Disease Monitoring and Treatment Patterns of von Hippel-Lindau Disease-Associated Renal Cell Carcinoma in the United States
- Eric Jonasch 1, Yan Song 2, Jonathan Freimark 2, Manasi Mohan 2, James Signorovitch 2, Murali Sundaram 3
- Eric Jonasch 1, Yan Song 2, Jonathan Freimark 2
- 1The University of Texas MD Anderson Cancer Center, Houston, TX 77030.
- 2Analysis Group, Inc, Boston, MA 02199.
- 3Merck Sharp & Dohme LLC, a Subsidiary of Merck & Co., Inc., Rahway, NJ 07065.
- 0The University of Texas MD Anderson Cancer Center, Houston, TX 77030.
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View abstract on PubMed
Summary
This summary is machine-generated.Patients with von Hippel-Lindau (VHL) disease experience lifelong tumor risks. This study highlights VHL-associated renal cell carcinoma (VHL-RCC) treatment patterns and monitoring, showing increased healthcare utilization beyond surgery.
Area Of Science
- Oncology
- Genetics
- Nephrology
Background
- Patients with von Hippel-Lindau (VHL) disease face lifelong risks of developing tumors in multiple organs.
- This study focuses on disease monitoring and treatment strategies for VHL-associated renal cell carcinoma (VHL-RCC).
Purpose Of The Study
- To evaluate disease monitoring and treatment patterns in patients with VHL-RCC.
- To compare healthcare utilization between VHL-RCC patients and matched controls.
Main Methods
- Utilized Optum's Clinformatics Data Mart Database (2007-2020) to identify patients with VHL-RCC.
- Matched VHL-RCC patients with controls without VHL or RCC.
- Analyzed treatment patterns, pain management drug use, disease monitoring, and specialist visits using generalized linear models.
Main Results
- The most common VHL-RCC treatments were nephrectomy and targeted therapies.
- VHL-RCC patients exhibited higher pain management drug use and received more disease monitoring procedures and specialist visits compared to controls.
- Median time to first RCC tumor treatment was 48 days from diagnosis.
Conclusions
- The management of VHL-RCC involves extensive treatments beyond surgical interventions.
- Effective tumor control strategies are crucial for mitigating the morbidity associated with VHL-RCC.
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