Evidence map›Paper›PMID 28289548›Full record

ArticleInternational journal of retina and vitreous2017

The comparative effectiveness and cost-effectiveness of ranibizumab for neovascular macular degeneration revisited.

Gary C Brown, Melissa M Brown, Heidi B Lieske, Adam Turpcu, Yamina Rajput

Open access · goldAbstract read
In one paragraph

Article in International journal of retina and vitreous, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 12 citations in OpenAlex.

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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 at 4 institutions in 1 country.

Gary C BrownThe Center for Value-Based Medicine®, Box 6181, Hilton Head, SC 29938 USA ; The Eye Research Institute, Philadelphia, PA USA ; The Retina Service, Wills Eye Institute, Jefferson Medical College, Philadelphia, PA USA ; The Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA USA.ORCID 0000-0002-1201-7075
Melissa M BrownThe Center for Value-Based Medicine®, Box 6181, Hilton Head, SC 29938 USA ; The Eye Research Institute, Philadelphia, PA USA ; The Research Department, Wills Eye Institute, Jefferson Medical College, Philadelphia, PA USA ; The Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA USA.
Heidi B LieskeThe Center for Value-Based Medicine®, Box 6181, Hilton Head, SC 29938 USA.
Adam TurpcuThe Healthcare Economics Unit, Genentech, Inc., South San Francisco, CA USA.
Yamina RajputThe Healthcare Economics Unit, Genentech, Inc., South San Francisco, CA USA.
Genesis HealthCare · USCenter for Value Based Medicine (United States) · USEmory University · USPenn Presbyterian Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo compare a near decade of follow-up, newer control cohort data, use of both the societal and third party insurer cost perspectives, and integration of unilateral/bilateral therapy on the comparative effectiveness and cost-effectiveness of intravitreal ranibizumab therapy for neovascular, age-related macular degeneration (AMD).

methodsValue-Based Medicine

resultsUsing MARINA and HORIZON trial data and a meta-analysis control cohort after 24 months, ranibizumab therapy conferred a combined-eye patient value (quality-of-life) gain of 16.3%, versus 10.4% found in 2006. The two-year direct ophthalmic medical cost for ranibizumab therapy was $46,450, a 33.8% real dollar decrease from 2006. The societal cost perspective CUR was -$242,920/QALY, indicating a $282,517 financial return-on-investment (ROI), or 12.3%/year to society for direct ophthalmic medical costs expended. The 3rd party insurer CUR ranged from $21,199/QALY utilizing all direct, medical costs, to $69,591/QALY using direct ophthalmic medical costs.

conclusionsRanibizumab therapy for neovascular AMD in 2015, considering treatment of both eyes, conferred greater patient value gain (comparative effectiveness) and improved cost-effectiveness than in 2006, as well as a large monetary return-on-investment to the Gross Domestic Product and nation's wealth. The model herein integrates important novel features for neovascular age-related macular degeneration, vitreoretinal cost effectiveness analyses, including: (1) treatment of both eyes, (2) a long-term, untreated control cohort, and (3) the use of societal costs.

Indexed as

Age-related macular degenerationClinical cost-utility modelCost-utility analysisRanibizumab

Identifiers

PMID28289548
PMCPMC5304393
OpenAlexW2563225524

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.