Evidence map›Paper›PMID 37270920›Full record

ArticleJournal of Korean medical science2023

Cost-Effectiveness of All-Oral Regimens for the Treatment of Multidrug-Resistant Tuberculosis in Korea: Comparison With Conventional Injectable-Containing Regimens.

Hae-Young Park, Jin-Won Kwon, Hye-Lin Kim, Sun-Hong Kwon, Jin Hyun Nam, Serim Min, In-Sun Oh, Sungho Bea, Sun Ha Choi

Abstract read
In one paragraph

Article in Journal of Korean medical science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Hae-Young Park *BK21 FOUR Community-Based Intelligent Novel Drug Discovery Education Unit, College of Pharmacy and Research Institute of Pharmaceutical Sciences, Kyungpook National University, Daegu, Korea.ORCID https://orcid.org/0000-0001-8348-0887
Jin-Won Kwon *BK21 FOUR Community-Based Intelligent Novel Drug Discovery Education Unit, College of Pharmacy and Research Institute of Pharmaceutical Sciences, Kyungpook National University, Daegu, Korea.ORCID https://orcid.org/0000-0003-3467-7805
Hye-Lin KimCollege of Pharmacy, Sahmyook University, Seoul, Korea.ORCID https://orcid.org/0000-0001-9091-8787
Sun-Hong KwonSchool of Pharmacy, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0000-0002-1058-8392
Jin Hyun NamDivision of Big Data Science, Korea University Sejong Campus, Sejong, Korea.ORCID https://orcid.org/0000-0003-2165-5287
Serim MinSchool of Pharmacy, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0000-0002-2400-8942
In-Sun OhSchool of Pharmacy, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0000-0001-9878-4779
Sungho BeaSchool of Pharmacy, Sungkyunkwan University, Suwon, Korea.ORCID https://orcid.org/0000-0003-2622-6553
Sun Ha ChoiDepartment of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea. sunha20@knu.ac.kr.ORCID https://orcid.org/0000-0002-9665-7466

Funding

Korea Health Industry Development Institute HI19C1233National Research Foundation of Korea NRF-2022R1A2C1004822
6 · The paper itself

Abstract

backgroundRegimens for the treatment of multidrug-resistant tuberculosis (MDR-TB) have been changed from injectable-containing regimens to all-oral regimens. The economic effectiveness of new all-oral regimens compared with conventional injectable-containing regimens was scarcely evaluated. This study was conducted to compare the cost-effectiveness between all-oral longer-course regimens (the oral regimen group) and conventional injectable-containing regimens (the control group) to treat newly diagnosed MDR-TB patients.

methodsA health economic analysis over lifetime horizon (20 years) from the perspective of the healthcare system in Korea was conducted. We developed a combined simulation model of a decision tree model (initial two years) and two Markov models (remaining 18 years, six-month cycle length) to calculate the incremental cost-effectiveness ratio (ICER) between the two groups. The transition probabilities and cost in each cycle were assumed based on the published data and the analysis of health big data that combined country-level claims data and TB registry in 2013-2018.

resultsThe oral regimen group was assumed to spend 20,778 USD more and lived 1.093 years or 1.056 quality-adjusted life year (QALY) longer than the control group. The ICER of the base case was calculated to be 19,007 USD/life year gained and 19,674 USD/QALY. The results of sensitivity analyses showed that base case results were very robust and stable, and the oral regimen was cost-effective with a 100% probability for a willingness to pay more than 21,250 USD/QALY.

conclusionThis study confirmed that the new all-oral longer regimens for the treatment of MDR-TB were cost-effective in replacing conventional injectable-containing regimens.

Indexed as

Tuberculosis, Multidrug-ResistantClinical ProtocolsCost-Benefit AnalysisHumansQuality-Adjusted Life YearsRepublic of KoreaCost AnalysisHealth EconomicsMultidrug-Resistant TuberculosisTuberculosis

Identifiers

PMID37270920
PMCPMC10226853

What OpenQuestion holds

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Registered trials

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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.