Evidence map›Paper›PMID 32139872›Full record

ArticleScientific reports2020

Estimating the price at which hepatitis C treatment with direct-acting antivirals would be cost-saving in Japan.

Yueran Zhuo, Tomoyuki Hayashi, Qiushi Chen, Rakesh Aggarwal, Yvan Hutin, Jagpreet Chhatwal

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Economic evaluation of the Hepatitis C virus elimination program in the country of Georgia, 2015 to 2017.Liver international : official journal of the International Association for the Study of the Liver · 2023
    Article
  4. Article
  5. Review
  6. Article
  7. Hepatitis C Virus Translation Regulation.International journal of molecular sciences · 2020
    Review
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

6 authors at 5 institutions in 4 countries.

Yueran ZhuoMassachusetts General Hospital Institute for Technology Assessment, Boston, MA, USA.
Tomoyuki HayashiWorld Health Organization, Geneva, Switzerland.
Qiushi ChenThe Harold and Inge Marcus Department of Industrial and Manufacturing Engineering, Pennsylvania State University, University Park, PA, USA.
Rakesh AggarwalJawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India.ORCID http://orcid.org/0000-0001-9689-494X
Yvan HutinWorld Health Organization, Geneva, Switzerland.
Jagpreet ChhatwalMassachusetts General Hospital Institute for Technology Assessment, Boston, MA, USA. JagChhatwal@mgh.harvard.edu.ORCID http://orcid.org/0000-0001-8741-4430
Harvard University · USJawaharlal Institute of Post Graduate Medical Education and Research · INKanazawa University · JPPennsylvania State University · USWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

In Japan, 1.5-2 million people are chronically infected with hepatitis C virus (HCV) infection. New direct-acting antiviral agents (DAA) offer an unprecedented opportunity to cure HCV. While the price of HCV treatment decreased recently in most countries, it remains one of the highest in Japan. Our objective was to evaluate the cost-effectiveness of HCV treatment in patients of different age groups and to estimate the price at which DAAs become cost-saving in Japan. A previously developed microsimulation model was adapted to the Japanese population and updated with Japan-specific health utilities and costs. Our model showed that compared with no treatment, the incremental cost-effectiveness ratio (ICER) of DAAs at a price USD 41,046 per treatment was USD 9,080 per quality-adjusted life year (QALY) gained in 60-year-old patients. HCV treatment became cost-effective after 9 years of starting treatment. However, if the price of DAAs is reduced by 55-85% (USD 6,730 to 17,720), HCV treatment would be cost-saving within a 5 to 20-year time horizon, which should serve to increase the uptake of DAA-based HCV treatment. The payers of health care in Japan could examine ways to procure DAAs at a price where they would be cost-saving.

Indexed as

Cost-Benefit AnalysisQuality-Adjusted Life YearsAdultAgedAntiviral AgentsFemaleFollow-Up StudiesHepacivirusHepatitis CHumansJapanMaleMiddle AgedPrognosisAntiviral Agents

Identifiers

PMID32139872
PMCPMC7058050
OpenAlexW3010532953

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.