Evidence map›Paper›PMID 25987241›Full record

ArticleThe pharmacogenomics journal2016

Cost-effectiveness of one-time genetic testing to minimize lifetime adverse drug reactions.

O Alagoz, D Durham, K Kasirajan

Abstract read
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In one paragraph

Article in The pharmacogenomics journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Evaluation of Potential Drug Interactions with AiDKlinikIntegrated pharmacy research & practice · 2022
    Article
  9. Genome-wide Study Identifies Association between HLA-BAmerican journal of human genetics · 2020
    Article
  10. Review
  11. Cost-effectiveness of precision medicine: a scoping review.International journal of public health · 2019
    Article
  12. Article
  13. Article
  14. Article
  15. Pharmacogenomic potential in advanced cancer patients.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2019
    Observational
  16. Article
  17. Article
  18. Article
  19. Personalized medicines - are pharmacists ready for the challenge?Integrated pharmacy research & practice · 2018
    Review
  20. 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

3 authors.

O AlagozDepartment of Industrial & Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA.
D DurhamDepartment of Psychiatry, Sage Neuroscience Center, Albuquerque, NM, USA.
K KasirajanAlly Clinical Diagnostics, Dallas, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We evaluated the cost-effectiveness of one-time pharmacogenomic testing for preventing adverse drug reactions (ADRs) over a patient's lifetime. We developed a Markov-based Monte Carlo microsimulation model to represent the ADR events in the lifetime of each patient. The base-case considered a 40-year-old patient. We measured health outcomes in life years (LYs) and quality-adjusted LYs (QALYs) and estimated costs using 2013 US$. In the base-case, one-time genetic testing had an incremental cost-effectiveness ratio (ICER) of $43,165 (95% confidence interval (CI) is ($42,769,$43,561)) per additional LY and $53,680 per additional QALY (95% CI is ($53,182,$54,179)), hence under the base-case one-time genetic testing is cost-effective. The ICER values were most sensitive to the average probability of death due to ADR, reduction in ADR rate due to genetic testing, mean ADR rate and cost of genetic testing.

Indexed as

AdultAgedAged, 80 and overCost-Benefit AnalysisDrug-Related Side Effects and Adverse ReactionsGenetic TestingHumansMarkov ChainsMiddle AgedMonte Carlo Method

Identifiers

PMID25987241

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.