Evidence map›Paper›PMID 36551605›Full record

ReviewCancers2022

Cost-Effectiveness of Risk-Reducing Surgery for Breast and Ovarian Cancer Prevention: A Systematic Review.

Xia Wei, Samuel Oxley, Michail Sideris, Ashwin Kalra, Li Sun, Li Yang, Rosa Legood, Ranjit Manchanda

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Cost-effectiveness analysis (CEA) of ovarian cancer preventive strategies for women with BRCA1/2 pathogenic variants: the role of surveillance.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Screening and prevention of ovarian cancer.The Medical journal of Australia · 2024
    Review
  11. 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

8 authors at 3 institutions in 3 countries.

Xia WeiDepartment of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London WC1H 9SH, UK.ORCID 0000-0001-5005-059X
Samuel OxleyWolfson Institute of Population Health, CRUK Barts Cancer Centre, Queen Mary University of London, London EC1M 6BQ, UK.ORCID 0000-0003-1967-813X
Michail SiderisWolfson Institute of Population Health, CRUK Barts Cancer Centre, Queen Mary University of London, London EC1M 6BQ, UK.ORCID 0000-0002-4199-6700
Ashwin KalraWolfson Institute of Population Health, CRUK Barts Cancer Centre, Queen Mary University of London, London EC1M 6BQ, UK.ORCID 0000-0002-5541-226X
Li SunDepartment of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London WC1H 9SH, UK.ORCID 0000-0001-5569-7296
Li YangSchool of Public Health, Peking University, Beijing 100191, China.ORCID 0000-0003-0640-2003
Rosa LegoodDepartment of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London WC1H 9SH, UK.
Ranjit ManchandaDepartment of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London WC1H 9SH, UK.ORCID 0000-0003-3381-5057
Queen Mary University of London · GBLondon School of Hygiene & Tropical Medicine · GBPeking University · CN

Funding

China Medical Board No.19-336National Key R&D Program of China 2021YFC2500400 and 2021YFC2500405National Natural Science Foundation of China No. 71911530221 and No. 72174010Rosetrees Trust NA
6 · The paper itself

Abstract

Policymakers require robust cost-effectiveness evidence of risk-reducing-surgery (RRS) for decision making on resource allocation for breast cancer (BC)/ovarian cancer (OC)/endometrial cancer (EC) prevention. We aimed to summarise published data on the cost-effectiveness of risk-reducing mastectomy (RRM)/risk-reducing salpingo-oophorectomy (RRSO)/risk-reducing early salpingectomy and delayed oophorectomy (RRESDO) for BC/OC prevention in intermediate/high-risk populations; hysterectomy and bilateral salpingo-oophorectomy (BSO) in Lynch syndrome women; and opportunistic bilateral salpingectomy (OBS) for OC prevention in baseline-risk populations. Major databases were searched until December 2021 following a prospective protocol (PROSPERO-CRD42022338008). Data were qualitatively synthesised following a PICO framework. Twenty two studies were included, with a reporting quality varying from 53.6% to 82.1% of the items scored in the CHEERS checklist. The incremental cost-effectiveness ratio/incremental cost-utility ratio and cost thresholds were inflated and converted to US$2020, using the original currency consumer price index (CPI) and purchasing power parities (PPP), for comparison. Eight studies concluded that RRM and/or RRSO were cost-effective compared to surveillance/no surgery for

Indexed as

BRCAbreast cancercost-effectivenessovarian cancerrisk-reducing surgery

Identifiers

PMID36551605
PMCPMC9776851
OpenAlexW4311156456

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.