Evidence map›Paper›PMID 34709580›Full record

ArticleInternational journal of hematology2022

NUDT15 genetic testing-guided 6-mercaptopurine dosing in children with ALL likely to be cost-saving in China.

XiaoXia Wei, Jing Zhuang, Na Li, Bin Zheng, Hong Sun, JiaQin Cai, Xuhui Huang, Guifeng Zhang, Jie Zhuang

Abstract read
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In one paragraph

Article in International journal of hematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Association ofHaematologica · 2024
    Pooled it
  3. Article
  4. Review
  5. Review
  6. 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

9 authors at 2 institutions in 1 country.

XiaoXia Wei *Department of Pharmacy, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, No. 134, Gulou District, Fuzhou, Fujian, 350000, People's Republic of China.ORCID http://orcid.org/0000-0003-2443-1203
Jing Zhuang *Department of Plastic and Burn, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou, 350000, People's Republic of China.
Na LiDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, 350000, People's Republic of China.
Bin ZhengDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, 350000, People's Republic of China.
Hong SunDepartment of Pharmacy, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, No. 134, Gulou District, Fuzhou, Fujian, 350000, People's Republic of China.
JiaQin CaiDepartment of Pharmacy, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, No. 134, Gulou District, Fuzhou, Fujian, 350000, People's Republic of China.
Xuhui HuangDepartment of Pharmacy, Fujian Provincial Hospital Jinshan Branch/Fujian Provincial Hospital South Branch, Fuzhou, 350028, People's Republic of China.
Guifeng ZhangDepartment of Oncology, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou, 350000, People's Republic of China.
Jie ZhuangDepartment of Pharmacy, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, No. 134, Gulou District, Fuzhou, Fujian, 350000, People's Republic of China. zhuangjie2019@163.com.
Fujian Medical University · CNFujian Provincial People's Hospital · CN

Funding

Fujian Science and Technology Innovation Joint Fund Project 2017Y9067High-level hospital foster grants from Fujian Provincial Hospital 2019HSJJ06National Natural Science Foundation of China 71804025Natural Science Foundation of Fujian 2019J01177Science and Technology Department of Fujian Province 2018R0041
6 · The paper itself

Abstract

objectiveThe cost-effectiveness of NUDT15 genetic testing-guided initial 6-mercaptopurine (6-MP) dosing in children with acute lymphoblastic leukemia (ALL) was evaluated.

methodsA decision tree model was used to evaluate the cost to China's medical system per quality-adjusted life-year (QALY) gained and cost per case of severe leukopenia avoided of NUDT15 genetic testing using public clinical data.

resultsGenetic testing-guided initial 6-MP dosing reduced overall costs by $518.61, and prevented 0.221 cases of Grade III-IV leukopenia and increased QALY by 0.00136 per patient. Results were robust in one-way analyses and probabilistic sensitivity analyses.

conclusionNUDT15 genetic testing prior to the initial administration of 6-MP in pediatric ALL patients in China is less expensive than standard dosing without genetic testing.

Indexed as

Antimetabolites, AntineoplasticChildChinaCost-Benefit AnalysisGenetic TestingHumansMercaptopurineNudix HydrolasesPrecursor Cell Lymphoblastic Leukemia-LymphomaPyrophosphatasesQuality-Adjusted Life YearsAntimetabolites, AntineoplasticMercaptopurineNudix HydrolasesNUDT15 protein, humanPyrophosphatases6-mercaptopurineAcute lymphoblastic leukemiaCost-effectivenessGeneticNUDT15

Identifiers

PMID34709580
OpenAlexW3211280960

What OpenQuestion holds

Textmetadata
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.