化疗对晚期和复发性宫癌的成本效益:系统性审查
1Department of Obstetrics and Gynecology, Fujinomiya City General Hospital, Fujinomiya, Japan.
Frontiers in health services
|August 12, 2025
概括
传统化疗对于晚期子宫癌是具有成本效益的. 新的药物提供生存益处,但往往超过支付意愿的门,需要基于价值的可持续癌症护理策略.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 药物经济学 药物经济学
背景情况:
- 晚期和复发的宫癌呈现出不良预后,往往需要缓和化疗.
- 系统性疗法,包括细胞毒药物,抗血管原剂和免疫检查点抑制剂,正在评估成本效益.
研究的目的:
- 系统地审查化学疗法治疗晚期或复发性宫癌的成本效益.
- 分析增量成本效益比率 (ICER) 并将其与支付意愿 (WTP) 门进行比较.
主要方法:
- 系统审查英语出版物报告子宫癌治疗的ICER.
- 在PubMed,Scopus和Web of Science进行文献搜索,没有日期限制.
- 包括10项符合预先定义的资格标准的研究.
主要成果:
- 一线基化疗始终具有成本效益,ICER低于WTP值.
- 添加贝瓦西祖马布可以提高生存率,但会产生边界或不利的ICER.
- 免疫疗法药物 (例如,布罗利祖马布) 和其他新疗法经常超过WTP值,成本效益因地区而异.
结论:
- 虽然较新的药物提供了生存益处,但它们的高成本往往超过了质量调整后生命年 (QALY) 的收益.
- 政策制定者和临床医生必须考虑经济影响,并优先考虑基于价值的策略,如价格谈判和生物标志物选择.
- 未来的研究应该专注于基于证据的定价和获得可持续全球癌症护理的模式.
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