Evidence map›Paper›PMID 33456727›Full record

ArticleJournal of market access & health policy2020

Economic evaluation of adverse events of dabrafenib plus trametinib versus nivolumab in patients with advanced BRAF-mutant cutaneous melanoma for adjuvant therapy in Germany.

S Wahler, A Müller, C Koll, P Seyed-Abbaszadeh, J M Von Der Schulenburg

Open access · goldAbstract read
In one paragraph

Article in Journal of market access & health policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 4 institutions in 1 country.

S WahlerSt. Bernward GmbH, Hamburg, Germany.
A MüllerAnalytics Services GmbH, Munich, Germany.
C KollDiabetes Praxis Blankenese, Hamburg, Germany.
P Seyed-AbbaszadehUniversity of Hamburg, Hamburg, Germany.
J M Von Der SchulenburgLeibniz University, Hanover, Germany.
HNO-Praxis · DELeibniz University of Applied Sciences · DESt. Bernward Krankenhaus · DEUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY DESIGN AND

settingThirty-six adverse event categories for the combination of dabrafenib and trametinib ('combi treatment') and for nivolumab were extracted from the original publications of the studies named COMBI-AD and CheckMate 238. PATIENTS AND

interventionFor all event categories a diagnosis and therapy recommendation were determined according to current national or international guidelines or from leading German textbooks.

main outcome measureThe resulting diagnostic steps, treatments, and therapies were evaluated with unit costs based on the German fee schedule for ambulatory physicians, the German G-DRG scheme, and the German drug price list.

resultsThe number of events with nivolumab per one hundred treatments amounted to 3.8 mandatory hospitalizations, 3.5 emergency care events and 0.8 life-threatening events. For the combi treatment, the respective number of events per one hundred treatments was 2.7, 1.8, and 0.5. The overall cost burden was calculated as €899 for nivolumab and €861 for combi-treatment.

conclusionThe treatment of adverse events resulting from adjuvant melanoma therapy showed comparable costs for both therapies.

Indexed as

Combi-treatmentcost burdendabrafenibnivolumabtherapeutic strategytrametinib

Identifiers

PMID33456727
PMCPMC7781974
OpenAlexW3116553005

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.