Graduate School of Business, Columbia University, New York, NY 10027, USA.
Pharmacoeconomics. 2012 Mar;30(3):197-211. doi: 10.2165/11587150-000000000-00000.
This paper investigates the contribution of pharmaceutical innovation to recent longevity growth in Germany and France. The effect of the vintage of prescription drugs (and other variables) on the life expectancy and age-adjusted mortality rates of residents of Germany is examined, using longitudinal, annual, state-level data during the period 2001-7. The estimates imply that about one-third of the 1.4-year increase in German life expectancy during the period 2001-7 was due to the replacement of older drugs by newer drugs. The effect of the vintage of chemotherapy treatments on age-adjusted cancer mortality rates of residents of France is also investigated, using longitudinal, annual, cancer-site-level data during the period 2002-6. The estimates imply that chemotherapy innovation accounted for at least one-sixth of the decline in French cancer mortality rates, and may have accounted for as much as half of the decline.
本文考察了药品创新对德国和法国近期寿命增长的贡献。使用 2001-2007 年期间的纵向、年度、州级数据,考察了处方药(和其他变量)的使用年限对德国居民预期寿命和年龄调整死亡率的影响。估计结果表明,在 2001-2007 年期间,德国预期寿命增加了 1.4 年,其中约有三分之一归因于较新药物对较老药物的替代。还使用 2002-2006 年期间的纵向、年度、癌症部位水平数据,考察了化疗治疗的使用年限对法国居民年龄调整癌症死亡率的影响。估计结果表明,化疗创新至少解释了法国癌症死亡率下降的六分之一,而且可能解释了一半以上的下降。