Evidence map›Paper›PMID 37856732›Full record

ArticleJCO global oncology2023

Cost Evaluation Analysis of Genetic Testing and Tailored Adjuvant Imatinib in Patients With Resected High-Risk GI Stromal Tumors: The Brazilian Perspective.

Bruna Bianca Lopes David, Pedro Nazareth Aguiar Junior, Matheus Costa E Silva, Rodrigo Dienstmann, Carlos Gil Ferreira, César Serrano

Open access · goldAbstract read
In one paragraph

Article in JCO global oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 38% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
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

6 authors at 3 institutions in 2 countries.

Bruna Bianca Lopes DavidGrupo Oncoclinicas, São Paulo, Brazil.ORCID 0000-0002-2572-6946
Pedro Nazareth Aguiar JuniorGrupo Oncoclinicas, São Paulo, Brazil.ORCID 0000-0003-2049-598X
Matheus Costa E SilvaGrupo Oncoclinicas, São Paulo, Brazil.ORCID 0000-0002-2924-627X
Rodrigo DienstmannGrupo Oncoclinicas, São Paulo, Brazil.ORCID 0000-0001-5997-318X
Carlos Gil FerreiraGrupo Oncoclinicas, São Paulo, Brazil.ORCID 0000-0002-7228-7018
César SerranoHospital Vall d'Hebron, Barcelona, Spain.ORCID 0000-0003-1416-8739
Fleury S.A. (Brazil) · BRInstituto Nacional de Câncer - INCA · BRVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMutations of the

methodsThe cost evaluation analysis of molecular testing for GIST was based on the Cost of Preventing an Event (COPE), considering the Number Needed to Treat and the costs of each test compared with the cost of 3-year empirical adjuvant imatinib and real treatment costs (median number of cycles) from the public and private Brazilian Healthcare System's perspective. The analysis compared the costs of the molecular tests (broad next-generation sequencing [NGS], GS Infinity DNA/RNA assay, and targeted NGS: GS Focus GIST and the Fleury GIST Tumor DNA sequencing panel), costs of drug acquisition, considering discounts (imatinib mesylate and Glivec), and the costs of supportive care.

resultsIn both scenarios, public and private, regardless of the use of imatinib or Glivec, tailoring adjuvant treatment reduced costs, irrespective of the number of cycles. The only exception was the combination of the broad NGS test and imatinib in the Public Healthcare System.

conclusionThe molecularly tailored adjuvant imatinib reduced costs considering the COPE of available NGS tests for both the public and private Brazilian health care systems.

Indexed as

Antineoplastic AgentsGastrointestinal Stromal TumorsBrazilChemotherapy, AdjuvantGenetic TestingHumansImatinib MesylateAntineoplastic AgentsImatinib Mesylate

Identifiers

PMID37856732
PMCPMC10664859
OpenAlexW4387785956

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.