A Framework for Assessing the Value of Diagnostic Imaging in the Era of Comparative Effectiveness Research

Published Online:https://doi.org/10.1148/radiol.11110155

The key challenge for the imaging community is to develop methods and processes for developing and using outcomes data in a manner that is consistent, transparent, participatory, and fair, and that addresses the unique features of the technology.

In June 2009, the Federal Coordinating Council for Comparative Effectiveness Research submitted a report to the President and Congress in which the Council described the purpose of comparative effectiveness research (CER) as developing evidence-based information for interventions and determining under what circumstances an intervention is effective (1). With the enactment of the Patient Protection and Affordable Care Act, a Patient-centered Outcomes Research Institute (PCORI) was established to assist decision makers in making evidence-based health decisions through synthesis and dissemination of clinical CER of health interventions (2). Its founding has underscored a heightened need for health policy makers to consider the impact of health care technologies on final outcomes of interest—for example, functional status, quality of life, disability, major clinical events, and mortality (35).

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Article History

Received February 3, 2011; revision requested March 11; revision received May 26; accepted June 17; final version accepted August 2. Supported by GE Healthcare.
Published online: Dec 2011
Published in print: Dec 2011