Evidence map›Paper›PMID 30840166›Full record

SynthesisThe European journal of health economics : HEPAC : health economics in prevention and care2019

A systematic review of pharmacoeconomic evaluations of erlotinib in the first-line treatment of advanced non-small cell lung cancer.

Cuc Thi Thu Nguyen, Fabio Petrelli, Stefania Scuri, Binh Thanh Nguyen, Iolanda Grappasonni

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in The European journal of health economics : HEPAC : health economics in prevention and care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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

8 citing papers in PubMed.

  1. Trends in NICE technology appraisals of non-small cell lung cancer drugs over the last decade.The European journal of health economics : HEPAC : health economics in prevention and care · 2025
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  3. Article
  4. Review
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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.

Cuc Thi Thu NguyenDepartment of Pharmaceutical Administration and Economics, Hanoi University of Pharmacy, Hanoi, Vietnam. cucnguyen.pharm@gmail.com.
Fabio PetrelliSchool of Medicinal and Health Products Sciences, University of Camerino, Camerino, Marche, Italy.
Stefania ScuriSchool of Medicinal and Health Products Sciences, University of Camerino, Camerino, Marche, Italy.
Binh Thanh NguyenDepartment of Pharmaceutical Administration and Economics, Hanoi University of Pharmacy, Hanoi, Vietnam.
Iolanda GrappasonniSchool of Medicinal and Health Products Sciences, University of Camerino, Camerino, Marche, Italy.ORCID http://orcid.org/0000-0003-1131-4286

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo review and assess the quality of the available evidence on the cost-effectiveness of erlotinib in the first-line treatment of advanced non-small cell lung cancer (NSCLC).

methodsA systematic review was conducted to identify full-text original economic evaluations of erlotinib in the first-line treatment of advanced NSCLC written in English and published from the year 2000 onwards. Study characteristics and results were recorded and compared. The quality of the studies was assessed by the Quality of Health Economic Studies (QHES) questionnaire.

resultsEleven out of 130 papers were chosen for this review. Comparative regimens consisted of a best supportive care, reverse strategy, bevacizumab, cisplatin plus pemetrexed, carboplatin plus gemcitabine or gefitinib. The methods most used in these studies were modeling and sensitivity analysis and cost-effectiveness analysis. All of the studies evaluated direct costs and used quality-adjusted life-year (QALY) and life-years gained (LYG) as outcome, with 3% and 3.5% discount rate. The studies assigned ICER that ranged from dominant to I$305,510.31/QALY and from I$31,209.55/LYG to I$66,540.20/LYG. Based on the willingness to pay threshold, seven studies concluded that erlotinib was cost-effective, two studies showed that erlotinib was cost-effective on specific patients with certain conditions, and two studies comparing erlotinib with reverse strategy did not find a difference in cost-effectiveness. The high quality of these studies was confirmed using the QHES tool: the mean score was 75.77 out of 100 (SD 9.38).

conclusionMost of these high-quality studies suggested that erlotinib was cost-effective in the first-line treatment of advanced NSCLC.

Indexed as

Economics, PharmaceuticalAntineoplastic AgentsCarcinoma, Non-Small-Cell LungErlotinib HydrochlorideHumansLung NeoplasmsAntineoplastic AgentsErlotinib HydrochlorideCost-effectivenessOverviewQHESReport’s quality

Identifiers

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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.