中国药学杂志2024,Vol.59Issue(4) :363-368.DOI:10.11669/cpj.2024.04.010

基于真实世界数据的PEG-rhG-CSF用于预防卵巢恶性肿瘤患者化疗引起的中性粒细胞减少症的成本-效用分析

Cost-Effectiveness Analysis of PEG-rhG-CSF as Primary Prophylaxis to Chemotherapy-Induced Neutrope-nia in Patients with Epithelial Ovarian Cancer in China:Based on Real-Word Data

梁艳 赵杰 李嘉 娄小飞 乔高星 张瑞 胡伟 李军芳 左旭 杜书章
中国药学杂志2024,Vol.59Issue(4) :363-368.DOI:10.11669/cpj.2024.04.010

基于真实世界数据的PEG-rhG-CSF用于预防卵巢恶性肿瘤患者化疗引起的中性粒细胞减少症的成本-效用分析

Cost-Effectiveness Analysis of PEG-rhG-CSF as Primary Prophylaxis to Chemotherapy-Induced Neutrope-nia in Patients with Epithelial Ovarian Cancer in China:Based on Real-Word Data

梁艳 1赵杰 1李嘉 1娄小飞 1乔高星 1张瑞 1胡伟 2李军芳 3左旭 4杜书章1
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作者信息

  • 1. 郑州大学第一附属医院药学部,郑州 450001
  • 2. 信阳市中心医院药学部,河南信阳 464099
  • 3. 河南科技大学第一附属医院药学部,河南洛阳 471003
  • 4. 新乡市中心医院药学部,河南新乡 453099
  • 折叠

摘要

目的 评价长效聚乙二醇化重组人粒细胞刺激因子(PEG-rhG-CSF)与短效重组人粒细胞集落刺激因子(rhG-CSF)用于预防卵巢恶性肿瘤患者化疗引起的中性粒细胞减少症的经济性.方法 使用真实世界数据,从医疗卫生系统角度出发,构建马尔可夫(Markov)模型,使用成本效用分析对2种药物的经济性进行评价,并通过敏感性分析和情景分析验证模型的稳健性.结果 基础分析结果显示,与rhG-CSF组相比,PEG-rhG-CSF组可节约成本2 279.63元,增加0.27质量调整生命年(QALYs),增量成本效果比(ICER)值为-8 393.90元/QALY,具有绝对经济优势.敏感性分析和情景分析均显示了研究结果的稳健性.结论 PEG-rhG-CSF较rhG-CSF用于预防卵巢恶性肿瘤患者化疗引起的中性粒细胞减少症更具有经济性.

Abstract

OBJECTIVE To evaluate the cost-effectiveness of PEG-rhG-CSF versus rhG-CSF in patients with epithelial ovarian cancer in central China for preventing chemotherapy-induced neutropenia.METHODS Two Markov models form healthcare system perspective were developed to evaluate the economics of PEG-rhG-CSF versus rhG-CSF using cost-utility analysis.Cost and probability input data were primarily obtained from a retrospective real-world study conducted in four tertiary hospitals from January 2019 to De-cember 2020.One-way sensitivity analysis,probability sensitivity analysis and scenario analysis were used to verify the robustness of the results.RESULTS The basic analysis showed that,compared with rhG-CSF,PEG-rhG-CSF resulted in higher QALYs and lower cost,gained 0.27 QALYs more while spending 2279.63 yuan less,and the incremental cost-effectiveness ratios were ¥-8393.9/QA-LY.Sensitivity analysis and scenario analysis revealed robust results.CONCLUSION PEG-rhG-CSF is economically advantageous in Chinese patients with epithelial ovarian cancer for preventing chemotherapy-induced neutropenia.

关键词

聚乙二醇化重组人粒细胞刺激因子/重组人粒细胞集落刺激因子/真实世界/中性粒细胞减少/成本效用分析

Key words

PEG-rhG-CSF/rhG-CSF/real-world/neutropenia/cost-utility analysis

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基金项目

河南省医学科技攻关软科学研究计划(RKX202102017)

出版年

2024
中国药学杂志
中国药学会

中国药学杂志

CSTPCD北大核心
影响因子:0.957
ISSN:1001-2494
参考文献量27
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