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Cost-effectiveness Analysis of Genetic Testing and Tailored First-Line Therapy for Patients With Metastatic Gastrointestinal Stromal Tumors
Author(s) -
Sudeep Banerjee,
Abhishek Kumar,
Nicole Lopez,
Beiqun Zhao,
ChihMin Tang,
Mayra Yebra,
Hyunho Yoon,
James D. Murphy,
Jason K. Sicklick
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.13565
Subject(s) - gist , medicine , imatinib , cost effectiveness , oncology , targeted therapy , quality adjusted life year , genetic testing , stromal tumor , stromal cell , cancer , risk analysis (engineering) , myeloid leukemia
Key Points Question Is targeted gene testing cost-effective in patients with metastatic gastrointestinal stromal tumor? Findings This economic evaluation developed a Markov model to examine the cost-effectiveness of targeted gene testing with tailored imatinib dosing for patients with gastrointestinal stromal tumor based on KIT exon variation status. The model found that targeted gene testing was cost-effective, with an incremental cost-effectiveness ratio of $92 100, compared with empirical treatment with imatinib. Meaning These findings support the cost-effectiveness of widespread adoption of genetic testing for patients newly diagnosed with metastatic gastrointestinal stromal tumor.

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