Evidence map›Paper›PMID 30843996›Full record

ArticleEinstein (Sao Paulo, Brazil)2019

Cost-effectiveness analysis of abiraterone, docetaxel or placebo plus androgen deprivation therapy for hormone-sensitive advanced prostate cancer.

Pedro Nazareth Aguiar, Pui San Tan, Sarah Simko, Carmelia Maria Noia Barreto, Bárbara de Souza Gutierres, Auro Del Giglio, Gilberto de Lima Lopes

Open access · diamondAbstract read
In one paragraph

Article in Einstein (Sao Paulo, Brazil), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. A cost-utility analysis of apalutamide for metastatic castrationsensitive prostate cancer.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Balancing efficacy and financial toxicity in the management of metastatic castration-sensitive prostate cancer.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2019
    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

7 authors at 5 institutions in 3 countries.

Pedro Nazareth AguiarFaculdade de Medicina do ABC, Santo André, SP, Brazil.ORCID http://orcid.org/0000-0003-2049-598X
Pui San TanUniversity of Oxford, Oxford, England, United Kingdom.ORCID http://orcid.org/0000-0003-3359-1874
Sarah SimkoSchool of Medicine, Universidade de Miami, Florida, FL, United States.ORCID http://orcid.org/0000-0003-3796-587X
Carmelia Maria Noia BarretoMD Anderson Cancer Center, Houston, TX, United States.ORCID http://orcid.org/0000-0002-9606-8477
Bárbara de Souza GutierresUniversidade Paulista, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-8153-4914
Auro Del GiglioFaculdade de Medicina do ABC, Santo André, SP, Brazil.ORCID http://orcid.org/0000-0002-2009-824X
Gilberto de Lima LopesSylvester Comprehensive Cancer Center, Miami, FL, United States.ORCID http://orcid.org/0000-0002-1151-9903
Faculdade de Medicina do ABC · BRSylvester Comprehensive Cancer Center · USThe University of Texas MD Anderson Cancer Center · USUniversidade Paulista · BRUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the cost-effectiveness of the addition of chemotherapy or abiraterone to androgen deprivation.

methodsWe developed an analytical model to determine the cost-effectiveness of the addition of docetaxel or abiraterone versus androgen deprivation therapy alone. Direct and indirect costs were included in the model. The effects were expressed in Quality-Adjusted Life Years adjusted for side effects.

resultsCompared to androgen deprivation therapy alone, the addition of chemotherapy and of abiraterone generated 0.492 and 0.999, respectively, in Quality-Adjusted Life Years. Abiraterone led to a Quality-Adjusted Life Years gain of 0.506 compared to docetaxel. The incremental costs per Quality-Adjusted Life Years were R$ 133.649,22 for docetaxel, R$ 330.828,70 for abiraterone and R$ 571.379,42 for abiraterone compared to docetaxel, respectively.

conclusionThe addition of chemotherapy to androgen deprivation therapy is more cost-effective than the addition of abiraterone to androgen deprivation therapy. However, discounts on abiraterone cost might improve cost-effectiveness.

Indexed as

Androgen AntagonistsAndrostenesAntineoplastic Agents, HormonalAntineoplastic Combined Chemotherapy ProtocolsBrazilCost-Benefit AnalysisDocetaxelHumansMalePlacebosProgression-Free SurvivalProstatic NeoplasmsQuality-Adjusted Life YearsReference ValuesReproducibility of ResultsTime FactorsabirateroneAndrogen AntagonistsAndrostenesAntineoplastic Agents, HormonalDocetaxelPlacebos

Identifiers

PMID30843996
PMCPMC6394999
OpenAlexW2920733634

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.