日本临床指南推荐的转移性乳腺癌患者一线治疗的增量成本状况。

IF 1.9 4区 医学 Q3 ONCOLOGY Japanese journal of clinical oncology Pub Date : 2024-10-03 DOI:10.1093/jjco/hyae109
Tsuguo Iwatani, Keita Sasaki, Ryunosuke Machida, Tadahiko Shien, Fumikata Hara, Tomomi Fujisawa, Yuko Takano, Yoshie Kobayashi, Michiyo Saimura, Kei Koizumi, Mitsuo Terada, Shinsuke Sasada, Kanako Saito, Miwa Sumiyoshi, Hiroji Iwata
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引用次数: 0

摘要

背景:随着乳腺癌发病率和患病率的增加以及诊断和治疗技术的进步,人们对癌症给医疗系统带来的经济负担和就医问题展开了讨论:本研究在日本临床肿瘤学组乳腺癌研究小组所属的 51 家医院进行了网络调查。调查时间为 2021 年 7 月至 2022 年 6 月。研究对象包括接受相关治疗作为一线治疗的转移性乳腺癌患者。选择该方案作为一线治疗的患者比例以表格形式列出。计算了每种现行标准疗法与传统疗法相比增加的总费用:共调查了 702 名患者(pts)。结果:共调查了 702 名患者,其中 342 人(48.7%)接受了高成本治疗[估计每月药费超过约 500 000 日元 (JPY)]。其中,16 名患者(4.7%)的治疗费用非常高,每月超过 100 万日元。在接受高额治疗的患者中,有 53 人(15.5%)的年龄在 75 岁或 75 岁以上。其中,1 人(0.3%)接受了非常昂贵的治疗。对现有药物的增量成本分析表明,abemaciclib 的成本较高,每位患者的额外总成本为 6 365 670 日元。包括帕博西尼(palbociclib)在内的治疗方案每位患者的额外总成本为 4011248 日元,位居第二;其次是阿特珠单抗,为 3209033 日元:研究结果表明,评估高成本疗法的财务影响不仅需要考虑药物价格,还需要分析总成本的增加。
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Status of incremental costs of first-line treatment recommended in Japanese clinical guidelines for metastatic breast cancer patients.

Background: The increasing incidence and prevalence of breast cancer alongside diagnostic and treatment technology advances have produced a debate about the financial burden cancer places on the healthcare system and concerns about access.

Methods: This study was conducted at 51 hospitals belonging to the Breast Cancer Study Group of the Japan Clinical Oncology Group using a web-based survey. The survey period conducted from July 2021 to June 2022. The study population included patients with metastatic breast cancer who received the related treatment as their first-line therapy. The proportion of patients who selected that regimen as their first-line treatment was tabulated. The total cost increase for each current standard therapy in comparison to conventional treatments was calculated.

Results: A total of 702 patients (pts) were surveyed. Of those enrolled, 342 (48.7%) received high-cost treatment [estimated monthly drug costs exceeding ~500 000 Japanese Yen (JPY)]. Of these, 16 pts (4.7%) were receiving very high-cost treatment, amounting to more than 1 000 000 JPY per month. Fifty three (15.5%) of the patients who received high-cost treatment were 75 years of age or older. Of these, 1 pt (0.3%) were receiving very high-cost treatment. Analyses of incremental costs by current drugs showed that abemaciclib was costly with total additional cost of 6 365 670 JPY per patient. The total additional cost of the regimen per patient that included palbociclib was the second highest at 4011248 JPY, followed by atezolizumab at 3209033 JPY.

Conclusions: The findings indicate that evaluating the financial implications of high-cost treatments requires considering not only drug prices but also analysis of total cost increase.

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来源期刊
CiteScore
3.70
自引率
8.30%
发文量
177
审稿时长
3-8 weeks
期刊介绍: Japanese Journal of Clinical Oncology is a multidisciplinary journal for clinical oncologists which strives to publish high quality manuscripts addressing medical oncology, clinical trials, radiology, surgery, basic research, and palliative care. The journal aims to contribute to the world"s scientific community with special attention to the area of clinical oncology and the Asian region. JJCO publishes various articles types including: ・Original Articles ・Case Reports ・Clinical Trial Notes ・Cancer Genetics Reports ・Epidemiology Notes ・Technical Notes ・Short Communications ・Letters to the Editors ・Solicited Reviews
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