| Table 2. Prioritisation tool domains and criteria. | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Population/end-user domain of prioritisation tool. | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | |
| Disease frequency | The condition or indication for which the potentially obsolete technology can be used is frequent (high prevalence and/or incidence). | |||||||||
| Disease burden | The condition or indication for which the potentially obsolete technology can be used amounts to a considerable health loss for the patient (mortality, morbidity, disability). | |||||||||
| Frequency of use of technology | The potentially obsolete technology is currently applied to a high number of patients. | |||||||||
| Patient preferences | There is scientific evidence of a lower acceptance by patients of the potentially obsolete technology versus other existing technological alternatives (e.g., greater unpleasantness, greater discomfort, longer treatments). | |||||||||
| Risk/benefit domain of prioritisation tool. | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | |
| Efficacy/Effectiveness/Validity | The scientific literature indicates that the potentially obsolete technology displays less efficacy or effectiveness than other alternative technologies. If it is a diagnostic technology, the potentially obsolete diagnostic test is less valid (yields more false positives and negatives than other available diagnostic tests). | |||||||||
| Adverse effects | There is evidence in the literature of more adverse or more important effects with the potentially obsolete technology versus other existing technological alternatives. | |||||||||
| Risks | The potentially obsolete technology poses a higher likelihood of health-care staff falling ill or having a work accident (e.g., radiations) or of a greater environmental hazard (e.g., waste) than do other existing technological alternatives. | |||||||||
| Costs domain, organisation and other implications of the prioritisation tool. | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | |
| Efficiency | There are financial evaluation studies that are more favourable for other existing technological alternatives. | |||||||||
| Maintenance costs | The potentially obsolete technology requires more resources for its functioning (e.g., consumables, reviews, human resources, etc.) versus other existing technological alternatives. | |||||||||
| Other implications | It is foreseeable that withdrawal of the potentially obsolete technology will have a positive impact on the ethical, cultural and/or legal sphere. | |||||||||