Evidence map›Paper›PMID 38184119›Full record

ArticleGastrointestinal endoscopy2024

Valuing innovative endoscopic techniques: hemostatic powder for the treatment of GI tumor bleeding.

Eric D Shah, Ryan Law

Open access · greenAbstract read
In one paragraph

Article in Gastrointestinal endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.4field-weighted citation impact, top 22% 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, 3 citations in OpenAlex.

  1. 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

2 authors at 2 institutions in 1 country.

Eric D ShahDivision of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA. Electronic address: ershah@umich.edu.
Ryan LawDivision of Gastroenterology, Mayo Clinic, Rochester, Minnesota, USA.
Mayo Clinic in Arizona · USUniversity of Michigan–Ann Arbor · US

Funding

Guideline to Implementation: A Rapid Clinical Care Pathway to Care for Patients Affected by Chronic ConstipationK23DK134752 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Eric Dinesh Shah · 2023 to 2026
$776k
NIDDK NIH HHS K23 DK134752
6 · The paper itself

Abstract

BACKGROUND AND

aimsAccess to new endoscopic treatment modalities often depends on price. To resolve this gap and therefore help to ensure that care delivery can occur on a clinical basis, we aimed to establish the value to insurers of novel hemostatic powder to treat GI tumor bleeding.

methodsA decision-analytic model developed to assess the impact of endoscopic intervention on the risk of 30-day readmission for GI bleeding from an insurer perspective was adapted to assess GI tumor bleeding with hemostatic powder or standard endoscopic therapy. Costs were derived from Medicare populations. Outcomes were derived from a recent multicenter randomized clinical trial.

resultsCosts ranged from $651 to $1613 to treat upper GI tumor bleeding and from $531 to $1014 to treat lower GI tumor bleeding based on risk reduction in 30-day hospital readmission for recurrent bleeding. These valuations should represent medical device and incremental facility costs in addition to incremental physician and staff time.

conclusionsCoverage for novel endoscopic hemostatic powder therapy seems cost-saving to insurers.

Indexed as

Gastrointestinal HemorrhageHemostasis, EndoscopicHemostaticsPowdersCost-Benefit AnalysisDecision Support TechniquesGastrointestinal NeoplasmsHumansMineralsPatient ReadmissionUnited StateshemosprayHemostaticsMineralsPowders

Identifiers

PMID38184119
PMCPMC11604006
OpenAlexW4390578386

What OpenQuestion holds

Textmetadata
LicenceTDM
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.