Cost-effectiveness of New Targeted Agents in the Treatment of Chronic Lymphocytic Leukemia.

R Andrew Harkins, Sharvil P Patel, Christopher R Flowers
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Abstract

Chronic lymphocytic leukemia (CLL) is the most common adult leukemia and is clinically heterogeneous. Integration of oral targeted therapies (OTTs) in the management of CLL has fundamentally altered CLL treatment pathways and improved outcomes for patients with CLL.We review the cost-effectiveness of OTTs in the treatment of CLL. We used MeSH (Medical Subject Heading) terms and keywords to search the National Library of Medicine online MEDLINE database (PubMed) for articles related to cost-effectiveness of OTTs in CLL care.Oral targeted therapies add considerable expense to the treatment of CLL for patients and the health care system. Cost-effectiveness analyses of OTTs are not uniform in their conclusions and depend on patient groups selected for analysis. Given the substantial increase in expense associated with integration of OTTs in CLL treatment, cost reduction methods are needed to ensure equitable access to novel therapies for all patients with CLL.

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治疗慢性淋巴细胞白血病的新型靶向药物的成本效益。
慢性淋巴细胞白血病(CLL)是最常见的成人白血病,在临床上具有异质性。将口服靶向治疗药物(OTTs)纳入 CLL 的治疗已从根本上改变了 CLL 的治疗途径,并改善了 CLL 患者的预后。我们使用 MeSH(医学主题词表)术语和关键词检索了美国国家医学图书馆在线 MEDLINE 数据库(PubMed)中与 OTTs 在 CLL 治疗中的成本效益相关的文章。口服靶向药物的成本效益分析结论不尽相同,且取决于分析所选的患者群体。鉴于将 OTTs 纳入 CLL 治疗会大幅增加费用,因此需要采用降低成本的方法,以确保所有 CLL 患者都能公平地获得新型疗法。
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