Evidence mapPaperPMID 39832089Full record

SynthesisApplied health economics and health policy2025

Approaches to Incorporation of Preferences into Health Economic Models of Genomic Medicine: A Critical Interpretive Synthesis and Conceptual Framework.

Hadley Stevens Smith, Dean A Regier, Ilias Goranitis, Mackenzie Bourke, Maarten J IJzerman, Koen Degeling, Taylor Montgomery, Kathryn A Phillips, Sarah Wordsworth, James Buchanan and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in Applied health economics and health policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
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 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

11 authors.

Hadley Stevens SmithDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 401 Park Drive Suite 401, Boston, MA, USA, 02215. Hadley_Smith@hphci.harvard.edu.ORCID 0000-0003-1247-6535
Dean A RegierSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Ilias GoranitisMelbourne Health Economics, Centre for Health Policy, University of Melbourne, Melbourne, Australia.
Mackenzie BourkeMelbourne Health Economics, Centre for Health Policy, University of Melbourne, Melbourne, Australia.
Maarten J IJzermanMelbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
Koen DegelingMelbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
Taylor MontgomeryDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 401 Park Drive Suite 401, Boston, MA, USA, 02215.
Kathryn A PhillipsDepartment of Clinical Pharmacy, UCSF Center for Translational and Policy Research on Precision Medicine (TRANSPERS), San Fransisco, CA, USA.ORCID 0000-0003-0822-4968
Sarah WordsworthHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford and Oxford NIHR Biomedical Research Centre, Oxford, UK.
James BuchananHealth Economics and Policy Research Unit (HEPRU), Wolfson Institute of Population Health, Queen Mary University of London, London, UK.ORCID 0000-0003-2528-0638
Deborah A MarshallCumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID 0000-0002-8467-8008

Funding

BUILDING THE EVIDENCE BASE FOR APPROPRIATE AND EFFICIENT IMPLEMENTATION OF EMERGING GENOMIC TESTS FOR DISEASE MANAGEMENT AND SCREENINGR01HG011792 · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2025 to 2025
$852k
An ELSI-Integrated Evaluation of the Family-Level Utility of Pediatric Genomic SequencingR00HG011491 · HARVARD PILGRIM HEALTH CARE, INC. · 2025 to 2025
$204k
NHGRI NIH HHS HG011792NHGRI NIH HHS R00 HG011491NHGRI NIH HHS R00HG011491NHGRI NIH HHS R01 HG011792
6 · The paper itself

Abstract

introductionGenomic medicine has features that make it preference sensitive and amenable to model-based health economic evaluation. Preferences of patients, caregivers, and clinicians related to the uptake and delivery of genomic medicine technologies and services that are not captured in health state utility weights can affect the intervention's cost-effectiveness and budget impact. However, there is currently no established or agreed-on approach for integrating preference information into economic evaluations. The objective of this study was to explore approaches for incorporating preferences into model-based economic evaluations of genomic medicine and to develop a conceptual framework to consider preferences in health economic models.

methodsWe conducted a critical interpretive synthesis of published literature guided by the following question: how have preferences been incorporated into model-based economic evaluations of genomic medicine interventions? We integrated findings from the literature and expert opinion to develop a conceptual framework of ways in which preferences influence economic value in the context of genomic medicine.

resultsOur synthesis included 14 articles. Revealed and stated preference data were used to estimate choice probabilities and to value outcomes. Our conceptual framework situates preference data in the context of health system, patient, clinician, and family characteristics. Preference data were sourced from clinicians, patients and families impacted by a condition or intervention, and the general public. Evaluations employed various types of models, including discrete event simulation, microsimulation, Markov, and decision tree models.

conclusionWhen evaluating the broad benefits and costs of implementing new interventions, sufficiently accounting for preferences in the form of model inputs and valuation of outcomes in economic evaluations is important to avoid biased implementation decisions. Incorporation of preference data may improve alignment between predicted and real-world uptake and more accurately estimate welfare impacts, and this study provides critical insights to support researchers who seek to incorporate preference information into model-based health economic evaluations.

Indexed as

GenomicsPatient PreferencePrecision MedicineHumansMolecular Targeted TherapyPractice Patterns, Physicians'

Identifiers

PMID39832089
PMCPMC12721450

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.