Cost of Treating Cutaneous T-Cell Lymphoma in Spain: Analysis of MICADOS Study Data by Disease Stage

Background and objective: The cost of treating cutaneous T-cell lymphoma (CTCL) in Spain is unknown. With the advent of new treatments, it is more important than ever to gain an accurate picture of the true costs involved. The MICADOS study had 2 primary objectives: 1) to evaluate the impact of CTCL...

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Detalles Bibliográficos
Autores: Matilla, BN, Romero, PLO, Vallverdú, RMP, Escudero, AC, Paz, IZ, Barca, EG, Montserrat, CM, Andújar, MM, Ferriols, AP, Curto, CR, Cabrera, RFD, Gil, MH, Niebla, AM, Rull, PJR, Vicente, FD, Belloso, RMI, García-Sancho, AM, Amer, MEP, Mascuñano, RC, Quiles, MDR, Carreres, AS, García, RD, Machan, S, Ester, PV, Garnelo, JB
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p19605
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/19605
Access Level:acceso abierto
Palabra clave:Mycosis fungoides
Sezary syndrome
Cost of disease
Pharmacoeconomics
Descripción
Sumario:Background and objective: The cost of treating cutaneous T-cell lymphoma (CTCL) in Spain is unknown. With the advent of new treatments, it is more important than ever to gain an accurate picture of the true costs involved. The MICADOS study had 2 primary objectives: 1) to evaluate the impact of CTCL on patient quality of life, and 2) to evaluate the costs associated with the disease. This article reports the results of the cost analysis. Methods: We estimated the cost of treating CTCL over a period of 1 year from the perspective of the Spanish National Health System. Twenty-three dermatologists and hematologists from 15 public hospitals analyzed data for adult patients with mycosis fungoides (MF) or Sezary syndrome (SS). Results: A total of 141 patients (57.4% male) with a mean age of 63.6 years (95% CI: 61.4-65.7 years) were included. The mean direct annual cost of treating CTCL was euro 34,214 per patient. The corresponding costs by stage were euro 11,952.47 for stage I disease, euro 23,506.21 for stage II disease, euro 38,771.81 for stage III disease, and euro 72,748.84 for stage IV disease. The total direct annual cost of treating MF/SS in public hospitals in Spain was estimated at euro 78,301,171; stage I disease accounted for 81% of all costs, stage II for 7%, and stages III and IV for 6% each. Conclusions: The MICADOS study offers an accurate picture of the direct cost of treating CTCL in patients with MF/SS in Spain and shows that costs vary significantly according to disease stage. Patient-borne and indirect costs should be analyzed in future studies. (c) 2023 AEDV. Published by Elsevier Espana, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).