Evidence map›Paper›PMID 35270241›Full record

Observational studyInternational journal of environmental research and public health2022

Retrospective Analysis of the Pharmaco-Utilization of VEGF Inhibitors and Health Care Costs among Patients with Wet Age-Related Macular Degeneration and Other Ocular Diseases in Italy.

Valentina Perrone, Melania Dovizio, Chiara Veronesi, Rita Citraro, Adele De Francesco, Stefania Dell'Orco, Gianluca Di Manno, Arrigo Paciello, Anna Maria Resta, Fabrizio Quarta and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 25% 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

8 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Observational
  3. Article
  4. Review
  5. Article
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  7. Observational
  8. 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

13 authors at 5 institutions in 1 country.

Valentina PerroneCliCon S.r.l. Società Benefit Health, Economics & Outcomes Research, 40121 Bologna, Italy.
Melania DovizioCliCon S.r.l. Società Benefit Health, Economics & Outcomes Research, 40121 Bologna, Italy.
Chiara VeronesiCliCon S.r.l. Società Benefit Health, Economics & Outcomes Research, 40121 Bologna, Italy.ORCID 0000-0003-2852-2022
Rita CitraroUnita' Operativa di Farmacologia Clinica e Farmacovigilanza, Azienda Ospedaliero-Universitaria "Mater Domini", Università Magna Grecia di Catanzaro, 88100 Catanzaro, Italy.ORCID 0000-0001-6746-6751
Adele De FrancescoUnita' Operativa di Farmacologia Clinica e Farmacovigilanza, Azienda Ospedaliero-Universitaria "Mater Domini", Università Magna Grecia di Catanzaro, 88100 Catanzaro, Italy.
Stefania Dell'OrcoAzienda Sanitaria Locale (ASL) Roma 6, Albano Laziale, 00100 Rome, Italy.
Gianluca Di MannoAzienda Sanitaria Locale (ASL) Roma 6, Albano Laziale, 00100 Rome, Italy.
Arrigo PacielloAgenzia di Tutela della Salute (ATS) Bergamo, 24100 Bergamo, Italy.
Anna Maria RestaStruttura Complessa di Farmacia Territoriale Area Vasta 1, 61032 Fano, Italy.
Fabrizio QuartaU.O. Epidemiologia e Statistica, Azienda Sanitaria Locale (ASL) Lecce, 73100 Lecce, Italy.
Nicola FerranteNovartis Farma S.p.A., Origgio, 21100 Varese, Italy.ORCID 0000-0003-4074-6272
Daniela RitrovatoNovartis Farma S.p.A., Origgio, 21100 Varese, Italy.
Luca Degli EspostiCliCon S.r.l. Società Benefit Health, Economics & Outcomes Research, 40121 Bologna, Italy.
Azienda Ospedaliero Universitario Mater Domini · ITAzienda Sanitaria Locale Roma 3 · ITNovartis (Italy) · ITASL Roma · ITUniversity of Bergamo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This Italian retrospective study aimed to analyze the pharmaco-utilization of anti-VEGF drugs and health care costs among patients with wet age-related macular degeneration (wAMD) or other ocular diseases. A retrospective analysis was performed on administrative databases of Italian entities covering approximately six million individuals. Across January 2010-December 2017, patients aged ≥50 years with a prescription of intravitreal anti-VEGFs were included as "wAMD" patients [by wAMD hospitalization or intravitreal injections] or as "other ocular diseases" patients [by hospitalization for other ocular disorders or intravitreal injections, with concomitant diabetes diagnosis or dexamethasone treatment]. The date of first matching of inclusion criteria was index-date. wAMD-cohort. Overall, 3879 patients were included; at index-date, 82.2% were treated with Ranibizumab, 15.8% with Aflibercept, and 2% with Pegaptanib. During the follow-up, the mean/annual anti-VEGF prescription [3.6 (first-year)-0.8 (third-year)] and the total expenditure [5799.84 € (first-year)-3212.84 € (third-year)] decreased. Other ocular diseases-cohort. Overall, 2646 patients were enclosed; 85.9% were treated with Ranibizumab, 13.5% with Aflibercept, and 0.6% with Pegaptanib. During the follow-up, the mean/annual anti-VEGF prescription [3.3 (first-year)-0.5 (third-year)] and the total cost [7196.83 € (first-year)-5162.68 € (third-year)] decreased. This observational study highlighted a decline in anti-VEGF prescriptions over time in both cohorts, suggesting a trend of under-treatment that could worsen the patients' clinical outcomes and increase health care resource consumption.

Indexed as

Vascular Endothelial Growth Factor AWet Macular DegenerationAngiogenesis InhibitorsAntibodies, MonoclonalHealth Care CostsHumansRanibizumabRetrospective StudiesAngiogenesis InhibitorsAntibodies, MonoclonalRanibizumabVascular Endothelial Growth Factor Aage-related macular degenerationanti-VEGFhealth care costspharmaco-utilizationreal-world evidence

Identifiers

PMID35270241
PMCPMC8909764
OpenAlexW4214662097

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.