Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Bristol Myers Squibb, Princeton, NJ, USA.
Leuk Lymphoma. 2021 Sep;62(9):2169-2176. doi: 10.1080/10428194.2021.1910686. Epub 2021 May 21.
This retrospective study estimated postinfusion health care resource utilization (HCRU) by site of care among 303 patients with relapsed/refractory large B-cell lymphoma who received third- or later-line treatment with lisocabtagene maraleucel (liso-cel) in the TRANSCEND NHL 001 and OUTREACH trials. Inpatients ( = 256) had higher rates of hospitalization versus outpatients ( = 47; >99% vs 62%), by definition, and higher rates of tocilizumab use for cytokine release syndrome and/or neurological events (22% vs 9%). Rates of intensive care unit admission, corticosteroid use, vasopressor use, hemodialysis, and intubation were generally low and similar between groups. Median (range) total hospital length of stay was 15 (0-88) days (inpatients) and 4 (0-77) days (outpatients). Over 6 months, estimated mean postinfusion cost of care was $89,535 (inpatients) and $36,702 (outpatients). Most costs were incurred in the first month post infusion (inpatients, $50,369 [56%]; outpatients, $19,837 [54%]). Lower overall HCRU was observed with outpatient postinfusion monitoring.
这项回顾性研究估计了 TRANSCEND NHL 001 和 OUTREACH 试验中 303 例接受三线或后线治疗的复发/难治性大 B 细胞淋巴瘤患者输注后按治疗地点的卫生保健资源利用(HCRU)。住院患者(n=256)的住院率高于门诊患者(n=47;>99% vs 62%),定义如此,且因细胞因子释放综合征和/或神经系统事件使用托珠单抗的比例也更高(22% vs 9%)。入住重症监护病房、使用皮质类固醇、使用血管加压药、血液透析和插管的比例通常较低,且两组之间相似。中位(范围)总住院时间为 15(0-88)天(住院患者)和 4(0-77)天(门诊患者)。输注后 6 个月内,估计的平均输注后治疗费用为 89535 美元(住院患者)和 36702 美元(门诊患者)。大多数费用发生在输注后第一个月(住院患者,50369 美元[56%];门诊患者,19837 美元[54%])。输注后门诊监测的整体 HCRU 较低。
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