Peer-Reviewed Publication
J Med Econ2026;29(1):2406-2422.December 1, 2026Journal Article

Assessing the consistency of overall survival extrapolations in Swedish health technology assessment reports of oncology treatments using extended follow-up data.

Máté Szilcz1,2, Olof Mogard3, Mattias Ekman4, Olof Lindgren5, Fredrik Nilsson6, Kasper Johannesen4, Emma Medin7
1Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
2Viti Science AB, Stockholm, Sweden.
3Parexel International, Zürich, Switzerland.
4AstraZeneca AB, Stockholm, Sweden.
5Takeda Pharma AB, Stockholm, Sweden.
6Pfizer AB, Stockholm, Sweden.
7Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.

Abstract

BACKGROUND: Long-term overall survival (OS) extrapolations underpin cost-effectiveness appraisals, projecting survival beyond trial follow-up. We aimed to compare extrapolations presented in manufacturer submissions and appraisals published by the Swedish Dental and Pharmaceutical Benefits Agency (TLV) with extrapolations using OS data with longer follow-up available after the original appraisal.…

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