Evidence map›Paper›PMID 38082399›Full record

ArticleBMC health services research2023

Cost-effectiveness of the anti-vascular endothelial growth factor intravitreal injection and panretinal photocoagulation for patients with proliferative diabetic retinopathy in South Korea.

Hyeon-Jeong Lee, Songhee Cho, Jungeun Park, Yan Jin, Hyung Min Kim, Donghyun Jee

Abstract read
In one paragraph

Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Hyeon-Jeong LeeDivision of Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency, Seoul, South Korea.ORCID http://orcid.org/0000-0002-0822-2420
Songhee ChoPatient-Centered Clinical Research Coordinating Center, National Evidence-based Healthcare Collaborating Agency, Seoul, South Korea.ORCID http://orcid.org/0000-0003-2192-7182
Jungeun ParkDivision of Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency, Seoul, South Korea.ORCID http://orcid.org/0000-0002-1129-5495
Yan JinDivision of Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency, Seoul, South Korea.ORCID http://orcid.org/0000-0002-2266-1040
Hyung Min KimArtificial intelligence, Kai Health, Seoul, South Korea.ORCID http://orcid.org/0000-0003-2824-0535
Donghyun JeeDepartment of Ophthalmology and Visual Science, St. Vincent's Hospital, Suwon, South Korea. doj087@mail.harvard.edu.ORCID http://orcid.org/0000-0001-7338-965X

Funding

National Evidence-based Healthcare Collaborating Agency NA20-011, NAM21-004Patient-Centered Clinical Research Coordinating Center (PACEN) funded by the Ministry of Health & Welfare, Republic of Korea HC23C0130
6 · The paper itself

Abstract

backgroundWe determined the cost-effectiveness of the anti-vascular endothelial growth factor (VEGF) intravitreal injection versus panretinal photocoagulation (PRP) for patients with proliferative diabetic retinopathy (PDR) in South Korea.

methodsWe simulated four treatment strategies using PRP and the anti-VEGF injection by constructing a Markov model for a hypothetical cohort of 50-year-old PDR patients: (1) PRP only; (2) anti-VEGF injection only; (3) PRP first; and (4) anti-VEGF injection first.

resultsIn this cost-effectiveness analysis, compared with only-PRP, the incremental cost-effectiveness ratio was $95,456 per quality-adjusted life-year (QALY) for PRP first, $34,375 per QALY for anti-VEGF injection first, and $33,405 per QALY for anti-VEGF injection only from a healthcare perspective. From the societal and payer perspective, strategy (2) was more cost-saving and effective than (1). In the probabilistic sensitivity analysis, only-PRP was cost-effective up to the willingness-to-pay (WTP) of about $42,000, while anti-VEGF injection only was cost-effective from a healthcare perspective. From the societal and payer perspectives, regardless of the value of WTP, anti-VEGF injection only was the most cost-effective strategy.

conclusionIn our study, the anti-VEGF injection for PDR was cost-effective from the payer and societal perspectives.

Indexed as

Diabetes MellitusDiabetic RetinopathyAngiogenesis InhibitorsCost-Benefit AnalysisCost-Effectiveness AnalysisEndothelial Growth FactorsHumansIntravitreal InjectionsLaser CoagulationMiddle AgedRanibizumabVascular Endothelial Growth Factor AAngiogenesis InhibitorsEndothelial Growth FactorsRanibizumabVascular Endothelial Growth Factor AAnti-VEGF injectionCost-effectiveness analysisPanretinal PhotocoagulationProliferative diabetic retinopathySouth Korea

Identifiers

PMID38082399
PMCPMC10714639

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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.