Article ; Online: Prospective, multicenter study on the economic and clinical impact of gene-expression assays in early-stage breast cancer from a single region: the PREGECAM registry experience.
2019 Volume 22, Issue 5, Page(s) 717–724
Abstract: Introduction: The aim of this study is to evaluate the cost-effectiveness and impact of gene-expression assays (GEAs) on treatment decisions in a real-world setting of early-stage breast cancer (ESBC) patients.: Methods: This is a regional, ... ...
Abstract | Introduction: The aim of this study is to evaluate the cost-effectiveness and impact of gene-expression assays (GEAs) on treatment decisions in a real-world setting of early-stage breast cancer (ESBC) patients. Methods: This is a regional, prospective study promoted by the Council Health Authorities in Madrid. Enrolment was offered to women with estrogen receptor-positive, human epidermal growth factor receptor 2-negative, node-negative or micrometastatic, stage I or II breast cancer from 21 hospitals in Madrid. Treatment recommendations were recorded before and after knowledge of tests results. An economic model compared the cost-effectiveness of treatment, guided by GEAs or by common prognostic factors. Results: 907 tests (440 Oncotype DX Conclusion: Using GEAs to guide adjuvant therapy in ESBC is cost-effective in Spain and has a significant impact on treatment decisions. |
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MeSH term(s) | Adolescent ; Adult ; Aged ; Biomarkers, Tumor/genetics ; Breast Neoplasms/drug therapy ; Breast Neoplasms/economics ; Breast Neoplasms/genetics ; Breast Neoplasms/pathology ; Chemotherapy, Adjuvant ; Clinical Decision-Making ; Cost-Benefit Analysis ; Female ; Gene Expression Profiling/economics ; Gene Expression Profiling/methods ; Humans ; Middle Aged ; Prospective Studies ; Quality-Adjusted Life Years ; Registries ; Spain/epidemiology ; Young Adult |
Chemical Substances | Biomarkers, Tumor |
Language | English |
Publishing date | 2019-07-12 |
Publishing country | Italy |
Document type | Journal Article ; Multicenter Study |
ZDB-ID | 2397359-6 |
ISSN | 1699-3055 ; 1699-048X |
ISSN (online) | 1699-3055 |
ISSN | 1699-048X |
DOI | 10.1007/s12094-019-02176-x |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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