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Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2016. Appropriate Use of Advanced Technologies for Radiation Therapy and Surgery in Oncology: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21859.
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Appendix B
Workshop Agenda

July 20, 2015

8:15 am Welcome from the National Cancer Policy Forum
  • Michael Caligiuri, Ohio State University Cancer Center

Chair, National Cancer Policy Forum

 
Overview of the Workshop
  • Tina Shih, MD Anderson Cancer Center • Ralph Weichselbaum, University of Chicago

Workshop Planning Committee Co-Chairs

 
8:30 am Session 1a: Science, Clinical Benefits, and Comparative Effectiveness of Emerging Advanced Technologies for Cancer Treatment: Radiation
Moderator: Carol Hahn, Duke University
Science Behind New Photon Therapies and Their Intended Use
  • Steve Chmura, University of Chicago
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2016. Appropriate Use of Advanced Technologies for Radiation Therapy and Surgery in Oncology: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21859.
×
Science Behind New Proton Therapies and Their Intended Use
  • Anthony Zietman, Massachusetts General Hospital
 
Comparative Effectiveness Research of Emerging Radiation Therapies for Cancer Treatment
  • Grace Smith, MD Anderson Cancer Center
 
Panel Discussion
 
10:15 am Break
 
10:30 am Session 1b: Science, Clinical Benefits, and Comparative Effectiveness of Emerging Advanced Technologies for Cancer Treatment: Surgery
Moderator: Ralph Weichselbaum, University of Chicago
 
Laparoscopic Surgery
  • Richard Whelan, Mount Sinai Health System
 
Science and Intended Use of Robotic Surgeries
  • David Miller, University of Michigan
 
Comparative Effectiveness Research of Robotic Surgeries for Cancer Treatment
  • James Hu, Weill Cornell Medical Center
 
Panel Discussion
 
12:15 pm Lunch Break
 
1:00 pm Session 2a: From Discovery to Marketplace
Moderator: Patricia Ganz, University of California, Los Angeles
 
Impact of New Technology Diffusion on Medicare Expenditures
  • James Yu, Yale University
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2016. Appropriate Use of Advanced Technologies for Radiation Therapy and Surgery in Oncology: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21859.
×
Regulatory Oversight
  • Michael O’Hara, Center for Devices and Radiological Health, Food and Drug Administration
 
Coverage Decisions and Setting Reimbursement Rates at the Centers for Medicare & Medicaid Services
  • Marc Hartstein, Director, Hospital and Ambulatory Policy Group
  • Tamara Syrek Jensen, Coverage and Analysis Group
 
Provider Ownership and the Diffusion of New Technologies
  • Stephen Williams, MD Anderson Cancer Center
 
Panel Discussion
 
3:00 pm Break
 
3:15 pm Session 2b: Examples of Suboptimal Use of Technologies
Moderators: James Hu, Weill Cornell Medical College;
Ted Lawrence, University of Michigan Medical School
 
Opportunities to Improve Value and Reduce Suboptimal Use of Technologies
  • Justin Bekelman, University of Pennsylvania
 
Adoption of New Technologies in Breast Radiotherapy
  • Reshma Jagsi, University of Michigan
 
Adoption of Robot and New Technologies in Gynecologic Oncology
  • Jason Wright, Columbia University
 
Credentialing/Contemporary Training Programs
  • Stanley Ashley, Brigham and Women’s Hospital
 
Panel Discussion
 
5:15 pm Wrap Up Day 1 and Adjourn
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2016. Appropriate Use of Advanced Technologies for Radiation Therapy and Surgery in Oncology: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21859.
×

July 21, 2015

 
8:00 am Session 3a: Potential Strategies to Assess the Value and Define Optimal Use of New Medical Technologies in Cancer Treatment
Moderator: Tina Shih, MD Anderson Cancer Center
 
Assessing Value for Human Medical Technology and Emerging Payment Models for Its Use
  • Michael Steinberg, University of California, Los Angeles
 
Geographic Distribution of New/Scarce Technology
  • Peter Johnstone, H. Lee Moffitt Cancer Center
 
Collaborative Models for Technology Assessment and Utilization: Protons Versus Intensity-Modulated Radiation Therapy for Prostate Cancer
  • Jason Efstathiou, Massachusetts General Hospital
 
Building Evidence for New Technologies (How to Generate the Data)
  • James Dignam, University of Chicago
 
Panel Discussion
 
10:00 am Break
 
10:15 am Session 3b: Reactor Panel—Potential Solutions to Current Challenges
Moderator: Robert Carlson, National Comprehensive
Cancer Network
 
Panelists
  • Dave Beyer, American Society for Radiation Oncology
  • Thomas Farrington, Prostate Health Education Network
  • Larry Kessler, University of Washington
  • James Mohler, Roswell Park
  • Sean Tunis, Center for Medical Technology Policy
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2016. Appropriate Use of Advanced Technologies for Radiation Therapy and Surgery in Oncology: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21859.
×
Panel Discussion
 
11:30 am Workshop Wrap-Up
  • Tina Shih, MD Anderson Cancer Center

Workshop Planning Committee Co-Chair

 
11:45 am Adjourn
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2016. Appropriate Use of Advanced Technologies for Radiation Therapy and Surgery in Oncology: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21859.
×

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Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2016. Appropriate Use of Advanced Technologies for Radiation Therapy and Surgery in Oncology: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21859.
×
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Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2016. Appropriate Use of Advanced Technologies for Radiation Therapy and Surgery in Oncology: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21859.
×
Page 86
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2016. Appropriate Use of Advanced Technologies for Radiation Therapy and Surgery in Oncology: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21859.
×
Page 87
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2016. Appropriate Use of Advanced Technologies for Radiation Therapy and Surgery in Oncology: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21859.
×
Page 88
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2016. Appropriate Use of Advanced Technologies for Radiation Therapy and Surgery in Oncology: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21859.
×
Page 89
Suggested Citation:"Appendix B: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2016. Appropriate Use of Advanced Technologies for Radiation Therapy and Surgery in Oncology: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21859.
×
Page 90
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In recent years, the field of oncology has witnessed a number of technological advances, including more precise radiation therapy and minimally invasive surgical techniques. Three-dimensional (3D), stereotactic, and proton-beam radiation therapy, as well as laparoscopy and robotic surgery, can enhance clinician's ability to treat conditions that were clinically challenging with conventional technologies, and may improve clinical outcomes or reduce treatment-related problems for some patients. Both patients and physicians seek access to these new technologies, which are rapidly being adopted into standard clinical practice. Such demand is often propelled by marketing that portrays the new technologies as the “latest and greatest” treatments available. However, evidence is often lacking to support these claims, and these novel technologies usually come with higher price tags and are often used to treat patients who might have achieved similar benefits from less expensive, conventional treatment.

The increased cost of novel treatments without adequate assessment of how they affect patient outcomes is a pressing concern given that inappropriate use of expensive technologies is one of the key factors that threaten the affordability of cancer care in the United States. To explore these issues further, the National Cancer Policy Forum (NCPF) of the Institute of Medicine organized a workshop in July 2015. This is the third NCPF workshop in a series examining the affordability of cancer care. Participants explored clinical benefits and comparative effectiveness of emerging advanced technologies for cancer treatment in radiation therapy and surgery and potential strategies to assess the value and promote optimal use of new technologies in cancer treatment. This report summarizes the presentations and discussions from the workshop.

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