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重组人血小板生成素治疗化疗或放化疗引起的血小板减少症的临床疗效和经济效益。

The Clinical Efficacy and Economic Benefits of Recombinant Human Thrombopoietin for the Treatment of Chemotherapy or Chemoradiotherapy-Induced Thrombocytopenia.

机构信息

Department of Medical Oncology, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou 310000, China.

Institute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou 310000, China.

出版信息

Contrast Media Mol Imaging. 2022 Jul 14;2022:2256690. doi: 10.1155/2022/2256690. eCollection 2022.

Abstract

Even though cytopenia caused by either chemotherapy or radiotherapy is a common complication in cancer patients, chemoradiotherapy remains an essential treatment for the majority of patients. The purpose of this study was to look into the clinical efficacy and cost-effectiveness of recombinant human thrombopoietin (rhTPO) in treating chemo- or chemoradiotherapy-induced grade II, III, and IV thrombocytopenia. From December 2019 to November 2020, 233 lung cancer patients admitted to our hospital with chemotherapy- or chemoradiotherapy-induced thrombocytopenia were enrolled and treated with rhTPO. The study's findings revealed a significant disparity in the use of concurrent chemoradiotherapy in patients with grade II, III, and IV thrombocytopenia. All costs, including rhTPO treatment costs, platelet costs, drug costs, and nondrug costs, tended to rise as the severity of thrombocytopenia increased. In the treatment of chemotherapy or radiotherapy-induced thrombocytopenia, rhTPO has shown good clinical efficacy. In the treatment of grade II thrombocytopenia, rhTPO has a favorable economic evaluation. As a result, early intervention and thrombocytopenia treatment should be provided, which warrants further clinical investigation.

摘要

尽管化疗或放疗引起的细胞减少症是癌症患者的常见并发症,但化疗或放化疗仍然是大多数患者的重要治疗方法。本研究旨在探讨重组人血小板生成素(rhTPO)治疗化疗或放化疗引起的 II 级、III 级和 IV 级血小板减少症的临床疗效和成本效益。2019 年 12 月至 2020 年 11 月,我院收治 233 例化疗或放化疗引起血小板减少症的肺癌患者,采用 rhTPO 治疗。研究结果显示,II 级、III 级和 IV 级血小板减少症患者同时接受放化疗的比例存在显著差异。随着血小板减少症的严重程度增加,包括 rhTPO 治疗费用、血小板费用、药物费用和非药物费用在内的所有成本均呈上升趋势。rhTPO 对化疗或放疗引起的血小板减少症具有良好的临床疗效。在治疗 II 级血小板减少症时,rhTPO 具有良好的经济评价。因此,应进行早期干预和血小板减少症治疗,值得进一步的临床研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbbd/9303501/a99913468586/CMMI2022-2256690.001.jpg

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