Evidence map›Paper›PMID 37410343›Full record

ArticleInfectious diseases and therapy2023

Clinical and Economic Value of Reducing Antimicrobial Resistance in the Management of Hospital-Acquired Infections with Limited Treatment Options in Greece.

Myrto Barmpouni, Jason P Gordon, Ryan L Miller, James W Dennis, Vassilis Grammelis, Aris Rousakis, Kyriakos Souliotis, Garyphallia Poulakou, George L Daikos, Amer Al-Taie

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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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

10 authors.

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.
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 DaikosNational 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

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAntimicrobial resistance (AMR) is a major public health threat worldwide. Greece has the highest burden of infections due to antibiotic-resistant bacteria among European Union/European Economic Area (EU/EEA) countries. One of the most serious AMR threats in Greece is hospital-acquired infections (HAIs) with limited treatment options (LTO) caused by resistant gram-negative pathogens. Thus, this study sought to estimate the current AMR burden in Greece and the value of reducing AMR to gram-negative pathogens for the Greek healthcare system.

methodsThe current model was adapted from a previously published and validated model of AMR to investigate the overall and AMR-specific burden of treating the most common HAIs with LTO in Greece and scenarios to demonstrate the benefits associated with reducing AMR levels from a third-party payer perspective. Clinical and economic outcomes were estimated over a 10-year time horizon; life years (LYs) and quality-adjusted life years (QALYs) were calculated over a lifetime (based on the annual number of infections over 10 years) at a willingness-to-pay of €30,000 per QALY gained and a 3.5% discount rate.

resultsIn Greece, the current AMR levels in HAIs with LTO caused by four gram-negative pathogens account for > 316,000 hospital bed days, €73 million in hospitalisation costs, and > 580,000 LYs and 450,000 QALYs lost over 10 years. The monetary burden is estimated at €13.9 billion. A reduction in current AMR levels by 10-50% results in clinical and economic benefit; 29,264-151,699 bed days may be saved, leading to decreased hospitalisation costs (€6.8 million-€35.3 million) and a gain in LYs (85,328-366,162) and QALYs (67,421-289,331), associated with a monetary benefit of between €2.0 billion and €8.7 billion.

conclusionThis study shows the substantial clinical and economic burden AMR represents to the Greek healthcare system and the value that can be achieved by effectively reducing AMR levels.

Indexed as

Antimicrobial resistanceEconomic evaluationGreeceHospital-acquired infectionsInfectious diseaseLimited treatment optionsNational action plan

Identifiers

PMID37410343
PMCPMC10390381

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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.