_column_inner][\/vc_row_inner][vc_column_text]<\/p>\n<h4 style=\"text-align: center;\">Uno de los criterios establecidos en la Ley 1751 de 2015 para la determinaci\u00f3n de exclusiones es la falta de evidencia sobre seguridad y efectividad cl\u00ednica, o que los resultados de los estudios comparativos evidencien que su efectividad cl\u00ednica es inferior frente a otras alternativas disponibles.<\/h4>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]Uno de los criterios establecidos en la Ley 1751 de 2015 para la determinaci\u00f3n de exclusiones es la falta de evidencia sobre seguridad y efectividad cl\u00ednica, o que los resultados de los estudios comparativos evidencien que su efectividad cl\u00ednica es inferior frente a otras alternativas disponibles. Para evaluar esto, el IETS conformar\u00e1 un grupo de an\u00e1lisis t\u00e9cnico-cient\u00edfico que emitir\u00e1 un concepto sobre la nominaci\u00f3n.<\/p>\n<p>Cabe agregar que cualquier actor del sistema de salud puede nominar una tecnolog\u00eda.<\/p>\n<p>El grupo evaluador plantea entonces, una pregunta PICOT que guiar\u00e1 la extracci\u00f3n de informaci\u00f3n de evidencia suministrada por el nominador o la realizaci\u00f3n de una nueva revisi\u00f3n r\u00e1pida de la literatura (no necesariamente sistem\u00e1tica).<\/p>\n<p>La evidencia enviada por el nominador ser\u00e1 evaluada con las herramientas de evaluaci\u00f3n de riesgo de sesgo de la colaboraci\u00f3n Cochrane para revisiones sistem\u00e1ticas (RoBIS), ensayos cl\u00ednicos (RoB), estudios de cohorte y casos y controles (ROBINS-I), herramienta Axis para estudios de corte transversal y\/o herramienta QUADAS 2 para estudios de pruebas diagn\u00f3sticas. Si la evidencia presenta un alto riesgo de sesgo, o el grupo evaluador considera la necesidad de un meta-an\u00e1lisis, se realizar\u00e1 una revisi\u00f3n de novo siguiendo los lineamientos del manual metodol\u00f3gico del IETS.<\/p>\n<p>Uno de los principales criterios que tiene en cuenta el grupo evaluador para realizar un meta-an\u00e1lisis es la homogeneidad de las poblaciones, esto es, que los participantes de cada uno de los estudios a incluir tengan caracter\u00edsticas similares, con el fin de disminuir el sesgo en el resultado final.<\/p>\n<p>Una vez realizada la s\u00edntesis de evidencia el grupo emitir\u00e1 un concepto sobre eficacia y seguridad de la tecnolog\u00eda nominada que, junto con las opiniones recogidas de agremiaciones de pacientes potencialmente afectados, ser\u00e1n evaluados por el Ministerio de Salud para tomar una decisi\u00f3n.<\/p>\n<p>Para conocer m\u00e1s sobre este proceso, le recomendamos consultar la Resoluci\u00f3n 330 de 2017<\/p>\n<p><strong><span style=\"color: #9b0707;\">Link: <a style=\"color: #9b0707;\" href=\"https:\/\/www.minsalud.gov.co\/sites\/rid\/Lists\/BibliotecaDigital\/RIDE\/DE\/DIJ\/resolucion-330-de-2017.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.minsalud.gov.co\/sites\/rid\/Lists\/BibliotecaDigital\/RIDE\/DE\/DIJ\/resolucion-330-de-2017.pdf<\/a><\/span><\/strong>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row css=\u00bb.vc_custom_1533834763111{background-color: #ffffff !important;}\u00bb][vc_column][vc_custom_heading text=\u00bb\u00bfC\u00f3mo se eval\u00faa la evidencia de seguridad y efectividad en la nominaci\u00f3n a exclusiones?\u00bb font_container=\u00bbtag:h2|text_align:center|color:%23990d0d\u00bb use_theme_fonts=\u00bbyes\u00bb][vc_row_inner content_placement=\u00bbmiddle\u00bb][vc_column_inner width=\u00bb1\/4&#8243;][\/vc_column_inner][vc_column_inner width=\u00bb1\/4&#8243;][vc_single_image image=\u00bb1869&#8243; img_size=\u00bb110&#215;110&#8243;&#8230;<\/p>\n","protected":false},"author":19,"featured_media":2187,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[4,8],"tags":[24,36,30,57,58,59],"ppma_author":[740],"class_list":["post-847","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-sistema-de-salud","tag-evidencia","tag-iets","tag-nuevas-tecnologias","tag-pregunta-picot","tag-revision-de-la-literatura","tag-sistema-de-salud"],"taxonomy_info":{"category":[{"value":4,"label":"Blogs 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