Evidence map›Paper›PMID 34375369›Full record

ArticlePloS one2021

Efficacy and cost effectiveness of intravenous ferric carboxymaltose versus iron sucrose in adult patients with iron deficiency anaemia.

Ahmad Basha, Mohamed Izham Mohamed Ibrahim, Anas Hamad, Prem Chandra, Nabil E Omar, Mohamed Abdul Jaber Abdullah, Mahmood B Aldapt, Radwa M Hussein, Ahmed Mahfouz, Ahmad A Adel and 4 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Ahmad BashaNational Center for Cancer Care and Research (NCCCR), Pharmacy Department, HMC, Doha, Qatar.ORCID 0000-0001-5171-1433
Mohamed Izham Mohamed IbrahimClinical Pharmacy and Practice Department, College of Pharmacy, QU Health, Qatar University, Doha, Qatar.
Anas HamadNational Center for Cancer Care and Research (NCCCR), Pharmacy Department, HMC, Doha, Qatar.
Prem ChandraNational Center for Cancer Care and Research (NCCCR), Pharmacy Department, HMC, Doha, Qatar.
Nabil E OmarNational Center for Cancer Care and Research (NCCCR), Pharmacy Department, HMC, Doha, Qatar.ORCID 0000-0001-8291-7987
Mohamed Abdul Jaber AbdullahNational Center for Cancer Care and Research, Hematology Department, HMC, Doha, Qatar.
Mahmood B AldaptNational Center for Cancer Care and Research, Hematology Department, HMC, Doha, Qatar.
Radwa M HusseinNational Center for Cancer Care and Research (NCCCR), Pharmacy Department, HMC, Doha, Qatar.
Ahmed MahfouzHeart Hospital (HH), Pharmacy Department, HMC, Doha, Qatar.ORCID 0000-0002-6253-1670
Ahmad A AdelNational Center for Cancer Care and Research (NCCCR), Pharmacy Department, HMC, Doha, Qatar.
Hawraa M ShwayliaNational Center for Cancer Care and Research, Hematology Department, HMC, Doha, Qatar.
Yaslem EkeibedNational Center for Cancer Care and Research, Hematology Department, HMC, Doha, Qatar.
Rami AbuMousaNational Center for Cancer Care and Research (NCCCR), Pharmacy Department, HMC, Doha, Qatar.
Mohamed A YassinNational Center for Cancer Care and Research, Hematology Department, HMC, Doha, Qatar.
National Center for Cancer Care and Research · QAQatar University · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIron deficiency anaemia (IDA) is a major health issues and common type of nutritional deficiency worldwide. For IDA treatment, intravenous (IV) iron is a useful therapy.

objectiveTo determine the efficacy and cost-effectiveness (CE) of intravenous (IV) Ferric Carboxymaltose (FCM) versus IV Iron Sucrose (IS) in treating IDA. DATA SOURCES: Electronic medical record i.e. Cerner® system. TARGET POPULATION: Adults patients with iron deficiency anaemia. TIME HORIZON: A 12-month period (01/01/2018-31/12/2018). PERSPECTIVE: Hamad Medical Corporation (HMC, a public hospital).

interventionIV Ferric Carboxymaltose versus IV Iron Sucrose. OUTCOME MEASURES: With regard to responses to treatment i.e., efficacy of treatment with FCM & IS in IDA patients, hemoglobin (Hgb), ferritin, and transferrin saturation (TSAT) levels were the primary outcomes. Additionally, the researchers also collected levels of iron, platelet, white blood cell (WBC), red blood cell (RBC), mean corpuscular hemoglobin (MCH), and mean corpuscular volume (MCV). The costs i.e. resources consumed (obtained from NCCCR-HMC) and the CE of FCM versus IS were the secondary outcomes. RESULTS OF BASE-CASE ANALYSIS: There was a significant improvement in Hgb, RBC and MCH levels in the IS group than the FCM group. The overall cost of IS therapy was significantly higher than FCM. The medication cost for FCM was approximately 6.5 times higher than IS, nonetheless, it is cheaper in terms of bed cost and nursing cost. The cost effectiveness (CE) ratio illustrated that FCM and IS were significantly different in terms of Hgb, ferritin and MCH levels. Further, Incremental Cost Effectiveness Ratio (ICER) indicated that further justifications and decisions need to be made for FCM when using Hgb, iron, TSAT, MCH and MCV levels as surrogate outcomes. RESULTS OF SENSITIVITY ANALYSIS: Not applicable. LIMITATIONS: The study did not consider the clinical or humanistic outcome.

conclusionsThe higher cost of FCM versus IS can be offset by savings in healthcare personnel time and bed space. ICER indicated that further justifications and decisions need to be made for FCM when using Hgb, iron, TSAT, MCH and MCV levels as surrogate outcomes.

Indexed as

Cost-Benefit AnalysisAdministration, IntravenousAdultAgedAnemia, Iron-DeficiencyFemaleFerric CompoundsFerric Oxide, SaccharatedHealth ExpendituresHumansMaleMaltoseMiddle AgedTreatment OutcomeYoung Adultferric carboxymaltoseFerric CompoundsFerric Oxide, SaccharatedMaltose

Identifiers

PMID34375369
PMCPMC8354439
OpenAlexW3187419935

What OpenQuestion holds

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LicenceCC BY
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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.