[Translated article] Cost of Treating Cutaneous T-Cell Lymphoma in Spain: Analysis of MICADOS Study Data by Disease Stage.

Cost of disease Coste de la enfermedad Farmacoeconomía Micosis fungoides Mycosis fungoides Pharmacoeconomics Sézary syndrome Síndrome de Sézary

Journal

Actas dermo-sifiliograficas
ISSN: 1578-2190
Titre abrégé: Actas Dermosifiliogr
Pays: Spain
ID NLM: 0373062

Informations de publication

Date de publication:
02 Dec 2023
Historique:
received: 10 05 2023
accepted: 08 08 2023
pubmed: 5 12 2023
medline: 5 12 2023
entrez: 4 12 2023
Statut: aheadofprint

Résumé

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. We estimated the cost of treating CTCL over a period of 1year 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 Sézary syndrome (SS). 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 €34,214 per patient. The corresponding costs by stage were €11,952.47 for stageI disease, €23,506.21 for stageII disease, €38,771.81 for stageIII disease, and €72,748.84 for stageIV disease. The total direct annual cost of treating MF/SS in public hospitals in Spain was estimated at €78,301,171; stageI disease accounted for 81% of all costs, stageII for 7%, and stagesIII andIV for 6% each. 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.

Sections du résumé

BACKGROUND AND OBJECTIVE 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 METHODS
We estimated the cost of treating CTCL over a period of 1year 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 Sézary syndrome (SS).
RESULTS 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 €34,214 per patient. The corresponding costs by stage were €11,952.47 for stageI disease, €23,506.21 for stageII disease, €38,771.81 for stageIII disease, and €72,748.84 for stageIV disease. The total direct annual cost of treating MF/SS in public hospitals in Spain was estimated at €78,301,171; stageI disease accounted for 81% of all costs, stageII for 7%, and stagesIII andIV for 6% each.
CONCLUSIONS 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.

Identifiants

pubmed: 38048944
pii: S0001-7310(23)00959-6
doi: 10.1016/j.ad.2023.11.017
pii:
doi:

Types de publication

Journal Article

Langues

eng spa

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.

Auteurs

B Navarro Matilla (B)

Departamento de Hematología, Hospital Universitario Puerta de Hierro, Madrid, Spain.

P L Ortiz Romero (PL)

Departamento de Dermatología, Hospital Universitario 12 de Octubre, Madrid, Spain.

R M Pujol Vallverdú (RM)

Departamento de Dermatología, Hospital del Mar, Barcelona, Spain.

A Combalia Escudero (A)

Departamento de Dermatología, Hospital Universitario Clínic i Provincial, Barcelona, Spain.

I Zapata Paz (I)

Departamento de Radiación Oncológica, Hospital Universitario Puerta de Hierro, Madrid, Spain.

E González Barca (E)

Departamento de Hematología, Institut Catalá d'Oncología, Hospitalet de Llobregat, Barcelona, Spain.

C Muniesa Montserrat (C)

Departamento de Dermatología, Hospital Universitario de Bellvitge, Barcelona, Spain.

M Morillo Andújar (M)

Departamento de Dermatología, Hospital Universitario Virgen del Rocío, Sevilla, Spain.

A Pérez Ferriols (A)

Departamento de Dermatología, Hospital General Universitario de Valencia, Valencia, Spain.

C Román Curto (C)

Departamento de Dermatología, Hospital General Universitario de Salamanca, Salamanca, Spain.

R Fernández de Misa Cabrera (R)

Departamento de Dermatología, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain.

M Hospital Gil (M)

Departamento de Dermatología, Hospital Universitario Puerta de Hierro, Madrid, Spain.

A Marín Niebla (A)

Departamento de Hematología, Hospital Universitario Vall d'Hebron/VHIO, Barcelona, Spain.

P J Rios Rull (PJ)

Departamento de Hematología, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain.

F de la Cruz Vicente (F)

Departamento de Hematología, Hospital Universitario Virgen del Rocío, Sevilla, Spain.

R M Izu Belloso (RM)

Departamento de Dermatología, Hospital de Basurto, Bilbao, Spain.

A Martín García-Sancho (A)

Departamento de Hematología, Hospital General Universitario de Salamanca, Salamanca, Spain.

M E Parera Amer (ME)

Departamento de Dermatología, Hospital Son Llàtzer, Palma de Mallorca, Spain.

R Córdoba Mascuñano (R)

Departamento de Hematología, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.

M D Ramón Quiles (MD)

Departamento de Dermatología, Hospital Clínico Universitario, Valencia, Spain.

A Saus Carreres (A)

Departamento de Hematología, Hospital Clínico Universitario, Valencia, Spain.

R Del Campo García (R)

Departamento de Hematología, Hospital Son Llàtzer, Palma de Mallorca, Spain.

S Machan (S)

Departamento de Dermatología, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.

P Viguera Ester (P)

Departamento Médico, Kyowa Kirin Farmacéutica, S.L., Madrid, Spain.

J Blanco Garnelo (J)

Departamento Médico, Kyowa Kirin Farmacéutica, S.L., Madrid, Spain. Electronic address: julia.blanco@kyowakirin.com.

Classifications MeSH