Evidence map›Paper›PMID 41908796›Full record

ArticleTherapeutic advances in medical oncology2026

Updated cost comparison of home care subcutaneous versus outpatient intravenous trastuzumab for HER2-positive breast cancer in Singapore.

Yanting Ouyang, Yi Ting Ng, Wei Wei Hong, Nicholas Graves

Abstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Yanting OuyangHealth Services Research & Population Health, Duke-NUS Medical School, Singapore, Singapore.ORCID https://orcid.org/0009-0009-3980-0674
Yi Ting NgOffice for Service Transformation, SingHealth, Singapore, Singapore.
Wei Wei HongOffice for Service Transformation, SingHealth, Singapore, Singapore.
Nicholas GravesHealth Services Research & Population Health, Duke-NUS Medical School, Singapore 168582, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: With major changes in effective drug prices, we updated our earlier cost-minimization analysis comparing home-based subcutaneous (SC) trastuzumab with outpatient intravenous (IV) trastuzumab for HER2-positive breast cancer in Singapore. Objectives: To compare updated annual per-patient costs of home care SC versus outpatient IV trastuzumab. Design: A cost-minimization analysis was performed. Methods: We conducted a model-based cost-minimization analysis using micro-costing from a societal perspective, incorporating both direct and indirect costs. A Monte Carlo simulation was performed to account for parameter uncertainties. Results: Annual per-patient cost was S$21,790 (95% uncertainty interval (UI): S$19,662-23,922) for home care versus S$6949 (95% UI: S$5347-10,782) for outpatient care, representing a 214% increase. While service delivery (manpower, facility, consumables) and productivity loss remained cheaper in home care, drug cost is the dominant factor of overall expenditure in trastuzumab delivery. Conclusion: At current drug prices, outpatient IV trastuzumab administration is the cost-saving option, compared with home care SC trastuzumab.

Indexed as

breast cancercost-effectiveness analysisHER2-targeted therapysubcutaneous trastuzumabtrastuzumab cost

Identifiers

PMID41908796
PMCPMC13018705

What Socratic holds

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LicenceCC BY-NC
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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.