Evidence map›Paper›PMID 42275400›Full record

ArticlePloS one2026

Economic evaluation of atezolizumab in combination with bevacizumab and chemotherapy for metastatic, persistent, or recurrent cervical cancer in China: A cost-effectiveness analysis.

Shuo Yang, Yibing Hou, Xiaohui Wang, Shuo Kang, Zhenhua Pan

Erratum issuedAbstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Shuo YangSchool of Pharmacy, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.ORCID https://orcid.org/0009-0000-6967-0908
Yibing HouPharmacy, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Xiaohui WangDevelopment Planning Division, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Shuo KangDevelopment Planning Division, The Second Hospital of Hebei Medical University, Shijiazhuang, People's Republic of China.
Zhenhua PanDevelopment Planning Division, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.ORCID https://orcid.org/0009-0000-3276-728X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFrom China's healthcare perspective, this analysis compared the cost-effectiveness of Atezolizumab in combination with Bevacizumab and chemotherapy for Metastatic, Persistent, or Recurrent Cervical Cancer.

methodsA Markov model was developed to track patients' transitions over 3-week cycles and evaluate the health and economic outcomes over a 10-year horizon for the two competing treatments. The survival data were gathered from the BEATcc trial, and cost and utility values were obtained from the published studies. Total costs, life-years, quality-adjusted life-years (QALYs), and incremental cost-effectiveness ratio (ICER) were the model outcomes. Sensitivity analyzes were performed to examine the robustness of the model results.

resultsIn the base case, atezolizumab plus bevacizumab and chemotherapy yielded a marginal cost of $233,602.51 and an additional 0.54 QALYs, resulting in an ICER of $432,597.24 per additional QALY gained, which exceeded the willingness-to-pay (WTP) threshold of $36,859 in China. Sensitivity analyzes confirmed the robustness of the model outcomes.

conclusionsAtezolizumab plus bevacizumab and chemotherapy was not a cost-effective treatment for patients with metastatic, persistent, or recurrent cervical cancer compared with bevacizumab plus chemotherapy from the perspective of the Chinese health-care system.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabNeoplasm Recurrence, LocalUterine Cervical NeoplasmsChinaCost-Benefit AnalysisCost-Effectiveness AnalysisFemaleHumansMarkov ChainsNeoplasm MetastasisQuality-Adjusted Life YearsAntibodies, Monoclonal, HumanizedatezolizumabBevacizumab

Identifiers

PMID42275400
PMCPMC13257988

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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.