Evidence map›Paper›PMID 26541320›Full record

SynthesisClinical colorectal cancer2016

Metastatic Colorectal Cancer: A Systematic Review of the Value of Current Therapies.

Daniel A Goldstein, Simon B Zeichner, Catherine M Bartnik, Eli Neustadter, Christopher R Flowers

Abstract readSystematic Review
In one paragraph

Synthesis in Clinical colorectal cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 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

48 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. miR-145 restoration overcomes oxaliplatin resistance via ABCC1 in colorectal cancer.Journal of the Egyptian National Cancer Institute · 2026
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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

5 authors.

Daniel A GoldsteinDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, GA. Electronic address: dgolds8@emory.edu.
Simon B ZeichnerDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, GA.
Catherine M BartnikDepartment of Medicine, Emory University, Atlanta, GA.
Eli NeustadterDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, GA.
Christopher R FlowersDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, GA.

Funding

Translational Physician-Scientist Training Program in OncologyT32CA160040 · NCI · EMORY UNIVERSITY · PI SHIN, DONG M · 2013 to 2017
$1.2M
NCI NIH HHS T32 CA160040
6 · The paper itself

Abstract

To evaluate, from a US payer perspective, the cost-effectiveness of treatment strategies for metastatic colorectal cancer (mCRC), we performed a systematic review of published cost-effectiveness analyses. We identified 14 papers that fulfilled our search criteria and revealed varying levels of value among current treatment strategies. Older agents such as 5-fluorouracil, irinotecan, and oxaliplatin provide high-value treatments. More modern agents targeting the EGFR or VEGF pathways, such as bevacizumab, cetuximab, and panitumumab, do not appear to be cost-effective treatments at their current costs. The analytical methods used within the papers varied widely, and this variation likely plays a significant role in the heterogeneity in incremental cost-effectiveness ratios. The cost-effectiveness of current treatment strategies for mCRC is highly variable. Drugs recently approved by the US Food and Drug Administration for mCRC are not cost-effective, and this is primarily driven by high drug costs.

Indexed as

Quality-Adjusted Life YearsAngiogenesis InhibitorsAntibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCamptothecinCetuximabColorectal NeoplasmsCost-Benefit AnalysisDrug CostsFluorouracilHumansIrinotecanLeucovorinNeoplasm MetastasisOrganoplatinum CompoundsAngiogenesis InhibitorsAntibodies, MonoclonalBevacizumabCamptothecinCetuximabFluorouracilIrinotecanLeucovorinOrganoplatinum CompoundsOxaliplatinPanitumumabChemotherapyColorectal cancerCost-effectivenessIncremental cost effectiveness ratioValue

Identifiers

PMID26541320
PMCPMC4744531

What OpenQuestion holds

Textmetadata
LicenceTDM
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.