Evidence map›Paper›PMID 31189173›Full record

ArticlePublic health genomics2018

Generic Cost-Effectiveness Models: A Proof of Concept of a Tool for Informed Decision-Making for Public Health Precision Medicine.

Susan R Snyder, Jing Hao, Larisa H Cavallari, Zhi Geng, Amanda Elsey, Julie A Johnson, Zahurin Mohamed, Nathorn Chaiyakunapruk, Huey Yi Chong, Maznah Dahlui and 4 more

Abstract read
In one paragraph

Article in Public health genomics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

14 authors.

Susan R SnyderDepartment of Epidemiology and Health Services Research, Geisinger Health System, Danville, Pennsylvania, USA, ssnyder@gsu.edu.
Jing HaoDepartment of Epidemiology and Health Services Research, Geisinger Health System, Danville, Pennsylvania, USA.
Larisa H CavallariDepartment of Pharmacotherapy and Translational Research, University of Florida, Gainesville, Florida, USA.
Zhi GengDepartment of Epidemiology and Health Services Research, Geisinger Health System, Danville, Pennsylvania, USA.
Amanda ElseyDepartment of Pharmacotherapy and Translational Research, University of Florida, Gainesville, Florida, USA.
Julie A JohnsonDepartment of Pharmacotherapy and Translational Research, University of Florida, Gainesville, Florida, USA.
Zahurin MohamedDepartment of Pharmacology, University of Malaya, Kuala Lumpur, Malaysia.
Nathorn ChaiyakunaprukSchool of Pharmacy, Monash University Sunway Campus, Subang Jaya, Malaysia.
Huey Yi ChongSchool of Pharmacy, Monash University Sunway Campus, Subang Jaya, Malaysia.
Maznah DahluiDepartment of Social and Preventive Medicine, Julius Centre, University of Malaya, Kuala Lumpur, Malaysia.
Fatiha H ShabaruddinDepartment of Pharmacy, University of Malaya, Kuala Lumpur, Malaysia.
George P PatrinosUniversity of Patras School of Health Sciences Department of Pharmacy, Patras, Greece.
Christina MitropoulouThe Golden Helix Foundation, London, United Kingdom.
Marc S WilliamsGenomic Medicine Institute, Geisinger Health System, Danville, Pennsylvania, USA.

Funding

Sparking Advancements in Genomic MedicineU01HG007269 · NHGRI · UNIVERSITY OF FLORIDA · PI CAVALLARI, LARISA HUMMA, JOHNSON, JULIE A. · 2013 to 2024
$17.0M
NHGRI NIH HHS U01 HG007269
6 · The paper itself

Abstract

BACKGROUND/

aimsEconomic evaluation is integral to informed public health decision-making in the rapidly growing field of precision and personalized medicine (PM); however, this research requires specialized expertise and significant resources. Generic models are a novel innovation to efficiently address a critical PM evidence shortage and implementation barrier by enabling use of population-specific input values. This is a generic PM economic evaluation model proof-of-concept study for a pharmacogenomic use case.

methodsAn 8-step generic economic model development process was applied to the use case of human leukocyte antigen (HLA)-B*15:02genotyping for prediction of carbamazepine-induced cutaneous reactions, with a user-friendly decision-making tool relying on user-provided input values. This generic model was transparently documented and validated, including cross-validation comparing cost-effectiveness results with 3 country-specific models.

resultsA generic pharmacogenomic use case cost-effectiveness model with decision-making tool was successfully developed and cross-validated using input values for 6 populations which produced consistent results for HLA-B*15:02 screening at country-specific cost-effectiveness threshold values. Differences between the generic and country-specific model results were largely due to differences in model structure and assumptions.

conclusionThis proof on concept demonstrates the feasibility of generic models to provide useful PM economic evidence, supporting their use as a pragmatic and timely approach to address a growing need.

Indexed as

Cost-effectivenessDecision analysisModellingPharmacogenomicsPrecision medicine

Identifiers

PMID31189173
PMCPMC6762029

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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.