Evidence map›Paper›PMID 40877797›Full record

ArticleBMC nephrology2025

Health-economic evaluation of an AI-powered decision support system for anemia management in in-center hemodialysis patients.

Afschin Gandjour, Christian Apel, Dana Kendzia, Luca Neri, Francesco Bellocchio, Len Usvyat, John Larkin, Jovana Petrovic Vorkapic

Abstract read
In one paragraph

Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
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  3. Review
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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

8 authors.

Afschin GandjourFrankfurt School of Finance & Management, Frankfurt, Germany. a.gandjour@fs.de.
Christian ApelMarket Access, Health Economics & Political Affairs, Fresenius Medical Care Deutschland GmbH, Bad Homburg, Germany.
Dana KendziaMarket Access, Health Economics & Political Affairs, Fresenius Medical Care Deutschland GmbH, Bad Homburg, Germany.
Luca NeriClinical Advanced Analytics, Global Medical Office, Fresenius Medical Care Italia S.p.A., Palazzo Pignano Cremona, Italy.
Francesco BellocchioClinical Advanced Analytics, Global Medical Office, Fresenius Medical Care Italia S.p.A., Palazzo Pignano Cremona, Italy.
Len UsvyatGlobal Medical Office, Fresenius Medical Care, Waltham, MA, USA.
John LarkinGlobal Medical Office, Fresenius Medical Care, Waltham, MA, USA.
Jovana Petrovic VorkapicMarket Access, Health Economics & Political Affairs, Fresenius Medical Care Deutschland GmbH, Bad Homburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Anemia Control Model (ACM) is a decision support system powered by an artificial intelligence core designed to assist nephrologists in managing anemia therapy for in-center hemodialysis (HD) patients. This study aims to evaluate the cost-effectiveness of the ACM compared to standard of care in Germany, defined as the absence of ACM and a hemoglobin (Hb) target achievement rate of less than 70% among in-center HD patients, based on results from matched observational studies.

methodsThis simulation study adopted the perspective of the German statutory health insurance. A Markov (cohort) state-transition model was used to project the effects of the ACM over the remaining lifetime of patients. All costs were expressed in 2024 euros, and both costs and quality-adjusted life years (QALYs) were discounted at a rate of 3% per year. To test the sensitivity of the results, one-way sensitivity analyses and a probabilistic sensitivity analysis were performed.

resultsThis study finds that ACM provides more QALYs and incurs lower costs compared to standard of care. The net monetary value of ACM is €38,423 per patient in the base case scenario. In the sensitivity analysis, the annual cost of erythropoiesis-stimulating agents emerged as the variable with the largest impact on the value of ACM. The probabilistic sensitivity analysis shows that 100% of cost-effect pairs fall within the dominant southeast quadrant, indicating cost-effectiveness.

conclusionsThis modelling study demonstrates that ACM is cost-effective for managing anemia in German in-center HD patients.

Indexed as

AnemiaArtificial IntelligenceDecision Support Systems, ClinicalRenal DialysisAgedCost-Benefit AnalysisFemaleGermanyHumansMaleMarkov ChainsMiddle AgedQuality-Adjusted Life YearsAnemia managementArtificial intelligence (AI)Cost-effectiveness analysisEconomic evaluationEnd-stage kidney disease (ESKD)Erythropoiesis stimulating agent (ESA)Personalized medicine

Identifiers

PMID40877797
PMCPMC12392536

What Socratic holds

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LicenceCC BY
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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.