Evidence map›Paper›PMID 36544074›Full record

ArticleInfectious diseases and therapy2023

Estimating the Clinical and Economic Impact of Introducing a New Antibacterial into Greek Clinical Practice for the Management of Hospital-Acquired Infections with Limited Treatment Options.

Myrto Barmpouni, Jason P Gordon, Ryan L Miller, Clive R J Pritchard, James W Dennis, Vassilis Grammelis, Aris Rousakis, Kyriakos Souliotis, Garyphallia Poulakou, George L Daikos and 1 more

Open access · goldAbstract read
In one paragraph

Article in Infectious diseases and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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

11 authors at 4 institutions in 3 countries.

Myrto BarmpouniPfizer Hellas, Athens, Greece.
Jason P GordonHealth Economics and Outcomes Research Ltd., Cardiff, UK.
Ryan L MillerHealth Economics and Outcomes Research Ltd., Cardiff, UK.
Clive R J PritchardHealth Economics and Outcomes Research Ltd., Cardiff, UK.
James W DennisHealth Economics and Outcomes Research Ltd., Cardiff, UK.
Vassilis GrammelisPfizer Hellas, Athens, Greece.
Aris RousakisPfizer Hellas, Athens, Greece.
Kyriakos SouliotisFaculty of Social and Political Sciences, University of Peloponnese, Corinth, Greece.
Garyphallia Poulakou3rd Department of Medicine, National and Kapodistrian University of Athens, School of Medicine, Sotiria General Hospital, Athens, Greece.
George L DaikosFirst Department of Medicine, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Amer Al-TaiePfizer R&D, Pfizer Ltd, Dorking Road, Tadworth, KT20 7NT, UK. Amer.Taie@Pfizer.com.ORCID http://orcid.org/0000-0002-6256-6443
Health Economics and Outcomes Research (United Kingdom) · GBNational and Kapodistrian University of Athens · GRPfizer (United States) · USUniversity of Peloponnese · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHospital-acquired infections (HAIs) and growing antimicrobial resistance (AMR) represent a significant healthcare burden globally. Especially in Greece, HAIs with limited treatment options (LTO) pose a serious threat due to increased morbidity and mortality. This study aimed to estimate the clinical and economic value of introducing a new antibacterial for HAIs with LTO in Greece.

methodsA previously published and validated dynamic model of AMR was adapted to the Greek setting. The model estimated the clinical and economic outcomes of introducing a new antibacterial for the treatment of HAIs with LTO in Greece. The current treatment pathway was compared with introducing a new antibacterial to the treatment sequence. Outcomes were assessed from a third-party payer perspective, over a 10-year transmission period, with quality-adjusted life years (QALYs) and life years (LYs) gained considered over a lifetime horizon.

resultsOver the next 10 years, HAIs with LTO in Greece account for approximately 1.4 million hospital bed days, hospitalisation costs of more than €320 million and a loss of approximately 403,000 LYs (319,000 QALYs). Introduction of the new antibacterial as first-line treatment provided the largest clinical and economic benefit, with savings of up to 93,000 bed days, approximately €21 million in hospitalisation costs and an additional 286,000 LYs (226,000 QALYs) in comparison to the current treatment strategy. The introduction of a new antibacterial was linked to a monetary benefit of €6.8 billion at a willingness to pay threshold of €30,000 over 10 years.

conclusionThis study highlights the considerable clinical and economic benefit of introducing a new antibacterial for HAIs with LTO in Greece. This analysis shows the additional benefit when a new antibacterial is introduced to treatment sequences. These findings can be used to inform decision makers to implement policies to ensure timely access to new antibacterial treatments in Greece.

Indexed as

Antimicrobial resistanceEconomic evaluationGram-negative bacteriaHospital-acquired infectionsInfectious diseases

Identifiers

PMID36544074
PMCPMC9770558
OpenAlexW4312106419

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.