Blue Ridge Cancer Centers/The US Oncology Network, Blacksburg, VA, USA.
Ontada, Woodlands, TX, USA.
Future Oncol. 2022 Nov;18(35):3881-3894. doi: 10.2217/fon-2022-0754. Epub 2022 Nov 15.
To describe the burden of chemotherapy-induced myelosuppression among chemotherapy-treated patients with extensive-stage small-cell lung cancer (ES-SCLC). Occurrence of grade ≥3 myelosuppressive hematological adverse events (HAEs), treatment patterns and healthcare resource utilization (HCRU) after chemotherapy initiation were evaluated using data from The US Oncology Network and Non-network clinics (1/1/2015-12/31/2020). Among patients with laboratory values (Network: N = 1,374/1,574; Non-network: N = 661/959), over half-experienced grade ≥3 HAEs after chemotherapy initiation (Network = 56.6%; Non-network = 64.1%), and approximately one-third had grade ≥3 HAEs in at least two lineages (Network = 33.0%; Non-network = 31.3%). Patients with grade ≥3 HAEs had greater dose reductions, treatment delays and HCRU than those without. Myelosuppression is a burden to patients with ES-SCLC treated with chemotherapy and the healthcare system.
描述广泛期小细胞肺癌(ES-SCLC)化疗患者中化疗引起的骨髓抑制的负担。使用美国肿瘤网络和非网络诊所的数据(2015 年 1 月 1 日至 2020 年 12 月 31 日)评估化疗开始后≥3 级骨髓抑制性血液不良事件(HAE)的发生、治疗模式和医疗保健资源利用(HCRU)。在有实验室值的患者中(网络:N=1374/1574;非网络:N=661/959),超过一半的患者在化疗开始后经历了≥3 级 HAE(网络=56.6%;非网络=64.1%),约三分之一的患者在至少两个谱系中出现了≥3 级 HAE(网络=33.0%;非网络=31.3%)。有≥3 级 HAE 的患者比没有 HAE 的患者有更大的剂量减少、治疗延迟和 HCRU。骨髓抑制是接受化疗治疗的 ES-SCLC 患者及其医疗保健系统的负担。