Evidence map›Paper›PMID 30684255›Full record

ArticlePharmacoEconomics - open2019

Economic Impact and Clinical Outcomes of Omalizumab Add-On Therapy for Patients with Severe Persistent Asthma: A Real-World Study.

Luis Manuel Entrenas Costa, Francisco Casas-Maldonado, José Gregorio Soto Campos, Alicia Padilla-Galo, Alberto Levy, Francisco Javier Álvarez Gutiérrez, Ana P Gómez-Bastero Fernández, Concepción Morales-García, Rocío Gallego Domínguez, Gustavo Villegas Sánchez and 5 more

Abstract read
In one paragraph

Article in PharmacoEconomics - open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Unanswered questions on the use of biologics in pediatric asthma.The World Allergy Organization journal · 2023
    Review
  3. Review
  4. Economic burden of severe asthma treatment: A real-life study.The World Allergy Organization journal · 2022
    Article
  5. Article
  6. 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

15 authors.

Luis Manuel Entrenas CostaUnidad de Gestión Clínica de Neumología, Hospital Universitario Reina Sofía, IMIBIC, Universidad de Córdoba, Avda. de las Ollerías 1, portal 10 4-2, 14001, Córdoba, Spain. luis.m.entrenas@gmail.com.ORCID http://orcid.org/0000-0003-0664-5531
Francisco Casas-MaldonadoUnidad de Gestión Clínica de Neumología, Hospital Universitario San Cecilio, Granada, Spain.
José Gregorio Soto CamposUnidad de Gestión Clínica de Neumología y Alergia, Hospital de Jerez, Jerez de la Frontera, Cádiz, Spain.
Alicia Padilla-GaloAgencia Sanitaria Costa del Sol, Unidad de Neumología, Marbella, Málaga, Spain.
Alberto LevyHospital Clínico Virgen de la Victoria, Málaga, Spain.
Francisco Javier Álvarez GutiérrezUnidad de Asma, UMQER, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
Ana P Gómez-Bastero FernándezUnidad de Gestión Clínica de Neumología del Hospital Universitario Virgen Macarena, Sevilla, Spain.
Concepción Morales-GarcíaUnidad de Gestión Clínica de Neumología, Hospital Universitario Virgen de las Nieves, Granada, Spain.
Rocío Gallego DomínguezSección de Neumología, Complejo Hospitalario Universitario de Cáceres, Cáceres, Spain.
Gustavo Villegas SánchezUnidad de Gestión Clínica de Neumología y Alergia, Hospital Torrecárdenas, Almería, Spain.
Luis Mateos CaballeroSección de Neumología, Hospital de Mérida, Mérida, Spain.
Antonio Pereira-VegaUnidad de Gestión Clínica de Neumología y Alergia, Hospital Juan Ramón Jiménez, Huelva, Spain.
Cayo García PoloUnidad de Gestión Clínica de Neumología, Alergia y Cirugía Torácica, Hospital Universitario Puerta del Mar, Cádiz, Spain.
Gerardo Pérez ChicaUnidad de Gestión Clínica de Aparato Respiratorio, Hospital Médico Quirúrgico, Jaén, Spain.
Juan José Martín VillasclarasUnidad Médico Quirúrgica de Enfermedades Respiratorias, Hospital Regional Universitario de Málaga, Málaga, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOmalizumab is a fully humanized monoclonal antibody indicated as add-on therapy to improve asthma control in patients with severe persistent allergic asthma.

aimsThe aim of this study was to evaluate social, healthcare expenditure and clinical outcomes changes after incorporating omalizumab into standard treatment in the control of severe asthma.

methodsIn this multicentre retrospective study, a total of 220 patients were included from 15 respiratory medicine departments in the regions of Andalusia and Extremadura (Spain). Effectiveness was calculated as a 3-point increase in the Asthma Control Test (ACT) and a reduction in the annual number of exacerbations. The economic evaluation included both direct and indirect costs. Incremental cost-effectiveness ratio (ICER) was calculated. Results from the year before and the year after incorporation of omalizumab were compared.

resultsAfter adding omalizumab, improvement of lung function, asthma and rhinitis according to patient perception, as well as the number of exacerbations and asthma control measured by the ACT score were observed. Globally, both healthcare resources and pharmacological costs decreased after omalizumab treatment, excluding omalizumab cost. When only direct costs were considered, the ICER was €1712 (95% CI 1487-1995) per avoided exacerbation and €3859 (95% CI 3327-4418) for every 3-point increase in the ACT score. When both direct and indirect costs were considered, the ICER was €1607 (95% CI 1385-1885) for every avoided exacerbation and €3555 (95% CI 3012-4125) for every 3-point increase.

conclusionsOmalizumab was shown to be an effective add-on therapy for patients with persistent severe asthma and allowed reducing key drivers of asthma-related costs.

Identifiers

PMID30684255
PMCPMC6710309

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.