Title |
Is the 21-gene recurrence score a cost-effective assay in endocrine-sensitive node-negative breast cancer?
|
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Published in |
Expert Review of Pharmacoeconomics and Outcomes Research, January 2014
|
DOI | 10.1586/erp.13.4 |
Pubmed ID | |
Authors |
Nathan WD Lamond, Chris Skedgel, Tallal Younis |
Abstract |
The 21-gene recurrence score (RS) is a gene expression profile assay currently endorsed for use in patients with endocrine-sensitive node-negative breast cancers. The RS has been shown to augment current 'prognostic' and 'predictive' assessments of relapse risk and chemotherapy benefits, respectively, and lead to significant change in oncologists' recommendations for adjuvant chemotherapy, with an overall reduction in chemotherapy utilization. The RS (Oncotype DX) is marketed by Genomic Health Inc. (CA, USA) and currently retails for approximately US$4290 per patient. Like all novel tests/therapies, however, these upfront costs should be examined in the context of all its clinical benefits through cost-effectiveness or cost-utility evaluations. This review highlights the clinical evidence supporting RS testing for patients with endocrine-sensitive node-negative breast cancers, and examines all published economic evaluations that examined its 'value for money' in this setting. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 29 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 5 | 17% |
Researcher | 5 | 17% |
Other | 4 | 14% |
Student > Master | 4 | 14% |
Student > Bachelor | 2 | 7% |
Other | 6 | 21% |
Unknown | 3 | 10% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 12 | 41% |
Economics, Econometrics and Finance | 3 | 10% |
Nursing and Health Professions | 2 | 7% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 7% |
Agricultural and Biological Sciences | 2 | 7% |
Other | 4 | 14% |
Unknown | 4 | 14% |