Evidence map›Paper›PMID 39588279›Full record

ArticleJournal of market access & health policy2024

Clinical Benefits of Sustained Oral Nirmatrelvir/Ritonavir Use for the Outpatient Treatment of COVID-19: Findings from the Taiwanese Health Authority Perspective Using a Decision Tree Modeling Approach.

Matthew Sussman, Jennifer Benner, Tendai Mugwagwa, Jackie Lee, Sheng-Tzu Hung, Ya-Min Yang, Yixi Chen

Abstract read
In one paragraph

Article in Journal of market access & health policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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

7 authors.

Matthew SussmanStratevi, LLC, Boston, MA 02111, USA; jennifer@stratevi.com.
Jennifer BennerStratevi, LLC, Boston, MA 02111, USA; jennifer@stratevi.com.
Tendai MugwagwaPfizer Ltd., Tadworth KT20 7NS, UK; tendai.mugwagwa@pfizer.com.
Jackie LeeStratevi, LLC, Santa Monica, CA 90401, USA; jackie@stratevi.com.
Sheng-Tzu HungPfizer Inc., Taipei City 110, Taiwan; alice.hung@pfizer.com (S.-T.H.); ya-min.yang@pfizer.com (Y.-M.Y.).
Ya-Min YangPfizer Inc., Taipei City 110, Taiwan; alice.hung@pfizer.com (S.-T.H.); ya-min.yang@pfizer.com (Y.-M.Y.).ORCID https://orcid.org/0009-0002-2743-1161
Yixi ChenPfizer Investment Co., Ltd., Beijing 100010, China; yixi.chen@pfizer.com.ORCID https://orcid.org/0000-0001-5558-2915

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the observed clinical benefits of nirmatrelvir/ritonavir (NMV/r), it is uncertain whether Taiwan will continue covering NMV/r for high-risk individuals with mild-to-moderate coronavirus disease 2019 (COVID-19). This analysis assessed the impact of sustained utilization of NMV/r on COVID-19-associated healthcare resource utilization (HCRU) and mortality from the Taiwanese health authority perspective (THAP). A decision tree model estimated the incremental number of clinical events associated with NMV/r utilization over a 30-day period. Model results compared (1) a base case using current rates of NMV/r from the THAP, and (2) a hypothetical scenario assuming the current supply of NMV/r is not extended in Taiwan. NMV/r utilization rates included 80% and 0% in the base case and hypothetical scenario, respectively. Outcomes included the number of hospitalizations involving a general ward (GW) stay, intensive care unit (ICU) stay, and mechanical ventilation (MV) use, as well as the number of bed days, symptom days, and hospitalization deaths. Based on epidemiologic data, 150,255 patients with COVID-19 were eligible for treatment from the THAP. In the hypothetical scenario, HCRU increased by 175% compared to the base case, including increases in hospitalizations involving GW, ICU, and MV use (differences: 2067; 623; 591, respectively), bed days (difference: 51,521), symptom days (difference: 51,714), and deaths (difference: 480). Findings indicate that sustained utilization of NMV/r from the THAP reduces the clinical burden of mild-to-moderate COVID-19 through the reduced incidence of COVID-19-related HCRU and deaths.

Indexed as

clinical burdencoronavirus disease 2019COVID-19modelnirmatrelvirnirmatrelvir/ritonavirTaiwan

Identifiers

PMID39588279
PMCPMC11586959

What Socratic 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 Socratic graph.