A cost--utility analysis comparing second-line chemotherapy schemes in patients with metastatic breast cancer.

Abstract:

:A cost-utility analysis has been performed comparing taxanes, vinorelbine and standard therapy for metastatic breast cancer considering clinical efficacy, quality-adjusted-life-years (QALYs) and costs. A decision model has been built. Clinical efficacy data were collected by literature review. Utility data and cost data were collected from previous studies and Dutch wholesale prices. Except for the MV standard therapy, VM has the lowest C/E ratio of $17,114/QALY, followed by paclitaxel ($30,270/QALY) and docetaxel ($49,739/QALY). VM yields the highest number of QALYs (0.47), compared to paclitaxel (0.35), docetaxel (0.34) and MV (0.29). Compared to the MV standard therapy, the incremental C/E of VM is $23,046/QALY, which is the lowest of all alternatives. We conclude that compared to paclitaxel, docetaxel and MV standard chemotherapy, VM is the most cost-effective second-line chemotherapy for metastatic breast cancer patients. There is a considerable variation in utility scores, depending on the methods or the data sources used. The C/E ratios were influenced most strongly by drug prices, utility and efficacy (in descending order of importance).

journal_name

Anticancer Drugs

journal_title

Anti-cancer drugs

authors

Li N,van Agthoven M,Willemse P,Uyl-de Groot C

doi

10.1097/00001813-200107000-00007

subject

Has Abstract

pub_date

2001-07-01 00:00:00

pages

533-40

issue

6

eissn

0959-4973

issn

1473-5741

journal_volume

12

pub_type

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