Table 2

Scoring criteria

GradeCategoryDefinitionDetailed description with examples from FADs or ERG/AG documents
2GoodGood-quality data submitted, minimal modelling usedNo critical words used, endorsements of data quality. For example: ‘the analysis was sound’, ‘the quality of clinical trials submitted was generally good’
1AcceptableAcceptable quality data submitted, some modelling used (mapping or indirect comparison) and extrapolation, but modelling was assessed as robustNo or few critical words used, some concerns might be raised but committee accepted the data. For example: ‘MTC was supported by a reasonably sound systematic review process but MTC has certain limitations in conduct and reporting, including’
0PoorData submitted are from indirect sources, extensive modelling/assumptions used – indirect comparison, mapping, extrapolation and quality of the modelling is questionable either due to data or methodologyCriticism is clearly expressed. For example: ‘The manufacturer’s use of indirect comparisons is inappropriate. The manufacturer's submission reported very limited data on the comparator trials, and did not undertake a systematic review of these’, ‘utility studies were missed in this review by failing to search databases such as Medline. The extent to which studies were missed is unknown’
−1Non-acceptablePoor quality of evidence is submitted, significant modelling is used, or poor quality of evidence is submitted and quality of modelling is poorHarsh criticism expressed. For example: ‘committee could not use presented evidence for decision-making’, ‘unacceptable’, ‘poor quality’ are used
  • AG, assessment group; ERG, evidence review group; FAD, final appraisal determination; MTC, Mixed treatment comparison.