Vergnenègre Alain, Chouaïd Christos
a Unité d'Oncologie Thoracique et Cutanée , Hôpital Dupuytren , Limoges , France.
b Service de Pathologie Respiratoire , Centre Hospitalier Intercommunal de Créteil , Créteil , France.
Expert Rev Pharmacoecon Outcomes Res. 2018 Oct;18(5):519-528. doi: 10.1080/14737167.2018.1485099. Epub 2018 Jun 14.
During the past few years, medical-economic evaluation of lung cancers (LCs) has become unavoidable. Total management costs have been rising constantly, with values almost doubling every 10 years. The financial impact will be even greater with the new molecules now marketed. The methodology for these studies conforms with international recommendations but must be adapted to the new stakes of LC management.
This review provides an overview of the available literature concerning the economics of treating non-small-cell lung cancer (NSCLC). We first address the global costs of LCs. Detailed analyses were then computed for the different LC stages: localized, locally advanced and metastatic. For metastatic NSCLC, subsections are devoted to targeted therapies and immunotherapies.
Drug costs are one of the major challenges of LC management. The multiplication of medical-economic analyses will assure better access to the marketing of these new and expensive therapeutic agents, but also to the selection of the best management strategy for these cancers.
在过去几年中,肺癌(LC)的医学经济评估已变得不可避免。总体管理成本一直在不断上升,几乎每10年就会翻倍。随着目前市场上出现的新分子药物,其经济影响将更加巨大。这些研究的方法符合国际建议,但必须适应肺癌管理的新要求。
本综述概述了有关非小细胞肺癌(NSCLC)治疗经济学的现有文献。我们首先探讨肺癌的总体成本。然后针对不同的肺癌阶段进行了详细分析:局限性、局部晚期和转移性。对于转移性NSCLC,还专门讨论了靶向治疗和免疫治疗。
药物成本是肺癌管理的主要挑战之一。医学经济分析的增加将确保更好地推广这些新的昂贵治疗药物,同时也有助于为这些癌症选择最佳管理策略。