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Swedish MTP Council recommended to wait with introduction of SpaceOAR Hydrogel and Barrigel for prostate cancer
On March 16, 2022, the Swedish Medical Technologies Product (MTP) Council released recommendations for two technologies within the Orderly introduction framework - SpaceOAR Hydrogel and Barrigel, which are used to reduce the side effects of radiotherapy in prostate cancer. The MTP Council commissioned the Swedish Dental and Pharmaceutical Benefits Agency (TLV) to perform a health economic assessment of these products in October 2021. However, TLV has not been able to make any health economic assessments because the manufacturer companies refused to participate.
MTP Council made the following recommendations to regions:
- To wait with the use of SpaceOAR Hydrogel and Barrigel until more knowledge is available. To obtain more knowledge, the MTP Council launched a gradual introduction in four regions (Skåne, Västra Götalands, Uppsala, and Västerbotten) with a joint structured follow-up, including the national survey within the National Prostate Cancer Registry;
- To use the products otherwise only within the clinical trials.
The Orderly framework aimed to manage the national introduction of novel technologies is working as permanent from the beginning of 2020. This is a staged process, including horizon scanning, selection of the method for evaluation, the decision on national collaboration, health economic evaluation by TLV, and recommendations by the MTP Council to regions about the introduction of the method and criteria for use.
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