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外周T细胞淋巴瘤患者的真实世界治疗模式、医疗资源利用及成本

Real-world treatment patterns, healthcare resource utilization and costs among patients with peripheral T-cell lymphoma.

作者信息

Dharmani Charles, Unni Sudhir, Pham Ngan, Shaikh Nazneen Fatima, Xiong Yan, Vashi Rohan, Fofah Oluwatosin, Strubing Alessandria, Salas Maribel, Tu Nora, Wooddell Margaret, Zhou Xiaoyu, Near Aimee

机构信息

Daiichi Sankyo, Inc., 211 Mount Airy Road, Basking Ridge, NJ 07920, USA.

IQVIA, 2400 Ellis Road, Durham, NC 27703, USA.

出版信息

Future Oncol. 2024 May;20(15):1013-1030. doi: 10.2217/fon-2023-0615. Epub 2023 Oct 10.

Abstract

To evaluate treatment patterns, healthcare resource utilization (HRU) and costs among peripheral T-cell lymphoma (PTCL) patients in the USA. A retrospective cohort study, using the IQVIA PharMetrics Plus claims database from 1 April 2011 to 30 November 2021, identified PTCL patients receiving systemic treatments. Three mutually exclusive subcohorts were created based on line of therapy (LOT): 1LOT, 2LOT and ≥3LOT. Common treatment regimens, median time on treatment, all-cause and PTCL-related HRU and costs were estimated. Among 189 PTCL patients identified, 61.9% had 1LOT, 21.7% had 2LOT and 16.4% had ≥3LOT. The most common treatment regimens in the 1LOT were CHOP/CHOP-like, CHOEP/CHOEP-like and brentuximab vedotin; monotherapies were most common in the 2LOT and ≥3LOT. All-cause and PTCL-related hospitalizations and prescriptions PPPM increased with increasing LOT. Nearly 70% of total treatment costs were PTCL related. Higher utilization of combination therapies in the 1LOT and monotherapies in subsequent LOTs were observed, alongside high PTCL-related costs.

摘要

评估美国外周T细胞淋巴瘤(PTCL)患者的治疗模式、医疗资源利用(HRU)及成本。一项回顾性队列研究,使用IQVIA PharMetrics Plus索赔数据库(2011年4月1日至2021年11月30日),确定接受全身治疗的PTCL患者。根据治疗线数(LOT)创建了三个相互排斥的亚队列:1LOT、2LOT和≥3LOT。估计了常见治疗方案、中位治疗时间、全因及PTCL相关的HRU和成本。在确定的189例PTCL患者中,61.9%为1LOT,21.7%为2LOT,16.4%为≥3LOT。1LOT中最常见的治疗方案是CHOP/类CHOP、CHOEP/类CHOEP和brentuximab vedotin;单药治疗在2LOT和≥3LOT中最常见。全因及PTCL相关的住院和处方PPPM随LOT增加而增加。近70%的总治疗成本与PTCL相关。观察到1LOT中联合治疗的利用率较高,后续LOT中单药治疗的利用率较高,同时PTCL相关成本也较高。

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