Evidence map›Paper›PMID 29743071›Full record

Trial reportRespiratory research2018

Cost-effectiveness of lung volume reduction coil treatment in patients with severe emphysema: results from the 2-year follow-up crossover REVOLENS study (REVOLENS-2 study).

Julie Bulsei, Sylvie Leroy, Jeanne-Marie Perotin, Hervé Mal, Charles-Hugo Marquette, Hervé Dutau, Arnaud Bourdin, Jean-Michel Vergnon, Christophe Pison, Romain Kessler and 9 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Respiratory research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01822795 (Cost-effectiveness of Lung Volume Reduction Coil Treatment in Emphysema.), which is not on this 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.

NCT01822795 phase3unknown statusnot on this map

Cost-effectiveness of Lung Volume Reduction Coil Treatment in Emphysema.

TypeinterventionalSponsorCHU de ReimsRan2013 to 2019Enrolled100ConditionsEmphysemaArmsLung volume reduction coïl treatment, Regular medical treatment
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Bronchoscopic interventions for emphysema: Current status.Lung India : official organ of Indian Chest Society
    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

19 authors.

Julie BulseiAP-HP URC Eco IdF, Unité de recherche clinique en économie de la santé d'Ile de France, Paris, France. julie.bulsei@urc-eco.fr.
Sylvie LeroyService de Pneumologie, CHU de Nice, FHU OncoAge, Université Côte d'Azur, Nice, France.
Jeanne-Marie PerotinService de Pneumologie, INSERM U1250, Hôpital Universitaire, Reims, France.
Hervé MalService de Pneumologie, Hôpital Universitaire Bichat, Paris, France.
Charles-Hugo MarquetteService de Pneumologie, CHU de Nice, FHU OncoAge, Université Côte d'Azur, Nice, France.
Hervé DutauService d'Oncologie Thoracique, Maladies de la Plèvre, Pneumologie Interventionnelle, Hôpital Universitaire, Marseille, France.
Arnaud BourdinDépartement de Pneumologie et Addictologie, PhyMedExp, INSERM U1046, CNRS UMR, Hôpital Universitaire, Montpellier, France.
Jean-Michel VergnonService de Pneumologie, Hôpital Universitaire, Saint Etienne, France.
Christophe PisonPôle Thorax et Vaisseaux, Inserm1055, Hôpital Universitaire Grenoble Alpes, Inserm1055, Université Grenoble Alpes, Grenoble, France.
Romain KesslerService de Pneumologie, Hôpital Universitaire, Strasbourg, France.
Vincent JounieauxService de Pneumologie, Hôpital Universitaire, Amiens, France.
Mathieu SalaünService de Pneumologie, Oncologie Thoracique et Soins Intensifs Respiratoires, Hôpital Universitaire, Rouen, France.
Armelle MarceauService de Pneumologie, Hôpital Universitaire Bichat, Paris, France.
Sylvain DukicDépartement de Pharmacovigilance, Hôpital Universitaire de Reims, Reims, France.
Coralie BarbeUnité d'Aide Méthodologique, Pôle Recherche et Santé Publique, Hôpital Universitaire de Reims, Reims, France.
Margaux BonnaireCentre de Recherche et d'Investigation Clinique, Pôle Recherche et Santé Publique, Hôpital Universitaire de Reims, Reims, France.
Gaëtan DesleeService de Pneumologie, INSERM U1250, Hôpital Universitaire, Reims, France.
Isabelle Durand-ZaleskiAP-HP URC Eco IdF, Unité de recherche clinique en économie de la santé d'Ile de France, Paris, France.
REVOLENS study group

Funding

French Ministry of Health (Direction Générale de l'Offre de Soins, PSTIC-2012) 2012-A01477-36
6 · The paper itself

Abstract

backgroundThe REVOLENS study compared lung volume reduction coil treatment to usual care in patients with severe emphysema at 1 year, resulting in improved quality-adjusted life-year (QALY) and higher costs. Durability of the coil treatment benefit and its cost-effectiveness at 2 years are now assessed.

methodsAfter one year, the REVOLENS trial's usual care group patients received coil treatment (second-line coil treatment group). Costs and QALYs were assessed in both arms at 2 years and an incremental cost-effectiveness ratio in cost per QALY gained was calculated. The uncertainty of the results was estimated by probabilistic bootstrapping.

resultsThe average cost of coil treatment in both groups was estimated at €24,356. The average total cost at 2 years was €9655 higher in the first-line coil treatment group (p = 0.07) and the difference in QALY between the two groups was 0.127 (p = 0.12) in favor of first-line coil treatment group. The 2-year incremental cost-effectiveness ratio (ICER) was €75,978 / QALY. The scatter plot of the probabilistic bootstrapping had 92% of the replications in the top right-hand quadrant.

conclusionFirst-line coil treatment was more expensive but also more effective than second-line coil treatment at 2 years, with a 2-year ICER of €75,978 / QALY.

trial registrationClinicalTrials.gov Identifier NCT01822795 .

Indexed as

Severity of Illness IndexAlloysCost-Benefit AnalysisCross-Over StudiesFemaleFollow-Up StudiesForced Expiratory VolumeHumansLungMaleOrgan SizeProspective StudiesProsthesis ImplantationPulmonary EmphysemaTime FactorsTreatment OutcomeAlloysnitinolCoil treatmentCost-effectivenessQALYSevere emphysema

Identifiers

PMID29743071
PMCPMC5941693

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Registered trials

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.