Evidence map›Paper›PMID 11735676›Full record

ReviewPharmacoEconomics2001

Cost effectiveness of treatment options in advanced breast cancer in the UK.

R E Brown, J Hutton, A Burrell

Abstract readReview
PubMed Publisher
In one paragraph

Review in PharmacoEconomics, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 pooled it
0.5field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 88 citations in OpenAlex.

  1. Pooled it
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  5. Trial
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  7. Article
  8. Cost-utility analysis of genomic profiling in early breast cancer in Colombia.Cost effectiveness and resource allocation : C/E · 2023
    Article
  9. Article
  10. Cost-effectiveness of vedolizumab compared with infliximab, adalimumab, and golimumab in patients with ulcerative colitis in the United Kingdom.The European journal of health economics : HEPAC : health economics in prevention and care · 2018
    Article
  11. Cost-effectiveness of ustekinumab in moderate to severe Crohn's disease in Sweden.Cost effectiveness and resource allocation : C/E · 2018
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  12. Review
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  18. Health-related quality of life anticipated with different management strategies for febrile neutropenia in adult cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2012
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

R E BrownMEDTAP International, Inc., London, UK.
J Hutton
A Burrell

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare clinical and economic study data for docetaxel, paclitaxel and vinorelbine in the treatment of anthracycline-resistant advanced breast cancer. STUDY DESIGN AND

methodsA Markov decision-analysis model to simulate the clinical course of a 'typical' patient with advanced breast cancer during salvage chemotherapy was updated with response rates and adverse effect rates from phase III clinical trial data for docetaxel, paclitaxel and vinorelbine. Costs were taken from UK national databases and hospitals. Utilities were estimated from 30 oncology nurses in the UK using the standard gamble method. PERSPECTIVE: National Health Service.

resultsWhen compared with other chemotherapeutic agents, docetaxel has been shown to increase response rate, time to progression and survival in patients with advanced breast cancer. In the base-case analysis, the incremental cost-utility ratio for docetaxel versus paclitaxel was pound1995 per quality-adjusted life year (QALY) gained (1998 values). The incremental cost-utility ratio for docetaxel versus vinorelbine was pound14 055 per QALY gained. In the comparison with vinorelbine, docetaxel provided the equivalent of an additional 92 days of perfect health. Sensitivity analyses confirmed the robustness of the model and the validity of the base-case analysis results. Even in the worst case scenarios, docetaxel remained cost effective compared with paclitaxel and vinorelbine.

conclusionsThese findings support the use of the taxoids, notably docetaxel, in the management of advanced breast cancer.

Indexed as

Antineoplastic Agents, PhytogenicBreast NeoplasmsQuality-Adjusted Life YearsTaxoidsCost-Benefit AnalysisDecision Making, Computer-AssistedDocetaxelFemaleHumansPaclitaxelSalvage TherapyUnited KingdomVinblastineVinorelbineAntineoplastic Agents, PhytogenicDocetaxelPaclitaxelTaxoidsVinblastineVinorelbine

Identifiers

PMID11735676
OpenAlexW2058294694

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.