Evidence map›Paper›PMID 32128725›Full record

ArticlePharmacoEconomics2020

Healthcare Costs of Treating Privately Insured Patients with Acute Myeloid Leukemia in the United States from 2004 to 2014: A Generalized Additive Modeling Approach.

Lih-Wen Mau, Jaime M Preussler, Linda J Burns, Susan Leppke, Navneet S Majhail, Christa L Meyer, Tatenda Mupfudze, Wael Saber, Patricia Steinert, David J Vanness

Abstract read
In one paragraph

Article in PharmacoEconomics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

10 authors.

Lih-Wen MauNational Marrow Donor Program/Be The Match, Minneapolis, MN, USA.
Jaime M PreusslerNational Marrow Donor Program/Be The Match, Minneapolis, MN, USA.
Linda J BurnsNational Marrow Donor Program/Be The Match, Minneapolis, MN, USA.
Susan LeppkeNational Marrow Donor Program/Be The Match, Minneapolis, MN, USA.
Navneet S MajhailBlood & Marrow Transplant Program, Cleveland Clinic, Cleveland, OH, USA.
Christa L MeyerNational Marrow Donor Program/Be The Match, Minneapolis, MN, USA.
Tatenda MupfudzeNational Marrow Donor Program/Be The Match, Minneapolis, MN, USA.
Wael SaberCenter for International Blood and Marrow Transplant Research, Milwaukee, WI, USA.
Patricia SteinertCenter for International Blood and Marrow Transplant Research, Milwaukee, WI, USA.
David J VannessApriori Bayesian Consulting, LLC, 2643 Sleepy Hollow Drive, State College, PA, 16803, USA. dvanness@aprioribayesian.com.ORCID 0000-0002-9790-2988

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Blood and Marrow Transplant Clinical Trials Network DCC- The Medical College of Wisconsin, Inc.U24HL138660 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI Steven M. DeVine, Mehdi Hussain Hamadani · 2017 to 2026
$71.4M
HRSA HHS HHSH250201700006CNCI NIH HHS 5U24CA076518NCI NIH HHS U24 CA076518NHLBI NIH HHS 1U24HL138660NHLBI NIH HHS U24 HL138660
6 · The paper itself

Abstract

objectivesThe primary objective of this study was to predict healthcare cost trajectories for patients with newly diagnosed acute myeloid leukemia (AML) receiving allogeneic hematopoietic cell transplantation (alloHCT), as a function of days since chemotherapy initiation, days relative to alloHCT, and days before death or last date of insurance eligibility (LDE). An exploratory objective examined patients with AML receiving chemotherapy only.

methodsWe used Optum's de-identified Clinformatics

resultsExpected costs (in 2017 values) for a hypothetical patient receiving alloHCT 60 days after chemotherapy initiation and followed for 5 years were $US572,000 (95% CI 517,000-633,000); $US119,000 (95% CI 51,000-192,000); $US102,000 (95% CI 0-285,000); $US79,000 (95% CI 0-233,000), for years 1-4, respectively, and either $US494,000 (95% CI 212,000-799,000) or $US108,000 (95% CI 0-230,000) in year 5, whether the patient died or was lost to follow-up on day 1825, respectively.

conclusionsRates of cost accrual varied over time since chemotherapy initiation, with accelerations around the time of alloHCT and death. GAM is a potentially useful approach for imputing longitudinal costs relative to treatment initiation and one or more intercurrent, clinical, or terminal events in randomized controlled trials or registries with unrecorded costs or for dynamic decision-analytic models.

Indexed as

Health Care CostsAdultAgedAlgorithmsCosts and Cost AnalysisDatabases, FactualDrug TherapyFemaleHematopoietic Stem Cell TransplantationHumansInsurance, HealthLeukemia, Myeloid, AcuteMaleMiddle AgedModels, EconomicUnited States

Identifiers

PMID32128725
PMCPMC7194165

What OpenQuestion holds

Textmetadata
LicenceTDM
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.