Economic burden of patients with advanced non-small-cell lung cancer receiving nivolumab versus chemotherapy in China

Immunotherapy. 2020 Mar;12(4):245-254. doi: 10.2217/imt-2020-0030. Epub 2020 Mar 19.

Abstract

Aim: As new treatment patterns are gradually being used in patients with non-small-cell lung cancer, it is necessary to have a better understanding of real-world data on clinical practices and their potential impact on healthcare resource utilization (HCRU). Patients & methods: A retrospective observational study was conducted with electronic medical records from Shanghai Chest Hospital. Hospitalized patients treated with nivolumab or second-line chemotherapy were included. Results: A total of 296 patients were included in this study, of whom 187 were treated with nivolumab. About 74.33% received nivolumab monotherapy at different doses. The mean cost of nivolumab was $3334.14 (±86.69). Nivolumab decreased inpatient days to 1.9545 days with a more stable cost and HCRU per cycle. Conclusion: Nivolumab is expensive but it reduces other HCRU.

Keywords: HCRU; NSCLC; chemotherapy; healthcare resource utilization; nivolumab; non-small-cell lung cancer.

Publication types

  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents / economics*
  • Antineoplastic Agents / therapeutic use
  • Carcinoma, Non-Small-Cell Lung / drug therapy*
  • Carcinoma, Non-Small-Cell Lung / economics
  • Carcinoma, Non-Small-Cell Lung / pathology
  • China
  • Cost of Illness*
  • Female
  • Hospitalization / economics
  • Humans
  • Immune Checkpoint Inhibitors / economics*
  • Immune Checkpoint Inhibitors / therapeutic use
  • Lung Neoplasms / drug therapy*
  • Lung Neoplasms / economics
  • Lung Neoplasms / pathology
  • Male
  • Middle Aged
  • Nivolumab / economics*
  • Nivolumab / therapeutic use
  • Progression-Free Survival
  • Retrospective Studies
  • Young Adult

Substances

  • Antineoplastic Agents
  • Immune Checkpoint Inhibitors
  • Nivolumab