Evidence map›Paper›PMID 24329965›Full record

Trial reportEuropean journal of haematology2014

Cost-effectiveness analysis of preoperative transfusion in patients with sickle cell disease using evidence from the TAPS trial.

Eldon Spackman, Mark Sculpher, Jo Howard, Moira Malfroy, Charlotte Llewelyn, Louise Choo, Renate Hodge, Tony Johnson, David C Rees, Karin Fijnvandraat and 3 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European journal of haematology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed, 4 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Health State Utilities for Sickle Cell Disease: A Catalog Prepared From a Systematic Review.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2022
    Pooled it
  3. Preoperative blood transfusions for sickle cell disease.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Preoperative blood transfusions for sickle cell disease.The Cochrane database of systematic reviews · 2016
    Pooled it
  5. Article
  6. Application of validated mapping algorithms between generic PedsQL scores and utility values to individuals with sickle cell disease.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  7. Article
  8. Review
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

13 authors at 7 institutions in 3 countries.

Eldon SpackmanCentre for Health Economics, University of York, York, UK.
Mark Sculpher
Jo Howard
Moira Malfroy
Charlotte Llewelyn
Louise Choo
Renate Hodge
Tony Johnson
David C Rees
Karin Fijnvandraat
Melanie Kirby-Allen
Sally Davies
Lorna Williamson
NHS Blood and Transplant · GBMRC Clinical Trials Unit at UCL · GBUniversity of York · GBAcademic Medical Center · NLHospital for Sick Children · CAKing's College Hospital · GBSt Thomas' Hospital · GB

Funding

Medical Research Council MC_U122870183
6 · The paper itself

Abstract

The study's objective was to assess the cost-effectiveness of preoperative transfusion compared with no preoperative transfusion in patients with sickle cell disease undergoing low- or medium-risk surgery. Seventy patients with sickle cell disease (HbSS/Sß(0) thal genotypes) undergoing elective surgery participated in a multicentre randomised trial, Transfusion Alternatives Preoperatively in Sickle Cell Disease (TAPS). Here, a cost-effectiveness analysis based on evidence from that trial is presented. A decision-analytic model is used to incorporate long-term consequences of transfusions and acute chest syndrome. Costs and health benefits, expressed as quality-adjusted life years (QALYs), are reported from the 'within-trial' analysis and for the decision-analytic model. The probability of cost-effectiveness for each form of management is calculated taking into account the small sample size and other sources of uncertainty. In the range of scenarios considered in the analysis, preoperative transfusion was more effective, with the mean improvement in QALYs ranging from 0.018 to 0.206 per patient, and also less costly in all but one scenario, with the mean cost difference ranging from -£813 to £26. All scenarios suggested preoperative transfusion had a probability of cost-effectiveness >0.79 at a cost-effectiveness threshold of £20 000 per QALY.

Indexed as

AgedAlgorithmsAnemia, Sickle CellBlood TransfusionCost-Benefit AnalysisDecision Support TechniquesFemaleHealth Care CostsHumansMaleMiddle AgedQuality-Adjusted Life YearsTreatment Outcomecostcost-effectivenessquality-adjusted life yearssickle cell diseasetransfusionTransfusion Alternatives Preoperatively in Sickle Cell Disease trial

Identifiers

PMID24329965
PMCPMC4232881
OpenAlexW2061310836

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.