Economic burden in non‐Hodgkin lymphoma survivors: The French Lymphoma Study Association SIMONAL cross‐sectional study
Background No study has focused on the economic burden in non‐Hodgkin lymphoma (NHL) survivors, even though this knowledge is essential. This study reports on health care resource use and associated health care costs as well as related factors in a series of 1671 French long‐term NHL survivors. Meth...
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| Published in: | Cancer Vol. 128; no. 3; pp. 519 - 528 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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United States
Wiley
01.02.2022
Wiley Subscription Services, Inc |
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| ISSN: | 0008-543X, 1097-0142, 1097-0142 |
| Online Access: | Get full text |
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| Abstract | Background
No study has focused on the economic burden in non‐Hodgkin lymphoma (NHL) survivors, even though this knowledge is essential. This study reports on health care resource use and associated health care costs as well as related factors in a series of 1671 French long‐term NHL survivors.
Methods
Health care costs were measured from the payer perspective. Only direct medical costs (medical consultations, outpatient treatments, hospitalizations, and medical transport) in the past 12 months were included (reference year 2015). Multiple linear regression was used to search for explanatory factors of health care costs.
Results
In total, 1100 survivors (66%) reported having used at least 1 health care resource, and 867 (52%) reported having used at least 1 outpatient treatment. After the authors accounted for missing data, the mean health care cost was estimated at €702 ± €2221. Hospitalizations and outpatient treatments were the main cost drivers. Sensitivity analyses confirmed the robustness of the results. For the 1100 survivors who reported using at least 1 health care resource, the mean health care cost was €1067 ± €2268. Several factors demonstrated statistically significant relationships with health care costs. For instance, cardiovascular disorders increased costs by 66% ± 16%. In contrast, rituximab or autologous stem cell transplantation as initial therapy had no effect on health care costs.
Conclusions
The consideration of economic constraints in health care is now a reality. This retrospective study reports on a better understanding of health care resource use and associated health care costs as well as related factors. It may help health care professionals in their ongoing efforts to design person‐centered health care pathways.
Improvements in the management of non‐Hodgkin lymphoma (NHL) have led to longer survival with potentially increased health care consumption and costs. This cross‐sectional study in long‐term NHL survivors shows that health care resource use and associated costs are linked to sociodemographic factors and comorbidities with no influence from previous lymphoma treatments (chemotherapy, rituximab, and transplantation). |
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| AbstractList | BackgroundNo study has focused on the economic burden in non‐Hodgkin lymphoma (NHL) survivors, even though this knowledge is essential. This study reports on health care resource use and associated health care costs as well as related factors in a series of 1671 French long‐term NHL survivors.MethodsHealth care costs were measured from the payer perspective. Only direct medical costs (medical consultations, outpatient treatments, hospitalizations, and medical transport) in the past 12 months were included (reference year 2015). Multiple linear regression was used to search for explanatory factors of health care costs.ResultsIn total, 1100 survivors (66%) reported having used at least 1 health care resource, and 867 (52%) reported having used at least 1 outpatient treatment. After the authors accounted for missing data, the mean health care cost was estimated at €702 ± €2221. Hospitalizations and outpatient treatments were the main cost drivers. Sensitivity analyses confirmed the robustness of the results. For the 1100 survivors who reported using at least 1 health care resource, the mean health care cost was €1067 ± €2268. Several factors demonstrated statistically significant relationships with health care costs. For instance, cardiovascular disorders increased costs by 66% ± 16%. In contrast, rituximab or autologous stem cell transplantation as initial therapy had no effect on health care costs.ConclusionsThe consideration of economic constraints in health care is now a reality. This retrospective study reports on a better understanding of health care resource use and associated health care costs as well as related factors. It may help health care professionals in their ongoing efforts to design person‐centered health care pathways. No study has focused on the economic burden in non-Hodgkin lymphoma (NHL) survivors, even though this knowledge is essential. This study reports on health care resource use and associated health care costs as well as related factors in a series of 1671 French long-term NHL survivors. METHODS: Health care costs were measured from the payer perspective. Only direct medical costs (medical consultations, outpatient treatments, hospitalizations, and medical transport) in the past 12 months were included (reference year 2015). Multiple linear regression was used to search for explanatory factors of health care costs. RESULTS: In total, 1100 survivors (66%) reported having used at least 1 health care resource, and 867 (52%) reported having used at least 1 outpatient treatment. After the authors accounted for missing data, the mean health care cost was estimated at €702 ± €2221. Hospitalizations and outpatient treatments were the main cost drivers. Sensitivity analyses confirmed the robustness of the results. For the 1100 survivors who reported using at least 1 health care resource, the mean health care cost was €1067 ± €2268. Several factors demonstrated statistically significant relationships with health care costs. For instance, cardiovascular disorders increased costs by 66% ± 16%. In contrast, rituximab or autologous stem cell transplantation as initial therapy had no effect on health care costs. CONCLUSIONS: The consideration of economic constraints in health care is now a reality. This retrospective study reports on a better understanding of health care resource use and associated health care costs as well as related factors. It may help health care professionals in their ongoing efforts to design personcentered health care pathways. No study has focused on the economic burden in non-Hodgkin lymphoma (NHL) survivors, even though this knowledge is essential. This study reports on health care resource use and associated health care costs as well as related factors in a series of 1671 French long-term NHL survivors.BACKGROUNDNo study has focused on the economic burden in non-Hodgkin lymphoma (NHL) survivors, even though this knowledge is essential. This study reports on health care resource use and associated health care costs as well as related factors in a series of 1671 French long-term NHL survivors.Health care costs were measured from the payer perspective. Only direct medical costs (medical consultations, outpatient treatments, hospitalizations, and medical transport) in the past 12 months were included (reference year 2015). Multiple linear regression was used to search for explanatory factors of health care costs.METHODSHealth care costs were measured from the payer perspective. Only direct medical costs (medical consultations, outpatient treatments, hospitalizations, and medical transport) in the past 12 months were included (reference year 2015). Multiple linear regression was used to search for explanatory factors of health care costs.In total, 1100 survivors (66%) reported having used at least 1 health care resource, and 867 (52%) reported having used at least 1 outpatient treatment. After the authors accounted for missing data, the mean health care cost was estimated at €702 ± €2221. Hospitalizations and outpatient treatments were the main cost drivers. Sensitivity analyses confirmed the robustness of the results. For the 1100 survivors who reported using at least 1 health care resource, the mean health care cost was €1067 ± €2268. Several factors demonstrated statistically significant relationships with health care costs. For instance, cardiovascular disorders increased costs by 66% ± 16%. In contrast, rituximab or autologous stem cell transplantation as initial therapy had no effect on health care costs.RESULTSIn total, 1100 survivors (66%) reported having used at least 1 health care resource, and 867 (52%) reported having used at least 1 outpatient treatment. After the authors accounted for missing data, the mean health care cost was estimated at €702 ± €2221. Hospitalizations and outpatient treatments were the main cost drivers. Sensitivity analyses confirmed the robustness of the results. For the 1100 survivors who reported using at least 1 health care resource, the mean health care cost was €1067 ± €2268. Several factors demonstrated statistically significant relationships with health care costs. For instance, cardiovascular disorders increased costs by 66% ± 16%. In contrast, rituximab or autologous stem cell transplantation as initial therapy had no effect on health care costs.The consideration of economic constraints in health care is now a reality. This retrospective study reports on a better understanding of health care resource use and associated health care costs as well as related factors. It may help health care professionals in their ongoing efforts to design person-centered health care pathways.CONCLUSIONSThe consideration of economic constraints in health care is now a reality. This retrospective study reports on a better understanding of health care resource use and associated health care costs as well as related factors. It may help health care professionals in their ongoing efforts to design person-centered health care pathways. Background No study has focused on the economic burden in non‐Hodgkin lymphoma (NHL) survivors, even though this knowledge is essential. This study reports on health care resource use and associated health care costs as well as related factors in a series of 1671 French long‐term NHL survivors. Methods Health care costs were measured from the payer perspective. Only direct medical costs (medical consultations, outpatient treatments, hospitalizations, and medical transport) in the past 12 months were included (reference year 2015). Multiple linear regression was used to search for explanatory factors of health care costs. Results In total, 1100 survivors (66%) reported having used at least 1 health care resource, and 867 (52%) reported having used at least 1 outpatient treatment. After the authors accounted for missing data, the mean health care cost was estimated at €702 ± €2221. Hospitalizations and outpatient treatments were the main cost drivers. Sensitivity analyses confirmed the robustness of the results. For the 1100 survivors who reported using at least 1 health care resource, the mean health care cost was €1067 ± €2268. Several factors demonstrated statistically significant relationships with health care costs. For instance, cardiovascular disorders increased costs by 66% ± 16%. In contrast, rituximab or autologous stem cell transplantation as initial therapy had no effect on health care costs. Conclusions The consideration of economic constraints in health care is now a reality. This retrospective study reports on a better understanding of health care resource use and associated health care costs as well as related factors. It may help health care professionals in their ongoing efforts to design person‐centered health care pathways. Improvements in the management of non‐Hodgkin lymphoma (NHL) have led to longer survival with potentially increased health care consumption and costs. This cross‐sectional study in long‐term NHL survivors shows that health care resource use and associated costs are linked to sociodemographic factors and comorbidities with no influence from previous lymphoma treatments (chemotherapy, rituximab, and transplantation). Improvements in the management of non‐Hodgkin lymphoma (NHL) have led to longer survival with potentially increased health care consumption and costs. This cross‐sectional study in long‐term NHL survivors shows that health care resource use and associated costs are linked to sociodemographic factors and comorbidities with no influence from previous lymphoma treatments (chemotherapy, rituximab, and transplantation). No study has focused on the economic burden in non-Hodgkin lymphoma (NHL) survivors, even though this knowledge is essential. This study reports on health care resource use and associated health care costs as well as related factors in a series of 1671 French long-term NHL survivors. Health care costs were measured from the payer perspective. Only direct medical costs (medical consultations, outpatient treatments, hospitalizations, and medical transport) in the past 12 months were included (reference year 2015). Multiple linear regression was used to search for explanatory factors of health care costs. In total, 1100 survivors (66%) reported having used at least 1 health care resource, and 867 (52%) reported having used at least 1 outpatient treatment. After the authors accounted for missing data, the mean health care cost was estimated at €702 ± €2221. Hospitalizations and outpatient treatments were the main cost drivers. Sensitivity analyses confirmed the robustness of the results. For the 1100 survivors who reported using at least 1 health care resource, the mean health care cost was €1067 ± €2268. Several factors demonstrated statistically significant relationships with health care costs. For instance, cardiovascular disorders increased costs by 66% ± 16%. In contrast, rituximab or autologous stem cell transplantation as initial therapy had no effect on health care costs. The consideration of economic constraints in health care is now a reality. This retrospective study reports on a better understanding of health care resource use and associated health care costs as well as related factors. It may help health care professionals in their ongoing efforts to design person-centered health care pathways. |
| Author | Virginie Nerich Gandhi L. Damaj Jean‐Philippe Jais Catherine Thieblemont René‐Olivier Casasnovas Christophe Guyeux Hervé Tilly Corinne Haioun Emmanuelle Nicolas‐Virelizier Gilles Salles Raphaël Couturier Florence Broussais‐Guillaumot Loic Ysebaert Vincent Ribrag Macha Woronoff‐Lemsi Nicolas Mounier Franck Morschhauser David Sibon Pierre Feugier Michel Henry‐Amar |
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| BackLink | https://cir.nii.ac.jp/crid/1870020692704294912$$DView record in CiNii https://www.ncbi.nlm.nih.gov/pubmed/34605020$$D View this record in MEDLINE/PubMed https://hal.science/hal-03692839$$DView record in HAL |
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| Copyright | 2021 American Cancer Society 2021 American Cancer Society. 2022 American Cancer Society Distributed under a Creative Commons Attribution 4.0 International License |
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| Keywords | non-Hodgkin lymphoma explanatory factors health care cost health care resource use cancer survivors rituximab |
| Language | English |
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| Notes | We are grateful to all the survivors who participated in the survey, and we gratefully acknowledge Sabine Anthony (Clinical Research and Innovation Office, Cimiez Hospital, Nice University Hospital Center, University of Côte d'Azur, Nice, France) and Lilian Laborde (Paoli‐Calmettes Institute–Provence‐Alpes‐Côte d'Azur Data Processing Center, Marseille, France) for their involvement in the management of the survey. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
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No study has focused on the economic burden in non‐Hodgkin lymphoma (NHL) survivors, even though this knowledge is essential. This study reports on... Improvements in the management of non‐Hodgkin lymphoma (NHL) have led to longer survival with potentially increased health care consumption and costs. This... No study has focused on the economic burden in non-Hodgkin lymphoma (NHL) survivors, even though this knowledge is essential. This study reports on health care... BackgroundNo study has focused on the economic burden in non‐Hodgkin lymphoma (NHL) survivors, even though this knowledge is essential. This study reports on... |
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| SubjectTerms | [INFO.INFO-CR]Computer Science [cs]/Cryptography and Security [cs.CR] [INFO.INFO-DC]Computer Science [cs]/Distributed [INFO.INFO-DC]Computer Science [cs]/Distributed, Parallel, and Cluster Computing [cs.DC] [INFO.INFO-ET]Computer Science [cs]/Emerging Technologies [cs.ET] [INFO.INFO-IU]Computer Science [cs]/Ubiquitous Computing [INFO.INFO-MA]Computer Science [cs]/Multiagent Systems [cs.MA] [INFO.INFO-MO]Computer Science [cs]/Modeling and Simulation [INFO.INFO-SE]Computer Science [cs]/Software Engineering [cs.SE] and Cluster Computing [cs.DC] Autografts cancer survivors Computer Science Cost analysis Costs Cross-Sectional Studies Cryptography and Security Distributed, Parallel, and Cluster Computing Economics Emerging Technologies explanatory factors Financial Stress health care cost Health Care Costs Health care expenditures health care resource use Hematopoietic Stem Cell Transplantation Humans Immunotherapy Lymphoma Lymphoma, Non-Hodgkin Lymphoma, Non-Hodgkin - therapy Missing data Modeling and Simulation Monoclonal antibodies Multiagent Systems Non-Hodgkin's lymphoma non‐Hodgkin lymphoma Oncology Parallel Retrospective Studies Rituximab Sensitivity analysis Software Engineering Statistical analysis Stem cell transplantation Stem cells Survival Survivors Targeted cancer therapy Transplantation Transplantation, Autologous Ubiquitous Computing |
| Title | Economic burden in non‐Hodgkin lymphoma survivors: The French Lymphoma Study Association SIMONAL cross‐sectional study |
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