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Reimbursement summary for angioplasty of arteries of lower extremities

This post presents an extract from our reimbursement analysis for angioplasty of arteries lower extremities using plain and drug-coated balloons (DCBs) for peripheral artery disease in England, France and Germany. Plain balloon angioplasty is reimbursement via DRG solely and DCBs are reimbursement via combination of DRG and add-on reimbursement.
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National care program for breast cancer updated in Sweden

On May 31, 2022, Regional Cancer Centers collaboration (RCC) updated the national care program for breast cancer. The following key changes are presented below:

  • Everyone with triple-negative breast cancer (TNBC), regardless of age, should be offered genetic testing. Three new genes (BARD1, RAD51C, and RAD51D) have been proposed;
  • Patients with triple-negative and HER2-positive breast cancer should always be recommended preoperative treatment and not offered primary surgery
  • For patients who have 1-2 positive sentinel node glands at a "clinically negative axilla", the care program recommends primary radiotherapy instead of conventional axillary evacuation to reduce the risk of late complications;
  • The care program recommends radiotherapy with only five daily fractions instead of the previous standard for primary breast cancer localized to the breast tissue;
  • Indications for the use of gene expression analysis for luminal breast cancer have been clarified;
  • Prior to treatment choice, the care program recommends performing both PD-L1 assays that are predictive of atezolizumab (PD-L1 assay on immune cells) and pembrolizumab (combined positive score), respectively;
  • Mapping of the PIK3CA gene is recommended in patients with luminal breast cancer;
  • A new separate chapter on breast cancer in men has been included in the care program.

See the more details in Swedish here, and the full text of the care program here

This news is just one of about 300 market access news collected by our team in the subscription services "HTA Alerts" and "Reimbursement Alerts" every two weeks from more than 80 organizations. Access our paid subscription services to stay on top of all developments specifically for your products in Europe (reimbursement news) and globally (HTA news). First EU issues of both newsletters are available for download free-of-charge.

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