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Economic burden of toxicities associated with treating metastatic melanoma in eight countries.


ABSTRACT:

Background

Information on costs of managing adverse events (AEs) associated with current treatments in metastatic melanoma is limited. This study estimates costs of AEs in eight countries: Australia (AU), Canada (CA), France (FR), Germany (GE), Italy (IT), the Netherlands (NL), Spain (ES), and the UK.

Methods

A literature search was conducted to identify grade 3/4 AEs from product label, published trials, conference abstracts, and treatment guidelines. Resource utilization for the management of each type of AE was determined via interviews with 5 melanoma clinicians in each country. Outpatient and inpatient costs were estimated for each type of AE using country-specific tariffs or government/published sources.

Results

In outpatient settings, the most costly AEs per incident included cutaneous squamous cell carcinoma (CSCC) (€1063, £720; NL/UK), anemia (€1443, €1329, €1285; ES/IT/FR), peripheral neuropathy (€1289; ES), and immune-related diarrhea (AUS$1,121; AU). In inpatient settings, the most costly AEs per hospitalization included hypophysitis (€10,265; €5316; CAN$9735; AUS$7231: ES/FR/CA/AU), dyspnea (€9077; GE), elevated liver enzymes (€6913, CAN$8030, AUS$6594; FR/CA/AU), CSCC (CAN$8934; CA), peripheral neuropathy (€6977, €4144, CAN$9472; NL/ES/CA), and diarrhea (£4284, €4113; UK/ES).

Conclusions

Costs of managing AEs can be significant, and thus effective treatments with lower rates of severe AEs would be valuable.

SUBMITTER: Wehler E 

PROVIDER: S-EPMC5209401 | biostudies-literature | 2017 Jan

REPOSITORIES: biostudies-literature

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Publications

Economic burden of toxicities associated with treating metastatic melanoma in eight countries.

Wehler Elizabeth E   Zhao Zhongyun Z   Pinar Bilir S S   Munakata Julie J   Barber Beth B  

The European journal of health economics : HEPAC : health economics in prevention and care 20151231 1


<h4>Background</h4>Information on costs of managing adverse events (AEs) associated with current treatments in metastatic melanoma is limited. This study estimates costs of AEs in eight countries: Australia (AU), Canada (CA), France (FR), Germany (GE), Italy (IT), the Netherlands (NL), Spain (ES), and the UK.<h4>Methods</h4>A literature search was conducted to identify grade 3/4 AEs from product label, published trials, conference abstracts, and treatment guidelines. Resource utilization for the  ...[more]

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