1,154 research outputs found
Economic evaluation of ondansetron: Preliminary analysis using clinical trial data prior to price setting
This article has been made available through the Brunel Open Access Publishing Fund and is available from the specified link - Copyright © 1992 Macmillan Press Ltd.This study combines secondary analysis of efficacy and side-effect data from a randomised controlled trial with estimates of resource use to evaluate the likely economic effects of the new antiemetic agent ondansetron. Costs, effects and cost-effectiveness of ondansetron in the prophylaxis of acute nausea and vomiting induced by chemotherapy are assessed relative to antiemetic therapy with metoclopramide. Superior efficacy of ondansetron is quantified both in terms of significant emesis avoided and emesis management costs avoided. A simple cost analysis, with the metoclopramide dosage priced at 10 pounds, indicates that therapy with ondansetron would give equivalent net treatment costs, at a price ratio (ondansetron/metoclopramide) of 2.3 to 1. If therapeutic success is defined as the avoidance of emesis and antiemetic side-effects, then the two therapies would be equally cost-effective at a drug price ratio of 5 to 1. We conclude that, (i) economic evaluation prior to price setting is feasible and informative; (ii) such models can indicate prospective data collection priorities
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Cost effectiveness of the implantable cardioverter defibrillator: a preliminary analysis
Background-An implantable cardioverter
defibrillator (ICD) maybe effective
in reducing the risk of sudden cardiac
death. The high cost of ICD treatment,
however, compared with alternatives
raises the question of whether this new
technology is an efficient use of scarce
health care resources.
Objective-To estimate the incremental
cost effectiveness of the implantable
cardioverter defibrillator compared with
drug treatment with amiodarone in the
management of patients at high risk of
sudden cardiac death.
Design-A cost effectiveness model was
constructed from data already published
and other secondary sources. Differences
in patient survival were calculated from
life tables for comparable ICD and
amiodarone patient series. Costs were
based on typical patient management
protocols derived from current United
Kingdom practice and interviews with
physicians.
Main outcome measures-Cost effectiveness
of ICD treatment was computed
over 20 years; all future costs and effects
were discounted at 6% per year.
Results-Estimated life expectancy
was 111 and 6-7 years with ICD and
amiodarone respectively; the discounted
20 year difference lies in the range 1P7 to
3*7 years. Discounted 20 year treatment
costs were £28 400 for the ICD and £2300
for amiodarone. Cost effectiveness ofICD
treatment lies in the range of £15 400 to
£8200 per life-year gained.
Conclusions-Cost effectiveness ofICD
treatment is similar to some existing
cardiac programmes funded under the
NHS but uncertainty exists due to
limitations of the data. Costs of ICD
treatment may fall in the future as the
life of the device increases and less
invasive implantation methods are
needed. The effectivess of ICD compared
with amiodarone is currently being
studied by a randomised controlled trial
Cost minimisation study of transdermal glyceryl trinitrate in reducing failures of peripheral intravenous infusion
This article has been made available through the Brunel Open Access Publishing Fund and is available from the specified link - Copyright @ 1989 BMJ Publishing Group
Quantifying the image quality and dose reduction of respiratory triggered 4D cone-beam computed tomography with patient-measured breathing.
Respiratory triggered four dimensional cone-beam computed tomography (RT 4D CBCT) is a novel technique that uses a patient's respiratory signal to drive the image acquisition with the goal of imaging dose reduction without degrading image quality. This work investigates image quality and dose using patient-measured respiratory signals for RT 4D CBCT simulations. Studies were performed that simulate a 4D CBCT image acquisition using both the novel RT 4D CBCT technique and a conventional 4D CBCT technique. A set containing 111 free breathing lung cancer patient respiratory signal files was used to create 111 pairs of RT 4D CBCT and conventional 4D CBCT image sets from realistic simulations of a 4D CBCT system using a Rando phantom and the digital phantom, XCAT. Each of these image sets were compared to a ground truth dataset from which a mean absolute pixel difference (MAPD) metric was calculated to quantify the degradation of image quality. The number of projections used in each simulation was counted and was assumed as a surrogate for imaging dose. Based on 111 breathing traces, when comparing RT 4D CBCT with conventional 4D CBCT, the average image quality was reduced by 7.6% (Rando study) and 11.1% (XCAT study). However, the average imaging dose reduction was 53% based on needing fewer projections (617 on average) than conventional 4D CBCT (1320 projections). The simulation studies have demonstrated that the RT 4D CBCT method can potentially offer a 53% saving in imaging dose on average compared to conventional 4D CBCT in simulation studies using a wide range of patient-measured breathing traces with a minimal impact on image quality
Failure of a non-authorized copy product to maintain response achieved with imatinib in a patient with chronic phase chronic myeloid leukemia: a case report
<p>Abstract</p> <p>Introduction</p> <p>Due to high rates of response and durable remissions, imatinib (Glivec<sup>®</sup>, or Gleevec<sup>®</sup> in the USA; Novartis Pharma AG) is the standard of care in patients with chronic myeloid leukemia. Recently, a non-authorized product which claims comparability to imatinib has become available.</p> <p>Case presentation</p> <p>This report describes the loss of response in a 36-year-old male patient with chronic-phase chronic myeloid leukemia who had previously been in full hematologic and cytogenetic remission and partial molecular remission for three years, under treatment with brand-name imatinib of 400 mg per day. Before the initiation of treatment with a copy product, imatib (CIPLA-India), the patient had negative BCR-ABL status. Within three months of initiation of treatment with the copy product, the patient's BCR-ABL status became positive, with substantial decreases noted in white blood cell counts, red blood cell counts and platelet counts. Conversion of the BCR-ABL status to negative and improvements in hematologic parameters were achieved when the brand medication, imatinib, was resumed at a dose of 600 mg per day.</p> <p>Conclusion</p> <p>In our patient, the substitution of a copy product for imatinib resulted in the rapid loss of a previously stable response, with the risk of progression to life-threatening accelerated phase or blast crisis phase of the disease. Without supportive clinical evidence of efficacy and safety of imatib (or any other copy product) caution should be used when substituting imatinib in the treatment of any patient with chronic myeloid leukemia.</p
Integrated photonic quantum gates for polarization qubits
Integrated photonic circuits have a strong potential to perform quantum
information processing. Indeed, the ability to manipulate quantum states of
light by integrated devices may open new perspectives both for fundamental
tests of quantum mechanics and for novel technological applications. However,
the technology for handling polarization encoded qubits, the most commonly
adopted approach, is still missing in quantum optical circuits. Here we
demonstrate the first integrated photonic Controlled-NOT (CNOT) gate for
polarization encoded qubits. This result has been enabled by the integration,
based on femtosecond laser waveguide writing, of partially polarizing beam
splitters on a glass chip. We characterize the logical truth table of the
quantum gate demonstrating its high fidelity to the expected one. In addition,
we show the ability of this gate to transform separable states into entangled
ones and vice versa. Finally, the full accessibility of our device is exploited
to carry out a complete characterization of the CNOT gate through a quantum
process tomography.Comment: 6 pages, 4 figure
Optimal search strategies for detecting cost and economic studies in EMBASE
BACKGROUND: Economic evaluations in the medical literature compare competing diagnosis or treatment methods for their use of resources and their expected outcomes. The best evidence currently available from research regarding both cost and economic comparisons will continue to expand as this type of information becomes more important in today's clinical practice. Researchers and clinicians need quick, reliable ways to access this information. A key source of this type of information is large bibliographic databases such as EMBASE. The objective of this study was to develop search strategies that optimize the retrieval of health costs and economics studies from EMBASE. METHODS: We conducted an analytic survey, comparing hand searches of journals with retrievals from EMBASE for candidate search terms and combinations. 6 research assistants read all issues of 55 journals indexed by EMBASE for the publishing year 2000. We rated all articles using purpose and quality indicators and categorized them into clinically relevant original studies, review articles, general papers, or case reports. The original and review articles were then categorized for purpose (i.e., cost and economics and other clinical topics) and depending on the purpose as 'pass' or 'fail' for methodologic rigor. Candidate search strategies were developed for economic and cost studies, then run in the 55 EMBASE journals, the retrievals being compared with the hand search data. The sensitivity, specificity, precision, and accuracy of the search strategies were calculated. RESULTS: Combinations of search terms for detecting both cost and economic studies attained levels of 100% sensitivity with specificity levels of 92.9% and 92.3% respectively. When maximizing for both sensitivity and specificity, the combination of terms for detecting cost studies (sensitivity) increased 2.2% over the single term but at a slight decrease in specificity of 0.9%. The maximized combination of terms for economic studies saw no change in sensitivity from the single term and only a 0.1% increase in specificity. CONCLUSION: Selected terms have excellent performance in the retrieval of studies of health costs and economics from EMBASE
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