Evidence map›Paper›PMID 40164868›Full record

ArticleEJNMMI reports2025

Economic evaluation of [

Adel Mamou, Sihame Chkair, Olivier Gilly, Laurent Maimoun, Yassine Mamou, Sean C Sheppard, Pierre Olivier Kotzki, Benjamin Lallemant, Vincent Boudousq

Abstract read
In one paragraph

Article in EJNMMI reports, 2025. 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. Challenges and unmet needs of [European journal of nuclear medicine and molecular imaging · 2026
    Article
  2. Review
  3. Cost-effectiveness of [¹¹C]Choline PET/CT as first-line imaging in primary hyperparathyroidism.European journal of nuclear medicine and molecular imaging · 2026
    Article
  4. MR Pulse Sequences for Parathyroid Adenoma Imaging Using [Nuclear medicine and molecular imaging · 2026
    Article
  5. Is theLangenbeck's archives of surgery · 2025
    Observational
  6. Conventional imaging techniques plusFrontiers in endocrinology · 2025
    Article
  7. Comparison ofFrontiers in endocrinology · 2025
    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.

Adel MamouDepartment of Nuclear Medicine, CHU Nîmes, Univ Montpellier, Place du Pr. Robert Debré, 30029, Nimes Cedex 9, France. adel.mamou@etu.umontpellier.fr.ORCID http://orcid.org/0000-0002-1709-9233
Sihame ChkairDepartment of Biostatistics, Clinical Epidemiology, Public Health and Innovation in Methodology (BESPIM), CHU Nîmes, Univ Montpellier, Nîmes, France.
Olivier GillyDepartment of Metabolic and Endocrine Disease, CHU Nîmes, Univ Montpellier, Nîmes, France.
Laurent MaimounDepartment of Nuclear Medicine, CHU Nîmes, Univ Montpellier, Place du Pr. Robert Debré, 30029, Nimes Cedex 9, France.
Yassine MamouDepartment of Nuclear Medicine, CHU Nîmes, Univ Montpellier, Place du Pr. Robert Debré, 30029, Nimes Cedex 9, France.
Sean C SheppardDepartment of Otolaryngology, CHU Nîmes, Univ Montpellier, Nîmes, France.
Pierre Olivier KotzkiDepartment of Nuclear Medicine, CHU Nîmes, Univ Montpellier, Place du Pr. Robert Debré, 30029, Nimes Cedex 9, France.
Benjamin LallemantDepartment of Otolaryngology, CHU Nîmes, Univ Montpellier, Nîmes, France.
Vincent BoudousqDepartment of Nuclear Medicine, CHU Nîmes, Univ Montpellier, Place du Pr. Robert Debré, 30029, Nimes Cedex 9, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary hyperparathyroidism (PHPT) is characterized by persistent hypercalcemia caused by parathyroid adenomas. Preoperative localization of hyperfunctional parathyroids is crucial to optimize surgical outcomes. Current standard practice combines cervical ultrasound (CU), [

methodsA Markov model estimated costs and quality-adjusted life years (QALYs) for each imaging strategy. Imaging performance parameters were derived from a cohort of 145 PHPT patients who underwent surgery after all three imaging exams. Costs were calculated from the perspective of the French healthcare system, and utilities were sourced from the literature and validated by experts. Probabilistic and deterministic sensitivity analyses assessed robustness, while a Budget Impact Analysis (BIA) evaluated financial implications of national adoption over three years (2025-2027).

resultsThe average costs per patient were €5175 for CU + MIBI + PET, €5406 for CU + PET, and €5320 for PET alone, with corresponding QALYs of 13.80, 13.81, and 13.82. PET alone had an incremental cost-effectiveness ratio (ICER) of €12,650/QALY and an incremental net monetary benefit (iNMB) of 855€ compared to CU + MIBI + PET but offered only marginal QALY gains (+ 0.02), which were not substantially different. Sensitivity analyses revealed PET alone becomes dominant if [99mTc]Tc-MIBI SPECT sensitivity falls below 75.5% or PET costs drop below €632.

conclusion[

Indexed as

[18F]fluorocholine PET/CT[99mTc]Tc-MIBI scintigraphyCervical ultrasoundCost evaluationEconomic evaluationHypercalcemiaMarkov modelParathyroidPrimary hyperparathyroidism

Identifiers

PMID40164868
PMCPMC11958853

What OpenQuestion holds

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Registered trials

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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.