PHARMACOECONOMIC EVALUATION OF FILGRASTIM (r-metHuG-CSF) TREATMENT IN AUTOLOGOUS BONE MARROW TRANSPLANTATION
Author(s)
Privitera G1, Della Volpe A2, Tagliaferri E2, Vegni FE4, Bosisio C1, Bottoni A3, Pierfederici P3, Auxilia F1, Lambertenghi Deliliers G2, 1Istituto di Igiene e Medicina Preventiva - Ospedale Maggiore di Milano (IRCCS), Milan, Italy; 2Centro Trapianti di Midollo Osseo - Ospedale Maggiore di Milano (IRCCS), Milan, Italy; 3Roche SpA - Ricerca Clinica e Drug Safety, Milano, Italy; 4London School of Hygiene & Tropical Medicine, Environmental Epidemiology Unit, London, UK
Minimization cost analysis of hospitalization of 40 patients affected by hemopoietic malignancies that underwent autologous bone marrow transplantation has been performed. Clinical records of 27 patients treated with Filgrastim have been compared with records of 13 patients not treated. The retrospective comparative analysis included days of hospitalization, antibiotic therapy, nursing time, transfusion episodes, microbiological cultures required. Overall average hospitalization cost since transplantation for treated patients was £65,537,774 versus £69,479,878 (p<0.004). Average hospitalization time since transplantation for treated patients was 29.3 days versus 32.7 for not treated. Thus, hospitalization after transplantation was 3.4 days (HR 5.3; 95% C.I. 2.0 to 13.9) shorter for treated, accounting for a 10.4% saving in hospitalization time. Treated patients had average 5.6 days less in sterile room (HR 5.0; 95% C.I. 2.0 to 12.4). Every treated patient hospitalization raised savings for at least £3.942.104, taking into account the average savings in hospitalization days after transplantation. Moreover, Filgrastim use lead to overall and "sterile" nursing timesavings of 6.5% and 16.8%, results in accordance with shorter hospitalization. Our results are similar to those reported by other studies. Suitable use of Filgrastim, reducing hospitalization length and disease course, appears to be a valid way to improve health-care efficiency.
Conference/Value in Health Info
1999-11, ISPOR Europe 1999, Edinburgh, Scotland
Value in Health, Vol. 2, No. 5 (September/October1999)
Code
PCA1
Topic
Economic Evaluation
Topic Subcategory
Cost/Cost of Illness/Resource Use Studies
Disease
Oncology