Granulocyte colony-stimulating factors in the prevention of febrile neutropenia: review of cost-effectiveness models

Autor: Guillermo Villa, Milton C. Weinstein, Kelly Fust, Qing Gu, Xiaoyan Li, Spiros Tzivelekis, Gary H. Lyman, Michael Maschio, Anju Parthan
Rok vydání: 2017
Předmět:
Zdroj: Expert Review of Pharmacoeconomics & Outcomes Research. 17:39-52
ISSN: 1744-8379
1473-7167
DOI: 10.1080/14737167.2017.1276829
Popis: Introduction: We reviewed the evolution of the methods used in cost-effectiveness analyses of granulocyte colony-stimulating factors (G-CSFs) in the primary and secondary prevention of febrile neutropenia (FN) in patients receiving myelosuppressive cancer chemotherapy.Areas covered: FN is a side effect of myelosuppressive chemotherapy associated with significant morbidity, mortality, and costs. The risk of FN may depend on the drugs used within a chemotherapy regimen, and an FN event may cause chemotherapy dose reductions or delays in subsequent cycles.Expert commentary: More recent pharmacoeconomic models have reflected these clinical observations by modeling sequential chemotherapy regimens to account for FN risk on a per-cycle basis, and by accounting for chemotherapy dose reductions and consequent survival losses.
Databáze: OpenAIRE