Evidence map›Paper›PMID 34820994›Full record

ArticleCancer science2022

Cost-effectiveness of carbon-ion radiotherapy versus stereotactic body radiotherapy for non-small-cell lung cancer.

Shohei Okazaki, Kei Shibuya, Tomoyuki Takura, Yuhei Miyasaka, Hidemasa Kawamura, Tatsuya Ohno

Open access · goldAbstract readComparative Study
In one paragraph

Article in Cancer science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Osteosarcoma: current insights and advances.Exploration of targeted anti-tumor therapy · 2025
    Review
  9. Review
  10. Review
  11. Article
  12. Value of carbon-ion radiotherapy for early stage non-small cell lung cancer.Clinical and translational radiation oncology · 2022
    Review
  13. Research Progress of Heavy Ion Radiotherapy for Non-Small-Cell Lung Cancer.International journal of molecular sciences · 2022
    Review
  14. 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

6 authors at 3 institutions in 1 country.

Shohei OkazakiDepartment of Radiation Oncology, Gunma University Graduate School of Medicine, Maebashi, Japan.ORCID https://orcid.org/0000-0001-6984-8454
Kei ShibuyaDepartment of Radiation Oncology, Gunma University Graduate School of Medicine, Maebashi, Japan.
Tomoyuki TakuraDepartment of Healthcare Economics and Health Policy, University of Tokyo, Tokyo, Japan.
Yuhei MiyasakaDepartment of Radiation Oncology, Gunma University Graduate School of Medicine, Maebashi, Japan.
Hidemasa KawamuraGunma University Heavy Ion Medical Center, Gunma University, Maebashi, Japan.
Tatsuya OhnoDepartment of Radiation Oncology, Gunma University Graduate School of Medicine, Maebashi, Japan.
Gunma University · JPGunma University Hospital · JPThe University of Tokyo · JP

Funding

Japan Society for the Promotion of Science 19K17225
6 · The paper itself

Abstract

Carbon-ion radiotherapy (CIRT) for clinical stage I non-small-cell lung cancer (NSCLC) is used as an advanced medical treatment regimen in Japan. Carbon-ion radiotherapy reportedly aids in achieving excellent treatment outcomes, despite its high medical cost. We aimed to compare CIRT with stereotactic body radiotherapy (SBRT) in terms of cost-effectiveness for treating clinical stage I NSCLC. Data of patients with clinical stage I NSCLC treated with CIRT or SBRT at Gunma University between 2010 and 2015 were analyzed. The CIRT and SBRT groups included 62 and 27 patients, respectively. After propensity-score matching, both groups comprised 15 patients. Life year (LY) was used as an indicator of outcome. The CIRT technical fee was 3 140 000 JPY. There was no technical fee for the second CIRT carried out on the same organ within 2 years. The incremental cost-effectiveness ratio (ICER) was calculated by dividing the incremental cost by the incremental LY for 5 years after treatment. Sensitivity analysis was applied to evaluate the impact of LY or costs of each group on ICER. The ICERs were 7 491 017 JPY/LY and 3 708 330 JPY/LY for all patients and matched patients, respectively. Hospitalization and examination costs were significantly higher in the CIRT group, and the impact of the CIRT technical costs was smaller than other costs and LY. Carbon-ion radiotherapy is a cost-effective treatment approach. However, our findings suggest that reducing excessive costs by considering the validity and necessity of examinations and hospitalizations would make CIRT a more cost-effective approach.

Indexed as

Carcinoma, Non-Small-Cell LungCost-Benefit AnalysisHealth Care CostsHeavy Ion RadiotherapyHumansJapanLung NeoplasmsRadiosurgeryTreatment Outcomecarbon ion radiotherapycost-effectiveness analysishealth-care costnon-small-cell lung cancerstereotactic body radiotherapy

Identifiers

PMID34820994
PMCPMC8819294
OpenAlexW3215406395

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.