A cost-effectiveness analysis of a chemoresponse assay for treatment of patients with recurrent epithelial ovarian cancer.
Identifieur interne : 004209 ( Ncbi/Merge ); précédent : 004208; suivant : 004210A cost-effectiveness analysis of a chemoresponse assay for treatment of patients with recurrent epithelial ovarian cancer.
Auteurs : Victoria Plamadeala [États-Unis] ; Joseph L. Kelley [États-Unis] ; John K. Chan [États-Unis] ; Thomas C. Krivak [États-Unis] ; Michael J. Gabrin [États-Unis] ; Stacey L. Brower [États-Unis] ; Matthew A. Powell [États-Unis] ; Thomas J. Rutherford [États-Unis] ; Robert L. Coleman [États-Unis]Source :
- Gynecologic oncology [ 1095-6859 ] ; 2015.
Descripteurs français
- KwdFr :
- Analyse coût-bénéfice, Chaines de Markov, Composés organiques du platine (administration et posologie), Composés organiques du platine (effets indésirables), Composés organiques du platine (économie), Femelle, Humains, Modèles de hasards proportionnels, Modèles économiques, Procédures de chirurgie gynécologique (économie), Récidive tumorale locale (), Récidive tumorale locale (traitement médicamenteux), Récidive tumorale locale (économie), Résistance aux médicaments antinéoplasiques, Taux de survie, Tumeurs de l'ovaire (), Tumeurs de l'ovaire (traitement médicamenteux), Tumeurs de l'ovaire (économie), Tumeurs épithéliales épidermoïdes et glandulaires (), Tumeurs épithéliales épidermoïdes et glandulaires (traitement médicamenteux), Tumeurs épithéliales épidermoïdes et glandulaires (économie), États-Unis d'Amérique, Études de cohortes.
- MESH :
- administration et posologie : Composés organiques du platine.
- effets indésirables : Composés organiques du platine.
- traitement médicamenteux : Récidive tumorale locale, Tumeurs de l'ovaire, Tumeurs épithéliales épidermoïdes et glandulaires.
- économie : Composés organiques du platine, Procédures de chirurgie gynécologique, Récidive tumorale locale, Tumeurs de l'ovaire, Tumeurs épithéliales épidermoïdes et glandulaires.
- Analyse coût-bénéfice, Chaines de Markov, Femelle, Humains, Modèles de hasards proportionnels, Modèles économiques, Récidive tumorale locale, Résistance aux médicaments antinéoplasiques, Taux de survie, Tumeurs de l'ovaire, Tumeurs épithéliales épidermoïdes et glandulaires, États-Unis d'Amérique, Études de cohortes.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Cohort Studies, Cost-Benefit Analysis, Drug Resistance, Neoplasm, Female, Gynecologic Surgical Procedures (economics), Humans, Markov Chains, Models, Economic, Neoplasm Recurrence, Local (drug therapy), Neoplasm Recurrence, Local (economics), Neoplasm Recurrence, Local (surgery), Neoplasms, Glandular and Epithelial (drug therapy), Neoplasms, Glandular and Epithelial (economics), Neoplasms, Glandular and Epithelial (surgery), Organoplatinum Compounds (administration & dosage), Organoplatinum Compounds (adverse effects), Organoplatinum Compounds (economics), Ovarian Neoplasms (drug therapy), Ovarian Neoplasms (economics), Ovarian Neoplasms (surgery), Proportional Hazards Models, Survival Rate, United States.
- MESH :
- chemical , administration & dosage : Organoplatinum Compounds.
- chemical , adverse effects : Organoplatinum Compounds.
- geographic : United States.
- drug therapy : Neoplasm Recurrence, Local, Neoplasms, Glandular and Epithelial, Ovarian Neoplasms.
- economics : Gynecologic Surgical Procedures, Neoplasm Recurrence, Local, Neoplasms, Glandular and Epithelial, Organoplatinum Compounds, Ovarian Neoplasms.
- surgery : Neoplasm Recurrence, Local, Neoplasms, Glandular and Epithelial, Ovarian Neoplasms.
- Cohort Studies, Cost-Benefit Analysis, Drug Resistance, Neoplasm, Female, Humans, Markov Chains, Models, Economic, Proportional Hazards Models, Survival Rate.
Abstract
Clinical validation of a chemoresponse assay was recently published, demonstrating a significant increase in overall survival in recurrent ovarian cancer patients treated with therapies to which their tumor was sensitive in the assay. The current study investigates the cost effectiveness of using the assay at the time of ovarian cancer recurrence from the payer's perspective.
DOI: 10.1016/j.ygyno.2014.11.019
PubMed: 25462203
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pubmed:25462203Le document en format XML
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<term>Cost-Benefit Analysis</term>
<term>Drug Resistance, Neoplasm</term>
<term>Female</term>
<term>Gynecologic Surgical Procedures (economics)</term>
<term>Humans</term>
<term>Markov Chains</term>
<term>Models, Economic</term>
<term>Neoplasm Recurrence, Local (drug therapy)</term>
<term>Neoplasm Recurrence, Local (economics)</term>
<term>Neoplasm Recurrence, Local (surgery)</term>
<term>Neoplasms, Glandular and Epithelial (drug therapy)</term>
<term>Neoplasms, Glandular and Epithelial (economics)</term>
<term>Neoplasms, Glandular and Epithelial (surgery)</term>
<term>Organoplatinum Compounds (administration & dosage)</term>
<term>Organoplatinum Compounds (adverse effects)</term>
<term>Organoplatinum Compounds (economics)</term>
<term>Ovarian Neoplasms (drug therapy)</term>
<term>Ovarian Neoplasms (economics)</term>
<term>Ovarian Neoplasms (surgery)</term>
<term>Proportional Hazards Models</term>
<term>Survival Rate</term>
<term>United States</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Analyse coût-bénéfice</term>
<term>Chaines de Markov</term>
<term>Composés organiques du platine (administration et posologie)</term>
<term>Composés organiques du platine (effets indésirables)</term>
<term>Composés organiques du platine (économie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Modèles de hasards proportionnels</term>
<term>Modèles économiques</term>
<term>Procédures de chirurgie gynécologique (économie)</term>
<term>Récidive tumorale locale ()</term>
<term>Récidive tumorale locale (traitement médicamenteux)</term>
<term>Récidive tumorale locale (économie)</term>
<term>Résistance aux médicaments antinéoplasiques</term>
<term>Taux de survie</term>
<term>Tumeurs de l'ovaire ()</term>
<term>Tumeurs de l'ovaire (traitement médicamenteux)</term>
<term>Tumeurs de l'ovaire (économie)</term>
<term>Tumeurs épithéliales épidermoïdes et glandulaires ()</term>
<term>Tumeurs épithéliales épidermoïdes et glandulaires (traitement médicamenteux)</term>
<term>Tumeurs épithéliales épidermoïdes et glandulaires (économie)</term>
<term>États-Unis d'Amérique</term>
<term>Études de cohortes</term>
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<term>Neoplasm Recurrence, Local</term>
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<term>Tumeurs épithéliales épidermoïdes et glandulaires</term>
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<term>Procédures de chirurgie gynécologique</term>
<term>Récidive tumorale locale</term>
<term>Tumeurs de l'ovaire</term>
<term>Tumeurs épithéliales épidermoïdes et glandulaires</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Cohort Studies</term>
<term>Cost-Benefit Analysis</term>
<term>Drug Resistance, Neoplasm</term>
<term>Female</term>
<term>Humans</term>
<term>Markov Chains</term>
<term>Models, Economic</term>
<term>Proportional Hazards Models</term>
<term>Survival Rate</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Analyse coût-bénéfice</term>
<term>Chaines de Markov</term>
<term>Femelle</term>
<term>Humains</term>
<term>Modèles de hasards proportionnels</term>
<term>Modèles économiques</term>
<term>Récidive tumorale locale</term>
<term>Résistance aux médicaments antinéoplasiques</term>
<term>Taux de survie</term>
<term>Tumeurs de l'ovaire</term>
<term>Tumeurs épithéliales épidermoïdes et glandulaires</term>
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<front><div type="abstract" xml:lang="en">Clinical validation of a chemoresponse assay was recently published, demonstrating a significant increase in overall survival in recurrent ovarian cancer patients treated with therapies to which their tumor was sensitive in the assay. The current study investigates the cost effectiveness of using the assay at the time of ovarian cancer recurrence from the payer's perspective.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25462203</PMID>
<DateCreated><Year>2015</Year>
<Month>01</Month>
<Day>02</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>03</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>09</Month>
<Day>30</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1095-6859</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>136</Volume>
<Issue>1</Issue>
<PubDate><Year>2015</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>Gynecologic oncology</Title>
<ISOAbbreviation>Gynecol. Oncol.</ISOAbbreviation>
</Journal>
<ArticleTitle>A cost-effectiveness analysis of a chemoresponse assay for treatment of patients with recurrent epithelial ovarian cancer.</ArticleTitle>
<Pagination><MedlinePgn>94-8</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ygyno.2014.11.019</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0090-8258(14)01484-X</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Clinical validation of a chemoresponse assay was recently published, demonstrating a significant increase in overall survival in recurrent ovarian cancer patients treated with therapies to which their tumor was sensitive in the assay. The current study investigates the cost effectiveness of using the assay at the time of ovarian cancer recurrence from the payer's perspective.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Using a Markov state transition model, patient characteristics and survival data from the recent clinical study, the cumulative costs over the study horizon (71 months) for both the baseline (no assay) and intervention (assay consistent, hypothetical) cohorts were evaluated.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The assay consistent cohort had an incremental cost effectiveness ratio (ICER) of $6206 per life year saved (LYS), as compared to the baseline cohort. Cost-effectiveness was further demonstrated in platinum-sensitive and platinum-resistant populations treated with assay-sensitive therapies, with ICERs of $2773 per LYS and $2736 per LYS, respectively.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The use of a chemoresponse assay to inform treatment decisions in recurrent ovarian cancer patients has the potential to be cost-effective in both platinum-sensitive and platinum-resistant patients.</AbstractText>
<CopyrightInformation>Copyright © 2014. Published by Elsevier Inc.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Plamadeala</LastName>
<ForeName>Victoria</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Helomics™ Corporation, Pittsburgh, PA, United States.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Kelley</LastName>
<ForeName>Joseph L</ForeName>
<Initials>JL</Initials>
<AffiliationInfo><Affiliation>Magee-Womens Hospital of UPMC, Pittsburgh, PA, United States.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chan</LastName>
<ForeName>John K</ForeName>
<Initials>JK</Initials>
<AffiliationInfo><Affiliation>Palo Alto Medical Foundation/Research Institute, Sutter Cancer Research Consortium, San Francisco, CA, United States.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Krivak</LastName>
<ForeName>Thomas C</ForeName>
<Initials>TC</Initials>
<AffiliationInfo><Affiliation>The Western Pennsylvania Hospital, Pittsburgh, PA, United States.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gabrin</LastName>
<ForeName>Michael J</ForeName>
<Initials>MJ</Initials>
<AffiliationInfo><Affiliation>Helomics™ Corporation, Pittsburgh, PA, United States.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Brower</LastName>
<ForeName>Stacey L</ForeName>
<Initials>SL</Initials>
<AffiliationInfo><Affiliation>Helomics™ Corporation, Pittsburgh, PA, United States. Electronic address: sbrower@helomics.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Powell</LastName>
<ForeName>Matthew A</ForeName>
<Initials>MA</Initials>
<AffiliationInfo><Affiliation>Washington University School of Medicine, St. Louis, MO, United States.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Rutherford</LastName>
<ForeName>Thomas J</ForeName>
<Initials>TJ</Initials>
<AffiliationInfo><Affiliation>Yale University School of Medicine, New Haven, CT, United States.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Coleman</LastName>
<ForeName>Robert L</ForeName>
<Initials>RL</Initials>
<AffiliationInfo><Affiliation>University of Texas MD Anderson Cancer Center, Houston, TX, United States.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2014</Year>
<Month>11</Month>
<Day>25</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Gynecol Oncol</MedlineTA>
<NlmUniqueID>0365304</NlmUniqueID>
<ISSNLinking>0090-8258</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D009944">Organoplatinum Compounds</NameOfSubstance>
</Chemical>
</ChemicalList>
<SupplMeshList><SupplMeshName Type="Disease" UI="C538090">Ovarian epithelial cancer</SupplMeshName>
</SupplMeshList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003362" MajorTopicYN="N">Cost-Benefit Analysis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019008" MajorTopicYN="N">Drug Resistance, Neoplasm</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013509" MajorTopicYN="N">Gynecologic Surgical Procedures</DescriptorName>
<QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008390" MajorTopicYN="N">Markov Chains</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018803" MajorTopicYN="N">Models, Economic</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009364" MajorTopicYN="N">Neoplasm Recurrence, Local</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
<QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009375" MajorTopicYN="N">Neoplasms, Glandular and Epithelial</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
<QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009944" MajorTopicYN="N">Organoplatinum Compounds</DescriptorName>
<QualifierName UI="Q000008" MajorTopicYN="N">administration & dosage</QualifierName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
<QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010051" MajorTopicYN="N">Ovarian Neoplasms</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
<QualifierName UI="Q000191" MajorTopicYN="Y">economics</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016016" MajorTopicYN="N">Proportional Hazards Models</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015996" MajorTopicYN="N">Survival Rate</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Chemoresponse assay</Keyword>
<Keyword MajorTopicYN="N">Chemotherapy sensitivity and resistance assay (CSRA)</Keyword>
<Keyword MajorTopicYN="N">Cost-effectiveness</Keyword>
<Keyword MajorTopicYN="N">Markov transition model</Keyword>
<Keyword MajorTopicYN="N">Ovarian cancer</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year>
<Month>08</Month>
<Day>20</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="revised"><Year>2014</Year>
<Month>10</Month>
<Day>28</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2014</Year>
<Month>11</Month>
<Day>18</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2014</Year>
<Month>12</Month>
<Day>3</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2014</Year>
<Month>12</Month>
<Day>3</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2015</Year>
<Month>3</Month>
<Day>3</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">25462203</ArticleId>
<ArticleId IdType="pii">S0090-8258(14)01484-X</ArticleId>
<ArticleId IdType="doi">10.1016/j.ygyno.2014.11.019</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Californie</li>
<li>Connecticut</li>
<li>Missouri (État)</li>
<li>Pennsylvanie</li>
<li>Texas</li>
</region>
<settlement><li>Saint-Louis (Missouri)</li>
</settlement>
<orgName><li>École de médecine (Université Washington de Saint-Louis)</li>
</orgName>
</list>
<tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Plamadeala, Victoria" sort="Plamadeala, Victoria" uniqKey="Plamadeala V" first="Victoria" last="Plamadeala">Victoria Plamadeala</name>
</region>
<name sortKey="Brower, Stacey L" sort="Brower, Stacey L" uniqKey="Brower S" first="Stacey L" last="Brower">Stacey L. Brower</name>
<name sortKey="Chan, John K" sort="Chan, John K" uniqKey="Chan J" first="John K" last="Chan">John K. Chan</name>
<name sortKey="Coleman, Robert L" sort="Coleman, Robert L" uniqKey="Coleman R" first="Robert L" last="Coleman">Robert L. Coleman</name>
<name sortKey="Gabrin, Michael J" sort="Gabrin, Michael J" uniqKey="Gabrin M" first="Michael J" last="Gabrin">Michael J. Gabrin</name>
<name sortKey="Kelley, Joseph L" sort="Kelley, Joseph L" uniqKey="Kelley J" first="Joseph L" last="Kelley">Joseph L. Kelley</name>
<name sortKey="Krivak, Thomas C" sort="Krivak, Thomas C" uniqKey="Krivak T" first="Thomas C" last="Krivak">Thomas C. Krivak</name>
<name sortKey="Powell, Matthew A" sort="Powell, Matthew A" uniqKey="Powell M" first="Matthew A" last="Powell">Matthew A. Powell</name>
<name sortKey="Rutherford, Thomas J" sort="Rutherford, Thomas J" uniqKey="Rutherford T" first="Thomas J" last="Rutherford">Thomas J. Rutherford</name>
</country>
</tree>
</affiliations>
</record>
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