米国で酵素置換療法を受けた患者のポンペ病の経済的負担に関する遡及コホート研究
Robert D Steiner1, Tmirah Haselkorn2, Nishitha R Pillai3
1Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Journal of medical economics
|September 4, 2025
まとめ
ポンペ病は酵素置換療法 (ERT) を受けている患者に重大な経済的負担を課します. 費用は主に門診サービスとERT自体に左右され,幼児発症のポンペ病 (IOPD) と遅発症のポンペ病 (LOPD) の間で変動します.
科学分野:
- 医学経済学
- 珍しい 病気
- 薬学経済学
背景:
- ポンペ病は筋肉の機能に影響する珍しい遺伝疾患です.
- 酵素置換療法 (ERT) は,ポンペ病の主要な治療法である.
- ポンペ病の経済的負担を理解することは 医療資源の配分に不可欠です
研究 の 目的:
- ポンペ病の経済的負担を量化するために,米国でERTを受けています.
- 幼児発症ポンペ病 (IOPD) と遅発症ポンペ病 (LOPD) のコストを区分する.
主な方法:
- MerativeTM MarketScan Research Databases (2012-2022) を使用した遡及コホート研究
- 入学基準:ポンペ病の診断,ERTの使用,継続的な入学
- IOPDとLOPDのコホートに分類された患者は,診断時の年齢と臨床表現に基づいて分類された.
主要な成果:
- 105人の患者 (50人のIOPD,55人のLOPD) が含まれており,平均フォローアップ期間は914~987日でした.
- 外来診療 (94.0% IOPD, 89.1% LOPD) と入院 (46.0% IOPD, 29.0% LOPD) の利用率は高い.
- 平均総コスト:950,380ドル (IOPD) と1,857,823ドル (LOPD); ERTは両方の主要なコストドライバーでした.
結論:
- ポンペ病は ERT にもかかわらず,かなりの経済的負担を伴う.
- 外来医療とERTは,IOPDとLOPDの両方の主要なコストドライバーです.
- IOPD患者は入院治療とサポートケア費用が高く,LOPD患者は診療費が高くなりました.
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