Value evaluation by multi-criteria decision analysis for orphan medicinal product
Peer-Reviewed Publication
Updates every hour. Last Updated: 1-Jun-2026 04:16 ET (1-Jun-2026 08:16 GMT/UTC)
This empirical study demonstrates that a multi-criteria decision analysis (MCDA) framework is a feasible and consistent supplementary tool for evaluating the value of orphan medicinal products (OMPs) in China. Applying the framework to three OMPs, laronidase, emicizumab, and dimethyl fumarate (DMF), yielded consistent quantitative scores between independent assessor groups, establishing a clear value priority order.
This forecasting study analyzes the impact of the Inflation Reduction Act (IRA) on diabetes drug costs for Medicare in Louisiana, USA. It finds that price negotiations for three non-insulin drugs are projected to save approximately $400 million over five years (2026−2030). A key driver of savings is a shift in medication use, as patients are expected to switch from non-negotiated to negotiated drugs due to lower costs.
Ovarian cancer often forms secondary tumors, especially in a certain tissue in the abdominal cavity known as the omentum. Researchers from the University of Basel and University Hospital Basel have investigated what happens when the cancer “hijacks” this organ. It is hoped their findings will lead to more successful treatments.
Nonalcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease, and if it is accurately predicted, severe fibrosis and cirrhosis can be prevented. While liver biopsies, the gold standard for NAFLD diagnosis, is intrusive, expensive, and prone to sample errors, noninvasive studies are extremely promising but are still in their infancy due to a dearth of comprehensive study data and sophisticated multimodal data methodologies. This paper proposes a novel approach for diagnosing NAFLD by integrating a comprehensive clinical dataset with a multimodal learning-based prediction method. The dataset comprises physical examinations, laboratory and imaging studies, detailed questionnaires, and facial photographs of a substantial number of participants, totaling more than 6000. This comprehensive collection of data holds significant value for clinical studies. The dataset is subjected to quantitative analysis to identify which clinical metadata, such as metadata and facial images, has the greatest impact on the prediction of NAFLD. Furthermore, a multimodal learning-based prediction method (DeepFLD) is proposed that incorporates several modalities and demonstrates superior performance compared to the methodology that relies only on metadata. Additionally, satisfactory performance is assessed through verification of the results using other unseen data. Inspiringly, the proposed DeepFLD prediction method can achieve competitive results by solely utilizing facial images as input rather than relying on metadata, paving the way for a more robust and simpler noninvasive NAFLD diagnosis.
The study reveals that nicotinic acid (vitamin B3) significantly protects the liver during ischemia-reperfusion injury by suppressing ferroptosis through improved mitochondrial health. In mouse and cell models, pretreatment with nicotinic acid reduced oxidative stress, enhanced mitophagy and mitochondrial biogenesis, and lowered liver enzyme levels, offering a promising, low-cost therapeutic strategy for liver surgery and transplantation.
Self-harming and self-sabotaging behaviours, from skin picking to ghosting people, all stem from evolutionary survival mechanisms, according to a compelling new psychological analysis.
A review paper by scientists at Imperial College London explores groundbreaking techniques that integrate interpersonal interactions within therapy and healthcare, focusing on multiplayer games that strengthen real-time social connections, alongside social robots and virtual agents designed to simulate human-like affective interactions.
The review paper, published on Dec. 16, 2025 in the journal Cyborg and Bionic Systems.Adults age 65 and older who faced more stress before surgery were more likely to experience delirium, uncontrolled pain, and longer hospital stays — and more than 40% reported moderate to high distress. Duke School of Medicine researchers say it’s a major missed opportunity: a quick stress check before surgery could help prevent complications and improve recovery.