通过患者援助计划评估新瘤药物覆盖的经济影响
Vanessa Mara Samuel1,2, Megan Chan2, Mina Huang2
1Department of Medical Oncology, University of Calgary, Calgary, AB, Canada.
JCO oncology practice
|December 9, 2024
概括
患者援助计划 (PAP) 为等待药物资助的加拿大瘤患者提供了实质性的经济价值和获得的生命年数. 这些计划弥合了关键的差距,证明了显著的临床和财务效益.
科学领域:
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
- 公共卫生政策 公共卫生政策
背景情况:
- 加拿大瘤病患经常使用患者援助计划 (PAP) 在资金延迟期间获得药物.
- 一个普遍的公共医疗保健系统并不总是保证及时获得新的瘤治疗方法.
研究的目的:
- 评估PAPs对不列颠哥伦比亚省癌症患者的药物经济和临床影响.
- 量化PAP提供的经济价值和生存效益.
主要方法:
- 这是一项多中心的回顾性研究,涉及2016-2019年期间在PAP注册的1,025名癌症患者.
- 通过将实际存活率与没有PAP支持的估计存活率进行比较,计算了获得的人寿年数 (PLYG).
- 评估了与药物成本相比获得的质量调整寿命年 (QALY) 的经济价值.
主要成果:
- 1,025名患者通过PAP获得了40种瘤药物,加拿大卫生部批准和省级资金之间平均有2.04年的差距.
- 总生存时间 (OS) 的中位数为0.38年,无进展生存时间 (PFS) 的中位数为0.80年.
- 估计QALY获得的经济价值超过8300万美元,而药物成本为9700万美元.
结论:
- 公共资金计划覆盖了大量成本 (高达1亿美元),弥补了监管批准和公共资金缺口.
- 从PAP中获得的经济价值和PLYG对瘤患者来说很重要.
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