Advancing digital health applications: priorities for innovation in real-world evidence generation

Research output: Contribution to journalReview articleResearchpeer review

Authors

  • Ariel D. Stern
  • Jan Brönneke
  • Jörg F. Debatin
  • Julia Hagen
  • Henrik Matthies
  • Smit Patel
  • Ieuan Clay
  • Bjoern Eskofier
  • Annika Herr
  • Kurt Hoeller
  • Ashley Jaksa
  • Daniel B. Kramer
  • Mattias Kyhlstedt
  • Katherine T. Lofgren
  • Nirosha Mahendraratnam
  • Holger Muehlan
  • Simon Reif
  • Lars Riedemann
  • Jennifer C. Goldsack

Research Organisations

External Research Organisations

  • Harvard University
  • Health Innovation Hub (hih)
  • Hasso Plattner Institute for Digital Engineering (HPI)
  • Digital Medicine Society (DiMe)
  • Evidation Health, Inc.
  • Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU Erlangen-Nürnberg)
  • EIT Health
  • Aetion, Inc.
  • Synergus RWE AB
  • Foundation Medicine
  • University of Greifswald
  • Centre for European Economic Research (ZEW)
  • Heidelberg University
View graph of relations

Details

Original languageEnglish
Pages (from-to)e200-e206
JournalThe Lancet Digital Health
Volume4
Issue number3
Early online date23 Feb 2022
Publication statusPublished - Mar 2022

Abstract

In 2019, Germany passed the Digital Healthcare Act, which, among other things, created a “Fast-Track” regulatory and reimbursement pathway for digital health applications in the German market. The pathway explicitly provides for flexibility in how researchers can present evidence for new digital products, including the use of real-world data and real-world evidence. Against this backdrop, the Digital Medicine Society and the Health Innovation Hub of the German Federal Ministry of Health convened a set of roundtable discussions to bring together international experts in evidence generation for digital medicine products. This Viewpoint highlights findings from these discussions with the aims of (1) accelerating and stimulating innovative approaches to digital medical product evaluation, and (2) promoting international harmonisation of best evidentiary practices. Advancing these topics and fostering international agreement on evaluation approaches will be vital to the safe, effective, and evidence-based deployment and acceptance of digital health applications globally.

ASJC Scopus subject areas

Cite this

Advancing digital health applications: priorities for innovation in real-world evidence generation. / Stern, Ariel D.; Brönneke, Jan; Debatin, Jörg F. et al.
In: The Lancet Digital Health, Vol. 4, No. 3, 03.2022, p. e200-e206.

Research output: Contribution to journalReview articleResearchpeer review

Stern, AD, Brönneke, J, Debatin, JF, Hagen, J, Matthies, H, Patel, S, Clay, I, Eskofier, B, Herr, A, Hoeller, K, Jaksa, A, Kramer, DB, Kyhlstedt, M, Lofgren, KT, Mahendraratnam, N, Muehlan, H, Reif, S, Riedemann, L & Goldsack, JC 2022, 'Advancing digital health applications: priorities for innovation in real-world evidence generation', The Lancet Digital Health, vol. 4, no. 3, pp. e200-e206. https://doi.org/10.1016/S2589-7500(21)00292-2
Stern, A. D., Brönneke, J., Debatin, J. F., Hagen, J., Matthies, H., Patel, S., Clay, I., Eskofier, B., Herr, A., Hoeller, K., Jaksa, A., Kramer, D. B., Kyhlstedt, M., Lofgren, K. T., Mahendraratnam, N., Muehlan, H., Reif, S., Riedemann, L., & Goldsack, J. C. (2022). Advancing digital health applications: priorities for innovation in real-world evidence generation. The Lancet Digital Health, 4(3), e200-e206. https://doi.org/10.1016/S2589-7500(21)00292-2
Stern AD, Brönneke J, Debatin JF, Hagen J, Matthies H, Patel S et al. Advancing digital health applications: priorities for innovation in real-world evidence generation. The Lancet Digital Health. 2022 Mar;4(3):e200-e206. Epub 2022 Feb 23. doi: 10.1016/S2589-7500(21)00292-2
Stern, Ariel D. ; Brönneke, Jan ; Debatin, Jörg F. et al. / Advancing digital health applications : priorities for innovation in real-world evidence generation. In: The Lancet Digital Health. 2022 ; Vol. 4, No. 3. pp. e200-e206.
Download
@article{0b0b724dbfd849b982f565b1c426a9ff,
title = "Advancing digital health applications: priorities for innovation in real-world evidence generation",
abstract = "In 2019, Germany passed the Digital Healthcare Act, which, among other things, created a “Fast-Track” regulatory and reimbursement pathway for digital health applications in the German market. The pathway explicitly provides for flexibility in how researchers can present evidence for new digital products, including the use of real-world data and real-world evidence. Against this backdrop, the Digital Medicine Society and the Health Innovation Hub of the German Federal Ministry of Health convened a set of roundtable discussions to bring together international experts in evidence generation for digital medicine products. This Viewpoint highlights findings from these discussions with the aims of (1) accelerating and stimulating innovative approaches to digital medical product evaluation, and (2) promoting international harmonisation of best evidentiary practices. Advancing these topics and fostering international agreement on evaluation approaches will be vital to the safe, effective, and evidence-based deployment and acceptance of digital health applications globally.",
author = "Stern, {Ariel D.} and Jan Br{\"o}nneke and Debatin, {J{\"o}rg F.} and Julia Hagen and Henrik Matthies and Smit Patel and Ieuan Clay and Bjoern Eskofier and Annika Herr and Kurt Hoeller and Ashley Jaksa and Kramer, {Daniel B.} and Mattias Kyhlstedt and Lofgren, {Katherine T.} and Nirosha Mahendraratnam and Holger Muehlan and Simon Reif and Lars Riedemann and Goldsack, {Jennifer C.}",
note = "Funding Information: ADS declares that she serves as a member of the Scientific Advisory Board of HumanFirst. SP declares that he serves on the Advisory Board of the Brown-Lifespan Center of Digital Health and Clinicom. IC declares honoraria from University of Basel, ETH Zurich, and FHNW, and holds stock options in Evidation Health. BE declares funding from the DFG (German Research Foundation) Heisenberg Funding (ES434/11), DFG SFB 1483 EmpkinS; consulting fees from Adidas AG, Siemens Healthineers, Portabiles HealthCare Technologies, and Sivantos; honoraria from AbbVie Deutschland and AGAPLESION; and a patent application EP 16174268.9 (Gait Assessment), with Portabiles HealthCare Technologies. KH declares grant income from the European Innovation Council, patent WO2010105946 (A1) (Endoscope and Imaging Device), also published as DE102009013761 (A1), ES2384949 (T3), EP2323541 (A1), EP2323541 (B1), AT550982 (T); stock or stock options in Siemens Healthineers, Siemens, and BioNTech; and other financial interests in EIT Health. AJ declares honoraria from ISPOR and stock or stock options in Aetion and CVS Health. DBK declares research grants from the National Institutes of Health and the Moore Foundation and consulting income from Firefly Health. MK declares financial interests as the owner of Synergus RWE, a market access consulting company. KTL is an employee of Foundation Medicine, a wholly owned subsidiary of Roche, and declares equity interest in Roche. NM is an employee of Aetion. HMu declares research grants from the German Federal Ministry of Education and Research (GBA Research Grant [01VSF16027] 2017–2021) and the German Research Foundation (MIMI [Evaluation Study] 2018–2019). SR declares funding from the Ministry of Science, Research and Arts, State of Baden-W{\"u}rttemberg, Germany, and the Digital Medical Application Center. The other authors declare no competing interests. ",
year = "2022",
month = mar,
doi = "10.1016/S2589-7500(21)00292-2",
language = "English",
volume = "4",
pages = "e200--e206",
number = "3",

}

Download

TY - JOUR

T1 - Advancing digital health applications

T2 - priorities for innovation in real-world evidence generation

AU - Stern, Ariel D.

AU - Brönneke, Jan

AU - Debatin, Jörg F.

AU - Hagen, Julia

AU - Matthies, Henrik

AU - Patel, Smit

AU - Clay, Ieuan

AU - Eskofier, Bjoern

AU - Herr, Annika

AU - Hoeller, Kurt

AU - Jaksa, Ashley

AU - Kramer, Daniel B.

AU - Kyhlstedt, Mattias

AU - Lofgren, Katherine T.

AU - Mahendraratnam, Nirosha

AU - Muehlan, Holger

AU - Reif, Simon

AU - Riedemann, Lars

AU - Goldsack, Jennifer C.

N1 - Funding Information: ADS declares that she serves as a member of the Scientific Advisory Board of HumanFirst. SP declares that he serves on the Advisory Board of the Brown-Lifespan Center of Digital Health and Clinicom. IC declares honoraria from University of Basel, ETH Zurich, and FHNW, and holds stock options in Evidation Health. BE declares funding from the DFG (German Research Foundation) Heisenberg Funding (ES434/11), DFG SFB 1483 EmpkinS; consulting fees from Adidas AG, Siemens Healthineers, Portabiles HealthCare Technologies, and Sivantos; honoraria from AbbVie Deutschland and AGAPLESION; and a patent application EP 16174268.9 (Gait Assessment), with Portabiles HealthCare Technologies. KH declares grant income from the European Innovation Council, patent WO2010105946 (A1) (Endoscope and Imaging Device), also published as DE102009013761 (A1), ES2384949 (T3), EP2323541 (A1), EP2323541 (B1), AT550982 (T); stock or stock options in Siemens Healthineers, Siemens, and BioNTech; and other financial interests in EIT Health. AJ declares honoraria from ISPOR and stock or stock options in Aetion and CVS Health. DBK declares research grants from the National Institutes of Health and the Moore Foundation and consulting income from Firefly Health. MK declares financial interests as the owner of Synergus RWE, a market access consulting company. KTL is an employee of Foundation Medicine, a wholly owned subsidiary of Roche, and declares equity interest in Roche. NM is an employee of Aetion. HMu declares research grants from the German Federal Ministry of Education and Research (GBA Research Grant [01VSF16027] 2017–2021) and the German Research Foundation (MIMI [Evaluation Study] 2018–2019). SR declares funding from the Ministry of Science, Research and Arts, State of Baden-Württemberg, Germany, and the Digital Medical Application Center. The other authors declare no competing interests.

PY - 2022/3

Y1 - 2022/3

N2 - In 2019, Germany passed the Digital Healthcare Act, which, among other things, created a “Fast-Track” regulatory and reimbursement pathway for digital health applications in the German market. The pathway explicitly provides for flexibility in how researchers can present evidence for new digital products, including the use of real-world data and real-world evidence. Against this backdrop, the Digital Medicine Society and the Health Innovation Hub of the German Federal Ministry of Health convened a set of roundtable discussions to bring together international experts in evidence generation for digital medicine products. This Viewpoint highlights findings from these discussions with the aims of (1) accelerating and stimulating innovative approaches to digital medical product evaluation, and (2) promoting international harmonisation of best evidentiary practices. Advancing these topics and fostering international agreement on evaluation approaches will be vital to the safe, effective, and evidence-based deployment and acceptance of digital health applications globally.

AB - In 2019, Germany passed the Digital Healthcare Act, which, among other things, created a “Fast-Track” regulatory and reimbursement pathway for digital health applications in the German market. The pathway explicitly provides for flexibility in how researchers can present evidence for new digital products, including the use of real-world data and real-world evidence. Against this backdrop, the Digital Medicine Society and the Health Innovation Hub of the German Federal Ministry of Health convened a set of roundtable discussions to bring together international experts in evidence generation for digital medicine products. This Viewpoint highlights findings from these discussions with the aims of (1) accelerating and stimulating innovative approaches to digital medical product evaluation, and (2) promoting international harmonisation of best evidentiary practices. Advancing these topics and fostering international agreement on evaluation approaches will be vital to the safe, effective, and evidence-based deployment and acceptance of digital health applications globally.

UR - http://www.scopus.com/inward/record.url?scp=85125129290&partnerID=8YFLogxK

U2 - 10.1016/S2589-7500(21)00292-2

DO - 10.1016/S2589-7500(21)00292-2

M3 - Review article

C2 - 35216754

AN - SCOPUS:85125129290

VL - 4

SP - e200-e206

JO - The Lancet Digital Health

JF - The Lancet Digital Health

IS - 3

ER -