Evidence map›Paper›PMID 27002517›Full record

SynthesisPharmacoEconomics2016

Use of Intermediate Endpoints in the Economic Evaluation of New Treatments for Advanced Cancer and Methods Adopted When Suitable Overall Survival Data are Not Available.

Catherine Beauchemin, Marie-Ève Lapierre, Nathalie Letarte, Louise Yelle, Jean Lachaine

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in PharmacoEconomics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

5 authors.

Catherine BeaucheminFaculty of Pharmacy, University of Montreal, P.O. Box 6128, Station Centre-ville, Montreal, QC, H3C 3J7, Canada. catherine.beauchemin@umontreal.ca.
Marie-Ève LapierreFaculty of Pharmacy, University of Montreal, P.O. Box 6128, Station Centre-ville, Montreal, QC, H3C 3J7, Canada.
Nathalie LetarteFaculty of Pharmacy, University of Montreal, P.O. Box 6128, Station Centre-ville, Montreal, QC, H3C 3J7, Canada.
Louise YelleDepartment of Medicine, Notre-Dame Hospital, Centre Hospitalier de l'Université de Montréal (Montreal University Health Centre), University of Montreal, Montreal, QC, Canada.
Jean LachaineFaculty of Pharmacy, University of Montreal, P.O. Box 6128, Station Centre-ville, Montreal, QC, H3C 3J7, Canada.

Funding

CIHR
6 · The paper itself

Abstract

objectivesThis study assessed the use of intermediate endpoints in the economic evaluation of new treatments for advanced cancer and the methodological approaches adopted when overall survival (OS) data are unavailable or of limited use.

methodsA systematic literature review was conducted to identify economic evaluations of treatments for advanced cancer published between 2003 and 2013. Cost-effectiveness and cost-utility analyses expressed in cost per life-year gained and cost per quality-adjusted life-year using an intermediate endpoint as an outcome measure were eligible. Characteristics of selected studies were extracted and comprised population, treatment of interest, comparator, line of treatment, study perspective, and time horizon. Use of intermediate endpoints and methods adopted when OS data were lacking were analyzed.

resultsIn total, 7219 studies were identified and 100 fulfilled the eligibility criteria. Intermediate endpoints mostly used were progression-free survival and time to progression, accounting for 92 % of included studies. OS data were unavailable for analysis in nearly 25 % of economic evaluations. In the absence of OS data, studies most commonly assumed an equal risk of death for all treatment groups. Other methods included use of indirect comparison based on numerous assumptions, use of a proxy for OS, consultation with clinical experts, and use of published external information from different treatment settings.

conclusionIntermediate endpoints are widely used in the economic evaluation of new treatments for advanced cancer in order to estimate OS. Currently, different methods are used in the absence of suitable OS data and the choice of an appropriate method depends on many factors including the data availability.

Indexed as

Quality-Adjusted Life YearsResearch DesignCost-Benefit AnalysisDisease-Free SurvivalEndpoint DeterminationHumansNeoplasmsSurvival Rate

Identifiers

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.