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Table 5 Number of studies reporting parameters which could influence the cost-effectiveness results

From: Pharmacogenetic testing for adverse drug reaction prevention: systematic review of economic evaluations and the appraisal of quality matters for clinical practice and implementation

Therapeutic area

Epidemiological and disease progression parameters

Clinical effectiveness data

Resource use and cost parameters

probability of ADRs

allele frequency

PPV/NPV

mortality rate of ADRs

efficacy of genetic testing

efficacy of drugs treatment

cost of testing

costs of alternative drugs

cost of hospitalization

Cardiovascular disease (n = 24)

 CYP2C19 -Clopidogrel

[30, 33, 34]

  

[31]

 

[35]

 

[36]

[38]

 CYP2C9 and VKORC1 -Warfarin

[17, 21, 25]

   

[16, 22, 26, 28, 29]

 

[23, 24]

[19]

 

 pharmacogenetic testing-Statin

     

[39]

   

Gout (n = 8)

 HLA-B*58:01 -Allopurinol

[43, 44, 46]

[45]

   

[40]

[42]

[44]

[40, 47]

HIV infection (n = 8)

 HLA-B*57:01 -Abacavir

 

[50]

 

[49]

  

[51, 52]

[53, 54]

 

 CYP2B6 -Efavirenz

      

[55]

  

Autoimmune disease (n = 8)

 TPMT - Azathioprine

 

[57]

[62]

 

[63]

 

[56, 58]

[60]

 

Epilepsy/neuropathic pain (n = 6)

 HLA-B*15:02 or HLA-A*31:01 -Carbamazepine

  

[67, 68]

  

[64, 69]

 

[65, 67]

 

Cancer (n = 3)

 UGT1A1 -Irinotecan

    

[71]

[72]

   

 DPYD -Fluoropyrimidine

[70]

        

Major depressive disorder (n = 1)

 CYP2D6 -Nortriptyline

    

[73]

[73]

   

Hormone replacement therapy (n = 1)

 Factor V Leiden-Estrogen combined in oral contraceptives

         
  1. ADRs: Adverse Drug Reactions, PPV: Positive Predictive Value, NPV: Negative Predictive Value