POTENTIAL TIME SAVINGS WITH RITUXIMAB SUBCUTANEOUS (SC) INJECTION VERSUS RITUXIMAB INTRAVENOUS (IV) INFUSION- RESULTS FROM INTERVIEWS AT 13 EUROPEAN SITES AS PART OF A TIME AND MOTION STUDY (T&M)
Author(s)
De Cock E1, Carella AM2, Tao S3, Wiesner C41United BioSource Corporation, Barcelona, Spain, 2KRCSS AOU, San Martino, Italy, 3United BioSource Corporation, Dorval, QC, Canada, 4F. Hoffmann-La Roche Ltd., Basel, Switzerland
OBJECTIVES: Generate preliminary estimates of active health care professional (HCP) time required /potential time and cost savings between SC vs. IV rituximab processes at the care unit and pharmacy in sites participating in T&M sub-study to MO25455 trial (ClinicalTrials.gov identifier NCT01461928). METHODS: As part of an ongoing multi-country, multi-centre, prospective, T&M study run as a sub-study to MO25455, one interview with a nurse and pharmacy member was conducted per site, using a structured questionnaire to elicit practice pattern flow and time estimates for rituximab-related tasks for both IV and SC processes. Estimates of SC injection time were obtained from the Spark-Thera Phase Ib trial (BP22333) (in the absence of staff-elicited time estimates). Estimated total time/cost was calculated as the sum of individual task times/costs. UK salary costs were assumed. Results were pooled and descriptive statistics were calculated. RESULTS: Median total HCP time for IV vs. SC processes was estimated at 57 and 26 minutes, respectively, equivalent to approximately £79 and £37 (estimated 54% reduction with SC). For IV, process time is taken up by premedication (27%) and rituximab pharmacy reconstitution (18%), with the remaining 55% distributed across other care unit tasks. For SC, premedication (57%), injection (24%) and rituximab pharmacy dispensing (19%) constitute the whole process. Potential time savings are expected because of avoiding tasks related mainly to infusion line (dis)connection, infusion initiation/dose escalations, and IV pharmacy reconstitution, which is only partially being replaced by SC injection. CONCLUSIONS: A switch from IV to SC rituximab potentially results in important care unit and pharmacy time savings to be reinvested in improving overall patient care. Patients could potentially be moved out of the chemotherapy care unit to receive SC administration in other settings and free up valuable chair time, thereby increasing the unit’s throughput and overall efficiency. Data of the T&M study is awaited.
Conference/Value in Health Info
2012-11, ISPOR Europe 2012, Berlin, Germany
Value in Health, Vol. 15, No. 7 (November 2012)
Code
PHS83
Topic
Economic Evaluation
Topic Subcategory
Cost/Cost of Illness/Resource Use Studies
Disease
Oncology