Evidence map›Paper›PMID 38365728›Full record

ArticleOrphanet journal of rare diseases2024

Epidemiology and economic burden of Von Hippel-Lindau Disease-associated central nervous system hemangioblastomas and pancreatic neuroendocrine tumors in the United States.

Eric Jonasch, Yan Song, Jonathan Freimark, Richard Berman, Ha Nguyen, James Signorovitch, Murali Sundaram

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 43% 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

6 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. 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

7 authors at 3 institutions in 1 country.

Eric JonaschThe University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, 77030, Houston, TX, USA. ejonasch@mdanderson.org.ORCID 0000-0003-0943-2806
Yan SongAnalysis Group, Inc., 111 Huntington Ave, 02199, Boston, MA, USA.
Jonathan FreimarkAnalysis Group, Inc., 111 Huntington Ave, 02199, Boston, MA, USA.
Richard BermanAnalysis Group, Inc., 111 Huntington Ave, 02199, Boston, MA, USA.
Ha NguyenAnalysis Group, Inc., 111 Huntington Ave, 02199, Boston, MA, USA.
James SignorovitchAnalysis Group, Inc., 111 Huntington Ave, 02199, Boston, MA, USA.
Murali SundaramMerck & Co., Inc., 126 E. Lincoln Ave., 07065, Rahway, NJ, USA.
Analysis Group (United States) · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USThe University of Texas MD Anderson Cancer Center · US

Funding

Merck Sharp & Dohme LLC Merck Sharp & Dohme LLC
6 · The paper itself

Abstract

backgroundTo date, real-world evidence around the clinical and economic burden related to von Hippel-Lindau (VHL) disease is limited. Therefore, this study characterized the prevalence, healthcare resource utilization (HRU), and economic burden of von Hippel-Lindau-associated central nervous system hemangioblastoma (VHL-CNS-Hb) and pancreatic neuroendocrine tumors (VHL-pNET) in the United States (US).

methodsPatients with VHL-CNS-Hb or VHL-pNET were identified from Optum's de-identified Clinformatics® Data Mart Database (2007-2020) and matched 1:5 to control patients without VHL disease or CNS-Hb/pNET. Prevalence rates of VHL-CNS-Hb and VHL-pNET (standardized by age and sex) in 2019 were estimated. HRU and healthcare costs (2020 US dollars) were compared between the VHL-CNS-Hb/VHL-pNET and control cohorts.

resultsIn 2019, US prevalence rates of VHL-CNS-Hb and VHL-pNET were estimated to be 1.12 cases per 100,000 (3,678 patients) and 0.12 cases per 100,000 (389 patients), respectively. Patients with VHL-CNS-Hb (N = 220) had more inpatient, outpatient, and emergency department visits and $49,645 higher annual healthcare costs than controls (N = 1,100). Patients with VHL-pNET (N = 20) had more inpatient and outpatient visits and $56,580 higher annual healthcare costs than controls (N = 100). Costs associated with surgical removal of CNS-Hb and pNET were particularly high.

conclusionsIn this retrospective, claims-based study, both VHL-CNS-Hb and VHL-pNET were associated with substantial HRU and healthcare costs, particularly tumor reduction surgery-related costs. These findings provide important insight for healthcare payers regarding the expected real-world costs that enrollees with VHL-CNS-Hb and VHL-pNET may incur over the course of their disease.

Indexed as

HemangioblastomaNeuroectodermal Tumors, PrimitiveNeuroendocrine TumorsPancreatic Neoplasmsvon Hippel-Lindau DiseaseCentral Nervous SystemFinancial StressHumansRetrospective StudiesCentral nervous system hemangioblastomaEconomic burdenEpidemiologyPancreatic neuroendocrine tumorVon Hippel-Lindau disease

Identifiers

PMID38365728
PMCPMC10873931
OpenAlexW4391875228

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.