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    Sarcoma. 2018 Sep 12. doi: 10.1155/2018/2020591. pmc: PMC6157208
    Health Care Resource Utilization and Costs among Adult Patients with Advanced Soft Tissue Sarcoma: A Retrospective Medical Record Review in the United Kingdom, Spain, Germany, and France.
    Mytelka DS1,  Nagar SP2,  D'yachkova Y3,  La EM4,  Kaye JA5,  Candrilli SD6,  Kasper B7,  Lopez-Martin JA8,  Lorenzo M9
    Author information
    1Eli Lilly and Company, Lilly Corporate Center, Indianapolis, IN 46285, USA.
    2RTI Health Solutions, 200 Park Offices Drive, Research Triangle Park, NC 27709, USA.
    3Eli Lilly Gesellschaft m.b.H., Koelblgasse 8-10, 1030 Vienna, Austria.
    4RTI Health Solutions, 200 Park Offices Drive, Research Triangle Park, NC 27709, USA.
    5RTI Health Solutions, 307 Waverley Oaks Road, Suite 101, Waltham, MA 02452, USA.
    6RTI Health Solutions, 200 Park Offices Drive, Research Triangle Park, NC 27709, USA.
    7Mannheim University Medical Center, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany.
    812 de Octubre University Hospital, Avenida de Córdoba, s/n, 28041 Madrid, Spain.
    9Eli Lilly and Company Limited, Lilly Research Centre, Erl Wood Manor, Sunninghill Road, Windlesham, Surrey GU20 6PH, UK.
    Abstract

    OBJECTIVE: To describe health care resource utilization and costs for patients with advanced soft tissue sarcoma (STS) in the United Kingdom (UK), Spain, Germany, and France.

    METHODS: Physicians abstracted data for adult patients with a diagnosis of advanced STS (other than Kaposi's sarcoma or gastrointestinal stromal tumor) who received ≥1 lines of systemic therapy. Health care resource utilization related to advanced STS treatment was recorded; associated costs were estimated by applying unit costs.

    RESULTS: A total of 130 physicians provided data for 807 patients (UK: 199; Spain: 203; Germany: 204; and France: 201). The site of care during active treatment varied based on differences in the health care systems of these four countries. Total mean per-patient health care cost in the UK was £19,457; in Spain, €26,814; in Germany, €20,468; and in France, €24,368. Advanced STS-related systemic treatment costs were driven primarily by drug acquisition and administration costs. Treatment-related costs increased during later lines of therapy for all countries except France, where they decreased after first-line therapy. Pain control and antiemetics were the most common supportive care medications.

    CONCLUSIONS: This study provides real-world data on resource utilization and estimated costs in advanced STS and could inform policymakers about treatment burden.


    Publikations ID: 30297977
    Quelle: öffnen
     
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