REAL-WORLD TREATMENT PATTERNS IN STAGE IV NON-SQUAMOUS NON-SMALL CELL LUNG CANCER IN ARGENTINA
Author(s)
Novick D1, Hong J2, Sheffield KM3, Mills BJ4, Gallino J5
1Eli Lilly and Company, Windlesham, Surrey, UK, 2Gachon University, Seongnam, Korea, Republic of (South), 3Eli Lilly and Company, Indianapolis, IN, USA, 4Elilly and Company, Indianapolis, IN, USA, 5Institute of Medical Specialties SA, Pilar, Argentina
OBJECTIVES:: To describe real-world data on patient characteristics and treatment patterns for patients with stage IV non-squamous non-small cell lung cancer (NSCLC) who had received first-line or second-line treatments in Argentina. METHODS:: Data were taken from the Institute of Medical Specialties SA (IEMSA) electronic claims database in Argentina. This study included patients (n=175) who were ≥18 years old, diagnosed with stage IV non-squamous NSCLC between November 2007 and August 2016, and had received first-line or second-line treatments. Data were summarized using descriptive statistics. Time to death from date of NSCLC diagnosis was described using Kaplan-Meier survival estimates RESULTS:: The mean age of the patients at NSCLC diagnosis was 59.3 (SD: 9.8), and 74.9% were male. ECOG performance status (PS) at the time of diagnosis was PS=0 in 4.6%, PS=1 in 73.6%, PS=2 in 19.5%, and PS=3 in 2.3%. Of the 175 patients, 32.6% (n=57) progressed to second-line treatment. Seventeen and 20 different regimens were used as first-line and second-line treatments, respectively. Carboplatin+paclitaxel (44.0%, n=77), bevacizumab+carboplatin+paclitaxel (7.4%, n=13) and cisplatin+gemcitabine (7.4%, n=13) were most frequently used in first-line treatment, whereas pemetrexed (28.1%, n=16) and docetaxel (14.0%, n=8) were most frequently used in second-line treatment. About two-thirds had symptom progression at the end of first-line (64.1%) and second-line treatment (64.3%), respectively. However, only 32.0% of all patients received palliative care, together with chemotherapy (n=36) and/or after chemotherapy (n=36). The median overall survival since NSCLC diagnosis was 5.4 months (95% CI [5.0 – 6.0]). CONCLUSIONS:: Treatment patterns for patients with non-squamous NSCLC in Argentinian institutions were considerably heterogeneous. These patients also exhibited a poor prognosis with high rates of progression and low rates of survival. These findings reaffirm the need for the development of new strategies and guidelines for NSCLC management in Argentina.
Conference/Value in Health Info
2017-09, ISPOR Latin America 2017, Sao Paulo, Brazil
Value in Health, Vol. 20, No. 9 (October 2017)
Code
PCN61
Topic
Health Service Delivery & Process of Care
Topic Subcategory
Treatment Patterns and Guidelines
Disease
Oncology