Evidence map›Paper›PMID 38796507›Full record

ReviewCommunications medicine2024

Overcoming challenges in the economic evaluation of interventions to optimise antibiotic use.

Laurence S J Roope, Liz Morrell, James Buchanan, Alice Ledda, Amanda I Adler, Mark Jit, A Sarah Walker, Koen B Pouwels, Julie V Robotham, Sarah Wordsworth and 1 more

Abstract readReview
In one paragraph

Review in Communications medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Hospital Cost Components and Predictors inTropical medicine and infectious disease · 2026
    Article
  2. Review
  3. The 3D Value Framework for Sustainable Access to Effective Antibiotics.Health care analysis : HCA : journal of health philosophy and policy · 2025
    Article
  4. Review
  5. Article
  6. Antibiotic stewardship: what for?Frontiers in antibiotics · 2025
    Article
  7. 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

11 authors.

Laurence S J RoopeHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK. Laurence.roope@dph.ox.ac.uk.ORCID http://orcid.org/0000-0001-9098-9331
Liz MorrellHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-6382-1795
James BuchananHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Alice LeddaAMR Modelling and Evaluation, UK Health Security Agency, London, UK.
Amanda I AdlerDiabetes Trial Unit, Oxford Centre for Diabetes, Endocrinology and Metabolism, Oxford, UK.ORCID http://orcid.org/0000-0002-2797-3385
Mark JitCentre for Mathematical Modelling of Infectious Diseases, London School of Hygiene & Tropical Medicine, London, UK.ORCID http://orcid.org/0000-0001-6658-8255
A Sarah WalkerNIHR Oxford Biomedical Research Centre, John Radcliffe Hospital, University of Oxford, Oxford, UK.
Koen B Pouwels *Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-7097-8950
Julie V Robotham *AMR Modelling and Evaluation, UK Health Security Agency, London, UK.
Sarah Wordsworth *Health Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
STEPUP team

Funding

RCUK | Economic and Social Research Council (ESRC) ES/P008232/1
6 · The paper itself

Abstract

Bacteria are becoming increasingly resistant to antibiotics, reducing our ability to treat infections and threatening to undermine modern health care. Optimising antibiotic use is a key element in tackling the problem. Traditional economic evaluation methods do not capture many of the benefits from improved antibiotic use and the potential impact on resistance. Not capturing these benefits is a major obstacle to optimising antibiotic use, as it fails to incentivise the development and use of interventions to optimise the use of antibiotics and preserve their effectiveness (stewardship interventions). Estimates of the benefits of improving antibiotic use involve considerable uncertainty as they depend on the evolution of resistance and associated health outcomes and costs. Here we discuss how economic evaluation methods might be adapted, in the face of such uncertainties. We propose a threshold-based approach that estimates the minimum resistance-related costs that would need to be averted by an intervention to make it cost-effective. If it is probable that without the intervention costs will exceed the threshold then the intervention should be deemed cost-effective.

Identifiers

PMID38796507
PMCPMC11127962

What OpenQuestion holds

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LicenceCC BY
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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.