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Nigel Fleeman

Researcher at University of Liverpool

Publications -  49
Citations -  1283

Nigel Fleeman is an academic researcher from University of Liverpool. The author has contributed to research in topics: Cost effectiveness & Randomized controlled trial. The author has an hindex of 19, co-authored 44 publications receiving 1105 citations.

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Care delivery and self‐management strategies for children with epilepsy

TL;DR: There is currently limited evidence for the effectiveness of interventions to improve the health and quality of life in people with epilepsy, and it is not possible to advocate any single model of service provision.
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Cytochrome P450 testing for prescribing antipsychotics in adults with schizophrenia: systematic review and meta-analyses.

TL;DR: Evidence of clinical validity and utility of CYP2D6 testing in patients being prescribed antipsychotics is lacking, and thus, routine pharmacogenetic testing prior to antipsychotic prescription cannot be supported at present.
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The clinical effectiveness and cost-effectiveness of genotyping for CYP2D6 for the management of women with breast cancer treated with tamoxifen: a systematic review.

TL;DR: Testing for cytochrome P450 2D6 (CYP2D6) polymorphisms in women with early hormone receptor positive breast cancer leads to improvement in outcomes, is useful for health decision-making and is a cost-effective use of health-care resources.
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Lapatinib and Trastuzumab in Combination with an Aromatase Inhibitor for the First-Line Treatment of Metastatic Hormone Receptor-Positive Breast Cancer which Over-Expresses Human Epidermal Growth Factor 2 (HER2): A Systematic Review and Economic Analysis

TL;DR: The findings from the trials all suggest that LAP + AI or TRA + AI results in improved progression-free survival and/or time to progression when compared with AIs alone, but the trials do not show a statistically significant benefit in terms of overall survival.
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The clinical effectiveness and cost-effectiveness of the PROGENSA® prostate cancer antigen 3 assay and the Prostate Health Index in the diagnosis of prostate cancer: a systematic review and economic evaluation

TL;DR: Evaluating the clinical effectiveness and cost-effectiveness of the PCA3 assay and the phi in the diagnosis of prostate cancer indicated that the use of these tests in the NHS would not be cost-effective.