Evidence map›Paper›PMID 41430224›Full record

ArticleBMC health services research2025

Cadonilimab plus chemotherapy compared to chemotherapy as first-line treatment for persistent, recurrent, or metastatic cervical cancer in China: a cost-effectiveness analysis.

Longfeng Zhang, Qingsheng Yang, Huide Zhu, Zhiwei Zheng

Abstract readComparative Study
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Longfeng Zhang *Department of Thoracic Oncology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, Fujian Province, China.
Qingsheng Yang *Department of Acupuncture and Rehabilitation, Shantou Hospital of Traditional Chinese Medicine, Shantou, China.
Huide ZhuDepartment of Pharmacy, Cancer Hospital of Shantou University Medical College, Shantou, China.
Zhiwei ZhengDepartment of Pharmacy, Cancer Hospital of Shantou University Medical College, Shantou, China. zhiweizheng@126.com.

Funding

Special Research Project of Capacity Building and Continuing Education Center of National Health Commission GWJJZX20251007008Youth Fund of Cancer Hospital of Shantou University Medical College Q2025A006
6 · The paper itself

Abstract

objectiveTo assess the cost-effectiveness of cadonilimab plus chemotherapy compared to chemotherapy alone as first-line treatment for metastatic cervical cancer from the Chinaese medical healthcare perspective.

methodsWe developed a partitioned survival mode to simulate the costs and outcomes associated with the two treatment strategies over a lifetime horizon. Clinical data, cost resource utilization, and health-related quality of life data were obtained from the COMPASSION-16 trial and published literature. The model’s robustness was tested through sensitivity analyses.

resultsThe total cost of treatment for the cadonilimab group in this study was $86,839.48, whereas the cost for the chemotherapy group was $36,770.38. The cadonilimab group demonstrated an incremental gain of 0.70 quality-adjusted life years, resulting in an additional cost of $50,069.10. The incremental cost-effectiveness ratio for the cadonilimab group was determined to be $71,527.28 per QALY, which surpasses the willingness to pay threshold of $40,343.68. Sensitivity analyses demonstrated that the results were robust across varying assumptions of key parameters.

conclusionThe use of cadonilimab plus chemotherapy as a first-line treatment for metastatic cervical cancer was not a cost-effective strategy compared to chemotherapy alone in China.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsNeoplasm Recurrence, LocalUterine Cervical NeoplasmsChinaCost-Benefit AnalysisCost-Effectiveness AnalysisFemaleHumansNeoplasm MetastasisQuality-Adjusted Life YearsAntibodies, Monoclonal, HumanizedAntineoplastic AgentsCadonilimabChemotherapyCost-effectiveness analysisIncremental cost-effectiveness ratioMetastatic cervical cancerQuality-adjusted life year

Identifiers

PMID41430224
PMCPMC12838004

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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.