Evidence map›Paper›PMID 33879168›Full record

ArticleCost effectiveness and resource allocation : C/E2021

Cost-utility analysis of imrecoxib compared with diclofenac for patients with osteoarthritis.

Xueshan Sun, Xuemei Zhen, Xiaoqian Hu, Yuanyuan Li, ShuYan Gu, Yuxuan Gu, Zixuan Zhao, Wei Yang, Hengjin Dong

Open access · goldAbstract read
In one paragraph

Article in Cost effectiveness and resource allocation : C/E, 2021. 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
0.8field-weighted citation impact, top 28% 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, 6 citations in OpenAlex.

  1. Article
  2. Imrecoxib: Advances in Pharmacology and Therapeutics.Drug design, development and therapy · 2024
    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

9 authors at 3 institutions in 1 country.

Xueshan SunCenter for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Zijingang Campus, Rd 866 Yuhang, Xihu District, Hangzhou, Zhejiang, China.
Xuemei ZhenSchool of Health Care Management, Shandong University, 44 Wenhuaxi Rd., Jinan, Shandong, China.
Xiaoqian HuCenter for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Zijingang Campus, Rd 866 Yuhang, Xihu District, Hangzhou, Zhejiang, China.
Yuanyuan LiCenter for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Zijingang Campus, Rd 866 Yuhang, Xihu District, Hangzhou, Zhejiang, China.
ShuYan GuCenter for Health Policy and Management Studies, School of Government, Nanjing University, Nanjing, Jiangsu, China.
Yuxuan GuCenter for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Zijingang Campus, Rd 866 Yuhang, Xihu District, Hangzhou, Zhejiang, China.
Zixuan ZhaoCenter for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Zijingang Campus, Rd 866 Yuhang, Xihu District, Hangzhou, Zhejiang, China.
Wei YangShanghai Suvalue Health Scienfific Ltd., Shanghai, China.
Hengjin DongCenter for Health Policy Studies, School of Public Health, Zhejiang University School of Medicine, Zijingang Campus, Rd 866 Yuhang, Xihu District, Hangzhou, Zhejiang, China. donghj@zju.edu.cn.ORCID http://orcid.org/0000-0002-5064-7297
Zhejiang University · CNNanjing University · CNShandong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo estimate the cost -utility of imrecoxib compared with diclofenac, as well as the addition of a proton pump inhibitor to both two treatment strategies, for patients with osteoarthritis, from a Chinese healthcare perspective.

methodsA Markov model was built. Costs of managing osteoarthritis and initial adverse events were collected from a Medical Database which collected information from 170 hospitals. Other parameters were obtained from the literature. Subgroup analyses were conducted for people at high risk of gastrointestinal or cardiovascular adverse events. Deterministic and probabilistic sensitivity analyses were performed.

resultsImrecoxib was highly cost-effective than diclofenac (the ICER was $401.58 and $492.77 in patients at low and high gastrointestinal and cardiovascular risk, respectively). The addition of a proton pump inhibitor was more cost -effective compared with single drug for both treatment strategies. Findings remained robust to sensitivity analyses. 59.04% and 57.16% probability for the co-prescription of imrecoxib and a proton pump inhibitor to be the most cost-effective strategy in all patients considered using the cost-effectiveness threshold of $30,000.

conclusionsThe addition of a proton pump inhibitor to both imrecoxib and diclofenac was advised. Imrecoxib provides a valuable option for patients with osteoarthritis. Uncertainties existed in the model, and the suggestions can be adopted with caution.

Indexed as

Cost-utility analysisDiclofenacImrecoxibOsteoarthritisProton pump inhibitor

Identifiers

PMID33879168
PMCPMC8056517
OpenAlexW3154186787

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.