Evidence map›Paper›PMID 40227519›Full record

ArticleJournal of medical toxicology : official journal of the American College of Medical Toxicology2025

The Cost of Antivenom: A Cost Minimization Study using the North American Snakebite Registry.

Benjamin Herzel, Neev Batavia, Paul Gavaza, Tammy Phan, Emmelyn Samones, Anne-Michelle Ruha, Jakub Furmaga, Christopher Hoyte, Brian J Wolk, ToxIC Snakebite Study Group

Abstract read
In one paragraph

Article in Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Fab or F(ab')Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2025
    Article
  3. 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

10 authors.

Benjamin HerzelDepartment of Emergency Medicine, Loma Linda University School of Medicine, 11234 Anderson St, Room A890 A, Loma Linda, CA, 92354, USA.
Neev BataviaDepartment of Emergency Medicine, Loma Linda University School of Medicine, 11234 Anderson St, Room A890 A, Loma Linda, CA, 92354, USA.
Paul GavazaDepartment of Pharmaceutical and Administrative Science, Loma Linda University School of Pharmacy, Loma Linda, CA, USA.
Tammy PhanDepartment of Emergency Medicine, Loma Linda University School of Medicine, 11234 Anderson St, Room A890 A, Loma Linda, CA, 92354, USA.
Emmelyn SamonesDepartment of Emergency Medicine, Loma Linda University School of Medicine, 11234 Anderson St, Room A890 A, Loma Linda, CA, 92354, USA. esamones@llu.edu.
Anne-Michelle RuhaDepartment of Medical Toxicology, Banner University Medical Center-Phoenix, Phoenix, AZ, USA.
Jakub FurmagaDepartment of Emergency Medicine, UT Southwestern Medical Center, Dallas, TX, USA.
Christopher HoyteDepartment of Emergency Medicine and Section of Medical Toxicology, University of Colorado School of Medicine, Aurora, CO, USA.
Brian J WolkDepartment of Emergency Medicine, Loma Linda University School of Medicine, 11234 Anderson St, Room A890 A, Loma Linda, CA, 92354, USA.
ToxIC Snakebite Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Envenomation is a global health issue, with over 9,000 encounters managed in the United States yearly. The introduction of immunoglobulin fragment antivenom has reduced the risk of hypersensitivity. This study compares treatment costs of crotaline envenomation using the Fab and F(ab')

methodsThis was a retrospective analysis of NASBR data between 2018 and 2020. The following data points were assessed: patient demographics (age, gender, race), snake species, type of antivenom used, and treatment costs. Unit costs were estimated based on United States Centers for Medicare and Medicaid Services data. Average (mean) per patient costs from the payer perspective were calculated by multiplying resources by the unit costs. Sensitivity analyses were performed regarding cost variance and snake species. All costs reported in this study are in U.S. dollars.

resultsThe average total cost of treatment was $31,343 per person, with medications contributing 72% of the total. Average total cost among patients who received Fab treatments was $33,347 per person compared to $19,747 among patients who received F(ab')

conclusionAntivenom is the primary cost driver in snakebite treatment in North America. Treatment with F(ab')

Indexed as

AntiveninsDrug CostsHealth Care CostsSnake BitesAdolescentAdultAgedAnimalsChildFemaleHumansMaleMiddle AgedNorth AmericaRegistriesRetrospective StudiesAntiveninsAntivenomCostEnvenomationMinimizationPharmacoeconomicsSnakebite

Identifiers

PMID40227519
PMCPMC12205100

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.