Data Sheet 1_How to optimize the CAR-T Cell therapy process? A group concept mapping analysis of preconditions for a frictionless process from a German multistakeholder perspective.docx

Introduction<p>Treatment with chimeric antigen receptor T (CAR-T) cells involves a large number of interdisciplinary stakeholders and is associated with complex processes ranging from patient-specific production to follow-up care. Due to the complexity, maximum process optimization is required...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Ann-Cathrine Siefen (19724086) (author)
مؤلفون آخرون: Melina Sophie Kurte (19724089) (author), Florian Jakobs (19724092) (author), Marcel Teichert (19724095) (author), Bastian von Tresckow (14404803) (author), Hans Christian Reinhardt (10038563) (author), Udo Holtick (17430017) (author), Johannes Atta (19724098) (author), Christian Jehn (19724101) (author), Elisa Sala (2312704) (author), Anke Warnecke (19724104) (author), Mathias Hänel (6884777) (author), Christof Scheid (19081) (author), Florian Kron (7321391) (author)
منشور في: 2024
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الملخص:Introduction<p>Treatment with chimeric antigen receptor T (CAR-T) cells involves a large number of interdisciplinary stakeholders and is associated with complex processes ranging from patient-specific production to follow-up care. Due to the complexity, maximum process optimization is required in order to avoid efficiency losses. This study aimed at systematically determining the preconditions for a frictionless flow of the CAR-T process by surveying the stakeholders involved.</p>Methods<p>A Group Concept Mapping (GCM) analysis, a mixed-methods participatory research, was conducted. CAR-T experts from different professional backgrounds went through three steps: 1) Brainstorming relevant aspects (statements) for a frictionless process, 2) Sorting the collected statements based on their similarity, and 3) Rating the importance and feasibility of each statement. A cluster map reflecting the overarching topics was derived, and mean ratings per statement and cluster were calculated.</p>Results<p>Overall, 20 CAR-T experts participated. A total of 80 statements were collected, resulting in a map of the following 10 clusters (mean importance/feasibility): Information for patients and physicians (4.16/3.77), Supportive network (4.03/3.53), Eligibility of patients (4.41/3.63), Evidence, transparency and communication (4.01/3.33), Paperwork (4.1/2.52), Interface with pharmaceutical manufacturer (4.03/2.85), Reimbursement (4.29/2.31), Quality Management (4.17/3.18), Infrastructure of CAR-T clinics (4.1/2.93), and Patient-oriented processes (4.46/3.32).</p>Discussion<p>The 80 statements underlined the complex and manifold nature of the CAR-T treatment process. Our results reflect the first step in overcoming hurdles: identifying potential hurdles and required preconditions. Decision-makers and stakeholders can use the results to derive strategies and measures to further promote a frictionless process.</p>