Evidence map›Paper›PMID 35310110›Full record

ArticleFrontiers in neuroscience2022

Early Health Economic Modeling of Novel Therapeutics in Age-Related Hearing Loss.

Evie C Landry, Mirre Scholte, Matthew P Su, Yvette Horstink, Rishi Mandavia, Maroeska M Rovers, Anne G M Schilder

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neuroscience, 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
0.6field-weighted citation impact, top 38% 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, 5 citations in OpenAlex.

  1. Pooled it
  2. Headroom Analysis for Early Economic Evaluation: A Systematic Review.Applied health economics and health policy · 2023
    Pooled it
  3. Observational
  4. Article
  5. Article
  6. Review
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

7 authors at 3 institutions in 3 countries.

Evie C LandryDivision of Otolaryngology-Head and Neck Surgery, St. Paul's Hospital, BC Rotary Hearing and Balance Centre, University of British Columbia, Vancouver, BC, Canada.
Mirre ScholteDepartment of Operating Rooms, Radboud University Medical Center, Nijmegen, Netherlands.
Matthew P SuNational Institute for Health Research University College London Hospitals Biomedical Research Centre Hearing Theme, London, United Kingdom.
Yvette HorstinkDepartment of Operating Rooms, Radboud University Medical Center, Nijmegen, Netherlands.
Rishi MandaviaNational Institute for Health Research University College London Hospitals Biomedical Research Centre Hearing Theme, London, United Kingdom.
Maroeska M RoversDepartment of Operating Rooms, Radboud University Medical Center, Nijmegen, Netherlands.
Anne G M SchilderNational Institute for Health Research University College London Hospitals Biomedical Research Centre Hearing Theme, London, United Kingdom.
Radboud University Nijmegen · NLNational Institute for Health Research · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Health systems face challenges to accelerate access to innovations that add value and avoid those unlikely to do so. This is very timely to the field of age-related sensorineural hearing loss (ARHL), where a significant unmet market need has been identified and sizeable investments made to promote the development of novel hearing therapeutics (NT). This study aims to apply health economic modeling to inform the development of cost-effective NT. Methods: We developed a decision-analytic model to assess the potential costs and effects of using regenerative NT in patients ≥50 with ARHL. This was compared to the current standard of care including hearing aids and cochlear implants. Input data was collected from systematic literature searches and expert opinion. A UK NHS healthcare perspective was adopted. Three different but related analyses were performed using probabilistic modeling: (1) headroom analysis, (2) scenario analyses, and (3) threshold analyses. Results: The headroom analysis shows an incremental net monetary benefit (iNMB) of £20,017[£11,299-£28,737] compared to the standard of care due to quality-adjusted life-years (QALY) gains and cost savings. Higher therapeutic efficacy and access for patients with all degrees of hearing loss yields higher iNMBs. Threshold analyses shows that the ceiling price of the therapeutic increases with more severe degrees of hearing loss. Conclusion: NT for ARHL are potentially cost-effective under current willingness-to-pay (WTP) thresholds with considerable room for improvement in the current standard of care pathway. Our model can be used to help decision makers decide which therapeutics represent value for money and are worth commissioning, thereby paving the way for urgently needed NT.

Indexed as

age-related hearing lossEarly HTAhearing lossnovel hearing therapeuticsregenerative hearing therapeutics

Identifiers

PMID35310110
PMCPMC8930912
OpenAlexW4214898697

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.