Evidence map›Paper›PMID 37928158›Full record

ArticleFrontiers in neurology2023

Endovascular treatment for basilar artery occlusion: a cost-effectiveness analysis based on a meta-analysis.

Li Wang, Ying Yu, Limei Zhou, Ping Xu, Xianbin Guo, Yu Xie, Junxiu Cai, Min Pan, Jie Tang, Qingtao Gong and 3 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 32% 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

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

  1. Pooled it
  2. Pooled it
  3. 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

13 authors at 3 institutions in 1 country.

Li WangDepartment of Neurology, Zigong Third People's Hospital, Zigong, China.
Ying YuDepartment of Interventional Neuroradiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Limei ZhouDepartment of Neurology, Zigong Third People's Hospital, Zigong, China.
Ping XuDepartment of Neurology, Zigong Third People's Hospital, Zigong, China.
Xianbin GuoDepartment of Neurology, Zigong Third People's Hospital, Zigong, China.
Yu XieDepartment of Neurology, Zigong Third People's Hospital, Zigong, China.
Junxiu CaiDepartment of Neurology, Zigong Third People's Hospital, Zigong, China.
Min PanDepartment of Neurology, Zigong Third People's Hospital, Zigong, China.
Jie TangDepartment of Neurology, Zigong Third People's Hospital, Zigong, China.
Qingtao GongDepartment of Neurology, Zigong Third People's Hospital, Zigong, China.
Rong SuDepartment of Neurology, Zigong Third People's Hospital, Zigong, China.
Yake LouDepartment of Cardiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yan LiuDepartment of Neurology, Zigong Third People's Hospital, Zigong, China.
Zigong First People's Hospital · CNCapital Medical University · CNDalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to investigate the efficacy and economic effect of endovascular treatment (EVT) combined with standard medical treatment (SMT) vs. SMT alone in Chinese patients with basilar artery occlusion (BAO) from the perspective of the Chinese healthcare system. Methods: We conducted a cost-effectiveness analysis using the results from a meta-analysis comparing EVT and SMT efficacy in Chinese patients with BAO-induced stroke using direct medical costs from the China National Stroke Registry. The meta-analysis's primary outcome was excellent functional outcome (mRS scores of 0-2), with secondary outcomes being poor functional outcome (mRS scores of 3-5) and death (mRS score of 6). To compare EVT plus SMT's cost-effectiveness with that of SMT alone, we constructed a combined decision tree and Markov model with a lifetime duration and a 3-month cycle length. The primary cost-effectiveness outcome was the incremental cost-effectiveness ratio (ICER), representing the incremental cost per incremental quality-adjusted life year (QALY). EVT was considered cost-effective if the ICER was lower than the willingness-to-pay (WTP) threshold of three times the Results: The meta-analysis results indicated that EVT could increase the incidence of excellent functional outcomes, with a risk ratio (RR) of 2.23 (95% confidence interval, CI, 1.18-4.21), Conclusion: Compared to SMT, EVT improves the prognosis of BAO-induced stroke. Considering the Chinese healthcare system, adding EVT to SMT proves to be cost-effective for patients with BAO compared to SMT alone.

Indexed as

basilar artery occlusioncost effectiveness analysisendovascular treatmentmeta-analysisstroke

Identifiers

PMID37928158
PMCPMC10623329
OpenAlexW4387822064

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.