Evidence map›Paper›PMID 29108301›Full record

ArticleOncotarget2017

Cost and cost-effectiveness of adjuvant trastuzumab in the real world setting: A study of the Southeast Netherlands Breast Cancer Consortium.

Shanly C Seferina, Bram L T Ramaekers, Maaike de Boer, M Wouter Dercksen, Franchette van den Berkmortel, Roel J W van Kampen, Agnès J van de Wouw, Adri C Voogd, Vivianne C G Tjan Heijnen, Manuela A Joore

Abstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. A Systematic Literature Review of Health Utility Values in Breast Cancer.Medical decision making : an international journal of the Society for Medical Decision Making · 2022
    Pooled it
  2. Systematic Review of the Cost Effectiveness of Breast Cancer Prevention, Screening, and Treatment Interventions.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Pooled it
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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

10 authors.

Shanly C SeferinaDepartment of Medical Oncology, Maastricht University Medical Center, Maastricht, The Netherlands.
Bram L T RamaekersDepartment of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Center, Maastricht, The Netherlands.
Maaike de BoerDepartment of Medical Oncology, Maastricht University Medical Center, Maastricht, The Netherlands.
M Wouter DercksenDepartment of Internal Medicine, Máxima Medical Center, Veldhoven, The Netherlands.
Franchette van den BerkmortelDepartment of Internal Medicine, Zuyderland Medical Center, Heerlen, The Netherlands.
Roel J W van KampenDepartment of Medical Oncology, Maastricht University Medical Center, Maastricht, The Netherlands.
Agnès J van de WouwDepartment of Internal Medicine, VieCuri Medical Center, Venlo, The Netherlands.
Adri C VoogdDepartment of Medical Oncology, Maastricht University Medical Center, Maastricht, The Netherlands.
Vivianne C G Tjan HeijnenDepartment of Medical Oncology, Maastricht University Medical Center, Maastricht, The Netherlands.
Manuela A JooreDepartment of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Center, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe assessed the real world costs and cost-effectiveness of the addition of trastuzumab in HER2 positive early breast cancer compared to chemotherapy alone in the Dutch daily practice as opposed to the results based on trial data and based on a subset of patients that were treated according to the guidelines. PATIENTS AND

methodsIn a cohort study, we included all patients with stage I-III invasive breast cancer treated with curative intent in 5 Dutch hospitals between 2005 and 2007 (

resultsCosts were €243,216 and €239,657 for trastuzumab and no trastuzumab for the real world scenario, €224,443 and €218,948 for the guideline scenario and €253,666 and €265,116 for the trial scenario. The QALYs were 0.827, 0.861, 0.993 for the real world, guideline and trial scenario. The corresponding ICERs were €4,304, €6,382 and dominance, respectively. CEACs showed that the probability that trastuzumab is cost-effective is ≥99% in each scenario.

conclusionAdjuvant trastuzumab in the real world can be considered cost-effective.

Indexed as

cost-effectivenessearly breast cancerMarkov modelreal-worldtrastuzumab

Identifiers

PMID29108301
PMCPMC5668034

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.