ArticleEnvironmental and occupational health practice2023
Cost-effectiveness of adding a
Article in Environmental and occupational health practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Methods: The data of Japanese people aged ≥40 years were collected from PubMed and evaluated in two cohorts: UGI (X-ray examination)+HPA test and UGI only. A Markov model was used for the cost-effectiveness analysis of the UGI+HPA test and UGI-only cohorts. The main outcomes were cost, quality-adjusted life-years (QALYs), and incremental cost-effectiveness ratios (ICERs). The impact of uncertainty was assessed using one-way sensitivity analyses (OWSA) and probabilistic sensitivity analyses (PSA). Results: A base-case analysis showed that the UGI+HPA test strategy was less costly (-US$1,039 and -US$1,496) and more effective (0.415 and 0.437 QALYs) than the UGI-only strategy in the 40- and 50-year-old groups, respectively. The UGI+HPA test strategy was assessed as a dominant strategy. In the OWSA, the tornado diagram showed negative expected costs and positive QALY gains within the established ranges for all parameters. In the PSA, more than 95% of the simulations demonstrated ICER <5 million yen (US$51,674; US$1=96.76 yen)/QALY. Conclusions: This modeling study suggests that gastric cancer screening using UGI+HPA test followed by eradication and annual opportunistic screening, compared with UGI only, resulted in lower costs and greater QALY gains for both 40- and 50-year-old groups at the workplace.
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Registered trials
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.