Evidence map›Paper›PMID 37387493›Full record

ArticleAnnals of laboratory medicine2023

Cost-Effectiveness Analysis of Three Diagnostic Strategies for the Detection of

Sun Mi Cho, Hye Sun Lee, Soyoung Jeon, Yoonjung Kim, Sun-Young Kong, Jin Kyung Lee, Kyung-A Lee

Open access · diamondAbstract read
In one paragraph

Article in Annals of laboratory medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.3field-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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Value and research advances of ctDNA in perioperative therapy for non-small cell lung cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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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

7 authors at 4 institutions in 1 country.

Sun Mi ChoDepartment of Laboratory Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.ORCID 0000-0003-0528-7023
Hye Sun LeeBiostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0001-6328-6948
Soyoung JeonBiostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0002-9916-1917
Yoonjung KimDepartment of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0002-4370-4265
Sun-Young KongDepartment of Laboratory Medicine, National Cancer Center, Goyang, Korea.ORCID 0000-0003-0620-4058
Jin Kyung LeeDepartments of Laboratory Medicine, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences, Seoul, Korea.ORCID 0000-0001-7308-4338
Kyung-A LeeDepartment of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0001-5320-6705
Yonsei University · KRCHA University Bundang Medical Center · KRKorea Institute of Radiological and Medical Sciences · KRNational Cancer Center · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In non-small cell lung cancer (NSCLC), epidermal growth factor receptor ( Methods: Decision models were developed to compare the cost-effectiveness of tissue-only, tissue-first, and plasma-first diagnostic strategies as first- and second-line treatments for NSCLC from the perspective of the Korean national healthcare payer. Progression-free survival (PFS), overall survival (OS), and direct medical costs were assessed. A one-way sensitivity analysis was performed. Results: The plasma-first strategy correctly identified numerous patients in the first- and second-line treatments. This strategy also decreased the cost of biopsy procedures and complications. Compared with that when using the other two strategies, the plasma-first strategy increased PFS by 0.5 months. The plasma-first strategy increased OS by 0.9 and 1 month compared with that when using the tissue-only and tissue-first strategies, respectively. The plasma-first strategy was the least expensive first-line treatment but the most expensive second-line treatment. First-generation tyrosine kinase inhibitor and the detection rate of the T790M mutation in tissues were the most cost-influential factors. Conclusions: The plasma-first strategy improved PFS and OS, allowing for a more accurate identification of candidates for targeted therapy for NSCLC and decreased biopsy- and complication-related costs.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsCost-Effectiveness AnalysisErbB ReceptorsHumansMutationProtein Kinase InhibitorsEGFR protein, humanErbB ReceptorsProtein Kinase InhibitorsCost-effectivenessEGFRMutationNon-small-cell lung cancer

Identifiers

PMID37387493
PMCPMC10345179
OpenAlexW4382632299

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.