Evidence map›Paper›PMID 41053467›Full record

ArticleCardiovascular and interventional radiology2025

Cost-Benefit Analysis of Trans-Arterial Radio-Embolization with Y-90 Glass Microspheres Versus Drug-Eluting Bead Trans-Arterial Chemo-Embolization in Patients with Hepatocellular Carcinoma in Italy.

Carla Rognoni, Sherry Bhoori, Laura Crocetti, Cristina Mosconi, Paolo Fonio, Marco Angelo Bongini, Elena Bozzi, Maurizia Brunetto, Alberta Cappelli, Carlo Chiesa and 9 more

Abstract readComparative Study
In one paragraph

Article in Cardiovascular and interventional radiology, 2025. 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

19 authors.

Carla RognoniCentre for Research on Health and Social Care Management (CERGAS), SDA Bocconi School of Management, Bocconi University, Milan, Italy. carla.rognoni@unibocconi.it.ORCID http://orcid.org/0000-0002-6330-0591
Sherry BhooriIstituto Nazionale Tumori, Milan, Italy.
Laura CrocettiAzienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Cristina MosconiDepartment of Radiology, IRCCS Azienda Ospedaliero Universitaria Di Bologna, Bologna, Italy.
Paolo FonioAzienda Ospedaliero Universitaria Città Della Salute E Della Scienza, Turin, Italy.
Marco Angelo BonginiIstituto Nazionale Tumori, Milan, Italy.
Elena BozziAzienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Maurizia BrunettoAzienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Alberta CappelliDepartment of Radiology, IRCCS Azienda Ospedaliero Universitaria Di Bologna, Bologna, Italy.
Carlo ChiesaIstituto Nazionale Tumori, Milan, Italy.
Roberto CioniAzienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Fernando Di GregorioAzienda Sanitaria Universitaria Integrata PO "S. Maria Della Misericordia", Udine, Italy.
Andrea DoriguzziAzienda Ospedaliero Universitaria Città Della Salute E Della Scienza, Turin, Italy.
Marco MaccauroIstituto Nazionale Tumori, Milan, Italy.
Gianluca MasiAzienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Massimo SponzaAzienda Sanitaria Universitaria Integrata PO "S. Maria Della Misericordia", Udine, Italy.
Carlo SpreaficoIstituto Nazionale Tumori, Milan, Italy.
Alessandro VitAzienda Sanitaria Universitaria Integrata PO "S. Maria Della Misericordia", Udine, Italy.
Rosanna TarriconeCentre for Research on Health and Social Care Management (CERGAS), SDA Bocconi School of Management, Bocconi University, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the cost-benefit of Trans-Arterial Radio-Embolization (TARE) with Y-90 glass microspheres compared to Drug-Eluting Bead Trans-Arterial Chemo-Embolization (DEB-TACE) in patients with intermediate- and early-stage hepatocellular carcinoma (HCC) not eligible for surgery or ablation. MATERIALS AND

methodsA partitioned survival model estimated life years (LYs) and costs over a 2-year horizon, considering the complete initial care pathway. The analysis was conducted in two scenarios, TARE with standard (SD) or personalized dosimetry (PD). Clinical data were sourced and adapted from the TRACE study, and real-world resource utilization and costs were collected from five high-volume Italian oncology centers. A micro-costing approach assessed value for money from the hospital perspective, expressed as Incremental Net Monetary Benefit (INMB), applying a willingness-to-pay (WTP) threshold of 50,000€/LY.

resultsTARE showed greater survival (SD: 1.617 LYs, PD: 1.823 LYs vs 1.331 LYs DEB-TACE) and higher overall costs (SD: 32,381€, PD: 32,922€ vs 27,735€ DEB-TACE) at 2 years, reflecting its greater healthcare utilization driven by better outcomes. TARE was associated with a positive INMB (SD: 9,664€; PD: 19,429€), demonstrating cost-effectiveness.

conclusionDue to improved survival and a positive INMB under both standard and personalized dosimetry, TARE is more cost-effective than DEB-TACE, showing greater value for money compared to DEB-TACE. These results aim to support informed decision-making on the treatment options for patients with unresectable HCC.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticEmbolization, TherapeuticLiver NeoplasmsYttrium RadioisotopesAgedCost-Benefit AnalysisFemaleGlassHumansItalyMaleMicrospheresMiddle AgedYttrium-90Yttrium RadioisotopesCost–benefit analysisHepatocellular carcinomaHospital perspectiveIncremental net monetary benefitMicro-costingSelective internal radio-embolizationTACETARETrans-arterial chemo-embolizationTrans-arterial radio-embolization

Identifiers

PMID41053467
PMCPMC12572073

What OpenQuestion holds

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LicenceCC BY
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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.