Evidence map›Paper›PMID 38676875›Full record

ArticleOphthalmology and therapy2024

Cost-Effectiveness Analysis of Fluocinolone Acetonide Intravitreal (FAI) Implant for Chronic Noninfectious Uveitis Affecting the Posterior Segment of the Eye (NIU-PS) in China.

Xin Mao, Zhanjing Dai, Jing Yang, Yuhang Wu, Fan Xie, Yun Lu, Jie Yu, Feng Chang, Yuqiong Lu

Open access · goldAbstract read
In one paragraph

Article in Ophthalmology and therapy, 2024. 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
0.5field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. 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

9 authors at 1 institution in 1 country.

Xin Mao *School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, 211198, China.
Zhanjing Dai *School of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, 211198, China.
Jing YangSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, 211198, China.
Yuhang WuSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, 211198, China.
Fan XieSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, 211198, China.
Yun LuSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, 211198, China.
Jie YuSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, 211198, China.
Feng ChangSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, 211198, China. cpucf@163.com.
Yuqiong LuSchool of International Pharmaceutical Business, China Pharmaceutical University, Nanjing, 211198, China. luyuqiong96@foxmail.com.
China Pharmaceutical University · CN

Funding

Jiangsu Funding Program for Excellent Postdoctoral Talent 2023ZB105
6 · The paper itself

Abstract

introductionChronic non-infectious uveitis affecting the posterior segment (NIU-PS), which can be recurrent and persistent for numerous years, mainly affects people of working age and significantly increases the risk of visual impairment. This study aimed to investigate the cost-effectiveness of fluocinolone acetonide intravitreal (FAI) implant in the treatment of patients with chronic NIU-PS from the Chinese healthcare perspective.

methodsA Markov model with a 2-week cycle was constructed from the perspective of the Chinese healthcare system over a lifetime time horizon. The model consists of four health states: on-treatment, treatment failure, blindness, and death. The outcomes for effectiveness were based on the Chinese real-world study (RWS). Utilities and mortality rates were derived from published literature and standard sources. Costs were determined from the MENET website, prices of medical service items at local providers, published literature, and expert surveys. Outcomes were measured in quality-adjusted life years (QALYs). Sensitivity analyses were performed to account for the impact of uncertainty.

resultsIt was estimated that in the base case, the FAI implant provided 0.43 incremental QALYs compared with the limited current practice (LCP) at an additional cost of $7503.72 (¥50,575.05), resulting in an incremental cost-effectiveness ratio (ICER) of $17,373.49 (¥117,097.33) per QALY gained. Parameters related to utility emerged as the primary influencers on the outcomes. In probabilistic sensitivity analysis (PSA), considering the willingness-to-pay (WTP) threshold of $19,072 (¥128,547) and $38,145 (¥257,094), the FAI implant had 67.70% and 99.50% probability of being cost-effective, respectively. As demonstrated in the scenario analysis, if the FAI implant aligns its price reduction with the average rate from the 2023 negotiation of the National Reimbursement Drug List (NRDL), it would result in lower costs and represent an absolute advantage.

conclusionsThe FAI implant, which can effectively reduce the recurrence rate and maintain the incremental costs within the WTP limit, is likely to be cost-effective in treating chronic NIU-PS in China.

Indexed as

Cost-effectiveness analysisFluocinolone acetonide intravitreal implantIncremental cost-effectiveness ratiosNon-infectious uveitisReal-world study

Identifiers

PMID38676875
PMCPMC11109073
OpenAlexW4395690422

What OpenQuestion holds

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LicenceCC BY-NC
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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.