现实世界的模式和与中度至重度性结肠炎患者先进疗法治疗失败相关的经济负担
Scott D Lee1, Keith A Betts2, Ella Xiaoyan Du2
1University of Washington Medical Center, Seattle, WA, USA.
大多数患有中度至重度性结肠炎 (UC) 的患者在一年内失败了第一线先进疗法,造成了相当大的成本. 需要新的,持久的UC治疗方法.
科学领域:
- 胃肠病学 胃肠病学
- 药物经济学 药物经济学
- 现实世界的证据.
背景情况:
- 中度至重度的性结肠炎 (UC) 治疗可能导致反应丧失.
- 一线先进疗法通常用于UC管理.
研究的目的:
- 在UC中描述现实世界治疗失败模式.
- 评估与第一线UC先进疗法治疗失败相关的经济负担.
主要方法:
- 对IBM MarketScan数据库 (2010-2019) 的回顾性分析.
- 识别成人患者开始UC的先进治疗.
- 治疗开始后12个月内失败的定义.
- 卡普兰-梅尔分析失败率和医疗保健资源利用成本分析 (HCRU).
主要成果:
- 75%的患者在12个月内经历治疗失败 (中位数为5.1个月).
- 增加非先进疗法是最常见的失败 (39%).
- 治疗失败显著增加了全因 (74,995美元对56,169美元) 和UC相关 (57,096美元对47,347美元) 的成本.
结论:
- 中度至重度UC的第一线先进疗法失败率很高.
- 治疗失败会导致巨大的经济负担.
- 需要更有效和更持久的UC治疗方法.
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