Evidence map›Paper›PMID 18347612›Full record

ArticleThe pharmacogenomics journal2008

Cost-effectiveness of pharmacogenetic testing to tailor smoking-cessation treatment.

D F Heitjan, D A Asch, Riju Ray, Margaret Rukstalis, Freda Patterson, C Lerman

Abstract read
In one paragraph

Article in The pharmacogenomics journal, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
3.6field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Review
  8. Precision Medicine for Tobacco Dependence: Development and Validation of the Nicotine Metabolite Ratio.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2016
    Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Smoking cessation: an economic analysis and review of varenicline.ClinicoEconomics and outcomes research : CEOR · 2009
    Article
  17. Review
  18. Article
  19. Article
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

6 authors at 2 institutions in 1 country.

D F HeitjanDepartment of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA 19104-6021, USA. dheitjan@mail.med.upenn.edu
D A Asch
Riju Ray
Margaret Rukstalis
Freda Patterson
C Lerman
University of Pennsylvania · USUnited States Department of Veterans Affairs · US

Funding

TRANSDISCIPLINARY TOBACCO USE RESEARCH CENTERSP50CA084718 · NCI · UNIVERSITY OF PENNSYLVANIA · PI LERMAN, CARYN · 1999 to 2008
$17.8M
BIOBEHAVIORAL LUNG CANCER PREVENTION PROGRAMR01CA063562 · NCI · UNIVERSITY OF PENNSYLVANIA · PI LERMAN, CARYN · 1993 to 2004
$2.7M
NCI NIH HHS P50 CA084718NCI NIH HHS R01 CA063562
6 · The paper itself

Abstract

We evaluated the cost-effectiveness of a range of smoking cessation drug treatments, including varenicline, transdermal nicotine (TN), bupropion and the use of a genetic test to choose between TN and bupropion. We performed Monte Carlo simulation with sensitivity analysis, informing analyses with published estimates of model parameters and current prices for genetic testing and smoking-cessation therapy. The primary outcomes were discounted life-years (LY) and lifetime tobacco-cessation treatment costs. In the base case, varenicline treatment was optimal with an ICER, compared to bupropion, of $2985/LY saved. In sensitivity analyses, varenicline was in all cases (and bupropion in most cases) admissible; only under favorable assumptions was the genetically tailored approach competitive. Our data suggest that an untailored approach of treatment with either bupropion or varenicline is a cost-effective form of tobacco dependence treatment, but a tailored approach for selecting between TN and bupropion can be cost-effective under plausible assumptions.

Indexed as

Cost-Benefit AnalysisPharmacogeneticsSmoking CessationBenzazepinesBupropionGenotypeHumansQuinoxalinesReceptors, NicotinicVareniclineBenzazepinesBupropionQuinoxalinesReceptors, NicotinicVarenicline

Identifiers

PMID18347612
PMCPMC5618442
OpenAlexW1987966965

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.