Healthcare resource utilization and costs of adverse events among patients with metastatic urothelial cancer in USA

被引:11
作者
Grivas, Petros [1 ]
DerSarkissian, Maral [2 ]
Shenolikar, Rahul [3 ]
Laliberte, Francois [4 ]
Doleh, Yunes [3 ]
Duh, Mei Sheng [4 ]
机构
[1] Univ Washington, Seattle Canc Care Alliance, Fred Hutchinson Canc Res Ctr, Seattle, WA 98109 USA
[2] Anal Grp Inc, Boston, MA 02199 USA
[3] AstraZeneca US, Gaithersburg, MD 20878 USA
[4] Grp Anal Ltee, Montreal, PQ H3B 0G7, Canada
关键词
bladder cancer; chemotherapy toxicity; health care costs; immunotherapy-related adverse events; urologic carcinoma; CISPLATIN-INELIGIBLE PATIENTS; SINGLE-ARM; CARCINOMA; CHEMOTHERAPY; MULTICENTER; PEMBROLIZUMAB; ATEZOLIZUMAB; THERAPY; SAFETY;
D O I
10.2217/fon-2019-0434
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Aim: To estimate incremental costs and healthcare resource utilization (HRU) associated with select severe adverse events (AEs) and AEs of any severity in patients with metastatic urothelial carcinoma receiving first-line (1L) therapy. Materials & methods: Adults treated with 1L systemic therapy between January 2012 and September 2017 with >= 1 urothelial cancer diagnosis were identified using claims data. Per-patient-per-month cost differences and HRU rate ratios comparing patients with and without select AEs were estimated. Results: Patients with any severe select AEs had higher costs than those without (cost difference = $6130 per-patient-per-month; p < 0.001). Healthcare costs and HRU for patients with select AEs were significantly higher versus those without. Conclusion: Select AEs during 1L therapy for metastatic urothelial carcinoma can result in significant burden to patients and healthcare systems.
引用
收藏
页码:3809 / 3818
页数:10
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