Abstract
Abstract
Objectives
Precision medicine (PM) aims to improve patient outcomes by stratifying or individualizing diagnosis and treatment decisions. Previous reviews found inconclusive evidence as to the cost-effectiveness of PM. The purpose of this scoping review was to describe current research findings on the cost-effectiveness of PM and to identify characteristics of cost-effective interventions.
Methods
We searched PubMed with a combination of terms related to PM and economic evaluations and included studies published between 2014 and 2017.
Results
A total of 83 articles were included, of which two-thirds were published in Europe and the USA. The majority of studies concluded that the PM intervention was at least cost-effective compared to usual care. However, the willingness-to-pay thresholds varied widely. Key factors influencing cost-effectiveness included the prevalence of the genetic condition in the target population, costs of genetic testing and companion treatment and the probability of complications or mortality.
Conclusions
This review may help inform decisions about reimbursement, research and development of PM interventions.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health,Health(social science)
Cited by
65 articles.
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