Evidence map›Paper›PMID 27847612›Full record

ArticleInternational journal of retina and vitreous2015

A Value-Based Medicine cost-utility analysis of genetic testing for neovascular macular degeneration.

Gary C Brown, Melissa M Brown, Heidi B Lieske, Philip A Lieske, Kathryn S Brown

Open access · goldAbstract read
In one paragraph

Article in International journal of retina and vitreous, 2015. 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
1.4field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Cost-effectiveness of precision medicine: a scoping review.International journal of public health · 2019
    Article
  3. How Do Patients Respond to Genetic Testing for Age-related Macular Degeneration?Optometry and vision science : official publication of the American Academy of Optometry · 2018
    Article
  4. Genetic screening for neovascular AMD: cost effective…not so quick.International journal of retina and vitreous · 2015
    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

5 authors at 1 institution in 1 country.

Gary C BrownCenter for Value-Based Medicine®, 6010 West Mill Road, Flourtown, PA 19031 USA.
Melissa M BrownCenter for Value-Based Medicine®, 6010 West Mill Road, Flourtown, PA 19031 USA.
Heidi B LieskeCenter for Value-Based Medicine®, 6010 West Mill Road, Flourtown, PA 19031 USA.
Philip A LieskeCenter for Value-Based Medicine®, 6010 West Mill Road, Flourtown, PA 19031 USA.
Kathryn S BrownCenter for Value-Based Medicine®, 6010 West Mill Road, Flourtown, PA 19031 USA.
Center for Value Based Medicine (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a dearth of patient, preference-based cost-effectiveness analyses evaluating genetic testing for neovascular age-related macular degeneration (NVAMD).

methodsA Value-Based Medicine, 12-year, combined-eye model, cost-utility analysis evaluated genetic testing of Category 3 AMD patients at age 65 for progression to NVAMD. The benefit of genetic testing was predicated upon the fact that early-treatment ranibizumab therapy (baseline vision 20/40-20/80) for NVAMD confers greater patient value than late-treatment (baseline vision ≤20/160). Published genetic data and MARINA Study ranibizumab therapy data were utilized in the analysis. Patient value (quality-of-life gain) and financial value (2012 US real dollar) outcomes were discounted at 3 % annually.

resultsGenetic testing-enabled, early-treatment ranibizumab therapy per patient conferred mean 20/40

conclusionsGenetic screening-enabled, early-treatment ranibizumab therapy for NVAMD is cost-effective if it enables an incremental 4.1 % of the annual US cohort of new-onset NVAMD patients ≥65 to undergo early-treatment with ranibizumab.

Indexed as

Comparative effectivenessCost-effectivenessGenetic testingNeovascular macular degeneration

Identifiers

PMID27847612
PMCPMC5088478
OpenAlexW2174518175

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.