Evidence map›Paper›PMID 34778574›Full record

ArticleHeliyon2021

Ocular toxoplasmosis in immunocompetent adults: current cost-effectiveness of four treatment regimens in Colombia.

Valentina Álvarez-García, Lorena Rubio-Romero, María Alejandra Maldonado, Marcela Gómez-Suárez, Alejandra de-la-Torre

Open access · goldAbstract read
In one paragraph

Article in Heliyon, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. ChronicLife (Basel, Switzerland) · 2024
    Article
  5. 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 2 institutions in 1 country.

Valentina Álvarez-GarcíaNeuroscience Research Group (NEUROS), Neuroscience Center (NeuroVitae), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Colombia.
Lorena Rubio-RomeroNeuroscience Research Group (NEUROS), Neuroscience Center (NeuroVitae), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Colombia.
María Alejandra MaldonadoNeuroscience Research Group (NEUROS), Neuroscience Center (NeuroVitae), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Colombia.
Marcela Gómez-SuárezUniversidad Nacional de Colombia, Doctorado Interfacultades en Salud Pública, Facultad de Medicina, Grupo de Equidad en Salud, Colombia.
Alejandra de-la-TorreNeuroscience Research Group (NEUROS), Neuroscience Center (NeuroVitae), Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario, Colombia.
Universidad del Rosario · COUniversidad Nacional de Colombia · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOcular toxoplasmosis is an infection caused by PURPOSE: To compare the cost-effectiveness of four first-line treatment regimens for active ocular toxoplasmosis in immunocompetent adults in Colombia, using the number of averted therapeutic failures as the outcome.

methodsWe performed an economic and cost-effectiveness analysis to compare four first-line treatment regimens for ocular toxoplasmosis from the perspective of a third-party payer (Colombian General System of Social Security in Health). A decision analysis tree was used over a 24-week time horizon, considering only direct costs. Additionally, we performed a discrete sensitivity analysis and a probabilistic sensitivity analysis with 10,000 iterations in the Monte Carlo simulation.

resultsFor the base case, trimethoprim/sulfamethoxazole showed 86% effectiveness at a cost of <57 United States Dollars, resulting in the most cost-effective first-line alternative. When performing the probabilistic sensitivity analysis and maintaining the willingness to pay 466.00 United States Dollars, the trimethoprim/sulfamethoxazole regimen remained the most cost-effective alternative.

conclusionOcular toxoplasmosis is a public health issue in Latin America. Despite severe visual consequences for affected patients, there are no standardized treatment guidelines in countries such as Colombia. Our evidence supports the use of trimethoprim/sulfamethoxazole as first-line treatment in Colombia because of its availability and optimal cost-effectiveness performance; it reduces recurrences and complications, while averting therapeutic failure. Furthermore, our evidence can be generalized to other Latin American countries with similar frequencies and severities of

Indexed as

Cost-analysisCostsImmunocompetent patientsLatin AmericaOcular toxoplasmosisTherapeutic failureTherapy

Identifiers

PMID34778574
PMCPMC8577134
OpenAlexW3209144830

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.