EQOFIX: a combined economic and quality-of-life study of hemophilia B treatments in France

BACKGROUND EQOFIX is a medicoeconomic study that analyzed the health‐related quality of life (HRQoL) and costs of care of the moderate and severe forms of hemophilia B, treated on demand or by prophylaxis with either plasma‐derived Factor IX (pdFIX) or recombinant FIX (rFIX). STUDY DESIGN AND METHOD...

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Published in:Transfusion Vol. 55; no. 7; pp. 1787 - 1797
Main Authors: Polack, Benoît, Calvez, Thierry, Chambost, Hervé, Rothschild, Chantal, Goudemand, Jenny, Claeyssens, Ségolène, Borel-Derlon, Annie, Bardoulat, Isabelle, Maurel, Frédérique, Woronoff-Lemsi, Marie-Christine
Format: Journal Article
Language:English
Published: United States Blackwell Publishing Ltd 01.07.2015
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ISSN:0041-1132, 1537-2995, 1537-2995
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Abstract BACKGROUND EQOFIX is a medicoeconomic study that analyzed the health‐related quality of life (HRQoL) and costs of care of the moderate and severe forms of hemophilia B, treated on demand or by prophylaxis with either plasma‐derived Factor IX (pdFIX) or recombinant FIX (rFIX). STUDY DESIGN AND METHODS The primary objectives were evaluations of the impact of hemophilia B on HRQoL and of the costs associated with its management. The secondary objectives were evaluations of the clinical efficacy and costs of care of pdFIX and rFIX. In this observational study we included and followed for 1 year severe and moderate hemophilia B patients without inhibitor. HRQoL was evaluated through generic and disease‐specific questionnaires. Information on the health resources consumed was collected every 3 months. RESULTS The EQOFIX cohort was composed of 155 patients, including 51 children and 104 adults, with 114 having severe disease and 41 having moderate disease. The regimens were prophylactic for 61 and on demand for 94. Altogether, 78 were treated with rFIX and 77 with pdFIX. There was no difference in the QoL between the pdFIX and rFIX treatments. The extra cost of prophylaxis was €22,605 per bleeding event prevented. The consumption of FIX was 1.4‐fold higher for the patients treated with rFIX than for the patients treated with pdFIX. CONCLUSION Our findings in a cohort composed of 25% of the French population of moderate and severe hemophilia B patients show, with similar clinical and HRQoL results, that treatment with rFIX is more expensive than treatment with pdFIX.
AbstractList BACKGROUND EQOFIX is a medicoeconomic study that analyzed the health-related quality of life (HRQoL) and costs of care of the moderate and severe forms of hemophilia B, treated on demand or by prophylaxis with either plasma-derived Factor IX (pdFIX) or recombinant FIX (rFIX). STUDY DESIGN AND METHODS The primary objectives were evaluations of the impact of hemophilia B on HRQoL and of the costs associated with its management. The secondary objectives were evaluations of the clinical efficacy and costs of care of pdFIX and rFIX. In this observational study we included and followed for 1 year severe and moderate hemophilia B patients without inhibitor. HRQoL was evaluated through generic and disease-specific questionnaires. Information on the health resources consumed was collected every 3 months. RESULTS The EQOFIX cohort was composed of 155 patients, including 51 children and 104 adults, with 114 having severe disease and 41 having moderate disease. The regimens were prophylactic for 61 and on demand for 94. Altogether, 78 were treated with rFIX and 77 with pdFIX. There was no difference in the QoL between the pdFIX and rFIX treatments. The extra cost of prophylaxis was [euro]22,605 per bleeding event prevented. The consumption of FIX was 1.4-fold higher for the patients treated with rFIX than for the patients treated with pdFIX. CONCLUSION Our findings in a cohort composed of 25% of the French population of moderate and severe hemophilia B patients show, with similar clinical and HRQoL results, that treatment with rFIX is more expensive than treatment with pdFIX.
BACKGROUND: EQOFIX is a medicoeconomic study that analyzed the health-related quality of life (HRQoL) and costs of care of the moderate and severe forms of hemophilia B, treated on demand or by prophylaxis with either plasma-derived Factor IX (pdFIX) or recombinant FIX (rFIX).STUDY DESIGN AND METHODS: The primary objectives were evaluations of the impact of hemophilia B on HRQoL and of the costs associated with its management. The secondary objectives were evaluations of the clinical efficacy and costs of care of pdFIX and rFIX. In this observational study we included and followed for 1 year severe and moderate hemophilia B patients without inhibitor. HRQoL was evaluated through generic and disease-specific questionnaires. Information on the health resources consumed was collected every 3 months.RESULTS: The EQOFIX cohort was composed of 155 patients, including 51 children and 104 adults, with 114 having severe disease and 41 having moderate disease. The regimens were prophylactic for 61 and on demand for 94. Altogether, 78 were treated with rFIX and 77 with pdFIX. There was no difference in the QoL between the pdFIX and rFIX treatments. The extra cost of prophylaxis was €22,605 per bleeding event prevented. The consumption of FIX was 1.4-fold higher for the patients treated with rFIX than for the patients treated with pdFIX.CONCLUSION: Our findings in a cohort composed of 25% of the French population of moderate and severe hemophilia B patients show, with similar clinical and HRQoL results, that treatment with rFIX is more expensive than treatment with pdFIX.
BACKGROUND EQOFIX is a medicoeconomic study that analyzed the health‐related quality of life (HRQoL) and costs of care of the moderate and severe forms of hemophilia B, treated on demand or by prophylaxis with either plasma‐derived Factor IX (pdFIX) or recombinant FIX (rFIX). STUDY DESIGN AND METHODS The primary objectives were evaluations of the impact of hemophilia B on HRQoL and of the costs associated with its management. The secondary objectives were evaluations of the clinical efficacy and costs of care of pdFIX and rFIX. In this observational study we included and followed for 1 year severe and moderate hemophilia B patients without inhibitor. HRQoL was evaluated through generic and disease‐specific questionnaires. Information on the health resources consumed was collected every 3 months. RESULTS The EQOFIX cohort was composed of 155 patients, including 51 children and 104 adults, with 114 having severe disease and 41 having moderate disease. The regimens were prophylactic for 61 and on demand for 94. Altogether, 78 were treated with rFIX and 77 with pdFIX. There was no difference in the QoL between the pdFIX and rFIX treatments. The extra cost of prophylaxis was €22,605 per bleeding event prevented. The consumption of FIX was 1.4‐fold higher for the patients treated with rFIX than for the patients treated with pdFIX. CONCLUSION Our findings in a cohort composed of 25% of the French population of moderate and severe hemophilia B patients show, with similar clinical and HRQoL results, that treatment with rFIX is more expensive than treatment with pdFIX.
EQOFIX is a medicoeconomic study that analyzed the health-related quality of life (HRQoL) and costs of care of the moderate and severe forms of hemophilia B, treated on demand or by prophylaxis with either plasma-derived Factor IX (pdFIX) or recombinant FIX (rFIX). The primary objectives were evaluations of the impact of hemophilia B on HRQoL and of the costs associated with its management. The secondary objectives were evaluations of the clinical efficacy and costs of care of pdFIX and rFIX. In this observational study we included and followed for 1 year severe and moderate hemophilia B patients without inhibitor. HRQoL was evaluated through generic and disease-specific questionnaires. Information on the health resources consumed was collected every 3 months. The EQOFIX cohort was composed of 155 patients, including 51 children and 104 adults, with 114 having severe disease and 41 having moderate disease. The regimens were prophylactic for 61 and on demand for 94. Altogether, 78 were treated with rFIX and 77 with pdFIX. There was no difference in the QoL between the pdFIX and rFIX treatments. The extra cost of prophylaxis was €22,605 per bleeding event prevented. The consumption of FIX was 1.4-fold higher for the patients treated with rFIX than for the patients treated with pdFIX. Our findings in a cohort composed of 25% of the French population of moderate and severe hemophilia B patients show, with similar clinical and HRQoL results, that treatment with rFIX is more expensive than treatment with pdFIX.
EQOFIX is a medicoeconomic study that analyzed the health-related quality of life (HRQoL) and costs of care of the moderate and severe forms of hemophilia B, treated on demand or by prophylaxis with either plasma-derived Factor IX (pdFIX) or recombinant FIX (rFIX).BACKGROUNDEQOFIX is a medicoeconomic study that analyzed the health-related quality of life (HRQoL) and costs of care of the moderate and severe forms of hemophilia B, treated on demand or by prophylaxis with either plasma-derived Factor IX (pdFIX) or recombinant FIX (rFIX).The primary objectives were evaluations of the impact of hemophilia B on HRQoL and of the costs associated with its management. The secondary objectives were evaluations of the clinical efficacy and costs of care of pdFIX and rFIX. In this observational study we included and followed for 1 year severe and moderate hemophilia B patients without inhibitor. HRQoL was evaluated through generic and disease-specific questionnaires. Information on the health resources consumed was collected every 3 months.STUDY DESIGN AND METHODSThe primary objectives were evaluations of the impact of hemophilia B on HRQoL and of the costs associated with its management. The secondary objectives were evaluations of the clinical efficacy and costs of care of pdFIX and rFIX. In this observational study we included and followed for 1 year severe and moderate hemophilia B patients without inhibitor. HRQoL was evaluated through generic and disease-specific questionnaires. Information on the health resources consumed was collected every 3 months.The EQOFIX cohort was composed of 155 patients, including 51 children and 104 adults, with 114 having severe disease and 41 having moderate disease. The regimens were prophylactic for 61 and on demand for 94. Altogether, 78 were treated with rFIX and 77 with pdFIX. There was no difference in the QoL between the pdFIX and rFIX treatments. The extra cost of prophylaxis was €22,605 per bleeding event prevented. The consumption of FIX was 1.4-fold higher for the patients treated with rFIX than for the patients treated with pdFIX.RESULTSThe EQOFIX cohort was composed of 155 patients, including 51 children and 104 adults, with 114 having severe disease and 41 having moderate disease. The regimens were prophylactic for 61 and on demand for 94. Altogether, 78 were treated with rFIX and 77 with pdFIX. There was no difference in the QoL between the pdFIX and rFIX treatments. The extra cost of prophylaxis was €22,605 per bleeding event prevented. The consumption of FIX was 1.4-fold higher for the patients treated with rFIX than for the patients treated with pdFIX.Our findings in a cohort composed of 25% of the French population of moderate and severe hemophilia B patients show, with similar clinical and HRQoL results, that treatment with rFIX is more expensive than treatment with pdFIX.CONCLUSIONOur findings in a cohort composed of 25% of the French population of moderate and severe hemophilia B patients show, with similar clinical and HRQoL results, that treatment with rFIX is more expensive than treatment with pdFIX.
Author Maurel, Frédérique
Bardoulat, Isabelle
Woronoff-Lemsi, Marie-Christine
Calvez, Thierry
Chambost, Hervé
Goudemand, Jenny
Borel-Derlon, Annie
Rothschild, Chantal
Polack, Benoît
Claeyssens, Ségolène
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  surname: Polack
  fullname: Polack, Benoît
  email: BPolack@chu-grenoble.fr
  organization: Department of Hematology, University Hospital, and CNRS UMR5525, Grenoble-Alpes University, Grenoble, France
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  givenname: Thierry
  surname: Calvez
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  organization: Sorbonne University, UPMC University of Paris 06, INSERM, UMR-S 1136, Pierre Louis Institute of Epidemiology and Public Health, Paris, France
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  givenname: Hervé
  surname: Chambost
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  organization: APHM, Department of Pediatric Hematology, Children Hospital La Timone, and INSERM, UMR 1062, Aix-Marseille University, Marseille, France
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  givenname: Chantal
  surname: Rothschild
  fullname: Rothschild, Chantal
  organization: Regional Hemophilia Center, Department of Hematology, University Hospital Necker Enfants Malades, Paris, France
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  givenname: Jenny
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  organization: Department of Hematology-Transfusion, University Hospital, Lille, France
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  givenname: Ségolène
  surname: Claeyssens
  fullname: Claeyssens, Ségolène
  organization: Regional Hemophilia Center, Purpan Hospital, Toulouse, France
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  givenname: Annie
  surname: Borel-Derlon
  fullname: Borel-Derlon, Annie
  organization: Regional Hemophilia and VWD Center, University Hospital, and INSERM U919, Caen, France
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  givenname: Isabelle
  surname: Bardoulat
  fullname: Bardoulat, Isabelle
  organization: Department of Health Economics and Outcome Research, IMS Health, La Défense, France
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  givenname: Frédérique
  surname: Maurel
  fullname: Maurel, Frédérique
  organization: Department of Health Economics and Outcome Research, IMS Health, La Défense, France
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  givenname: Marie-Christine
  surname: Woronoff-Lemsi
  fullname: Woronoff-Lemsi, Marie-Christine
  organization: Pharmacy, University Hospital, and INSERM UMR1098, Franche-Comté University, Besançon, France
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ContentType Journal Article
Contributor Sérine protéases et physiopathologie de l'unité neurovasculaire
Sérine protéases et physiopathologie de l'unité neurovasculaire ; Université de Caen Normandie (UNICAEN) ; Normandie Université (NU)-Normandie Université (NU)-Institut National de la Santé et de la Recherche Médicale (INSERM)
Techniques de l'Ingénierie Médicale et de la Complexité - Informatique, Mathématiques et Applications, Grenoble - UMR 5525 (TIMC-IMAG) ; VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Institut polytechnique de Grenoble - Grenoble Institute of Technology (Grenoble INP )-Centre National de la Recherche Scientifique (CNRS)-Université Joseph Fourier - Grenoble 1 (UJF)
Interactions hôte-greffon-tumeur, ingénierie cellulaire et génique - UFC (UMR INSERM 1098) (RIGHT)
Service de pédiatrie spécialisée et médecine infantile (neurologie, pneumologie, maladies héréditaires du métabolisme) Hôpital de la Timone
Schved, Jean-François
Rafowicz, Anne
Pignon, Bernard
Stieltjes, Nathalie
Wibaut, Bénédicte
Rothschild, Chantal
d'Oiron, Roseline
Gembara, Piort
Peynet, Jocelyne
Charbonneau, Sylvie
Hassoun, Abel
Faradji, Albert
Bicetre, Le Kremlin
Soler, Catherine
Borel-Derlon, Annie
Goudemand, Jenny
Fimbel, Béatrice
Ancelet, Daria
Gorde, Stéphanie
Aouba, Achile
Volot, Fabienne
Gruel, Yves
Trossaert, Marc
Torchet, Marie-Françoise
Berger, Claire
Guerin, Viviane
Navaro, Robert
Ounnoughène, Nadra
Bettembourg, Armelle
Polack, Benoît
Milien, Vanessa
Meunier, Sandrine
Guillet, Benoît
Lambert, Thierry
Marquès-Verdier, Alain
Briquel, Marie-Elisabeth
Durin-Assolant, Anne
Hézard, Nathalie
Claeyssens, Ségolène
Biron- Andréani, Christine
Donadio, Daniel
Ternisien, Catherine
Borg, Jeanne-Yvonne
Bertrand, Marie-Anne
Pan-Petesch, Brigitte
Le Cam Duchez, Véronique
Matingou, Marceline
Albinni, Souha
Lutz, Patrick
Bouvet, Nadine
Sigaud, Marianne
Nguyen, Philippe
Fribault, Anne
Gay, Valérie
Guillon, Patricia
Roussel-Robert, Valérie
Négrier, Claude
Chambost, Hervé
Chamouni, Pier
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Gringeri A, Mantovani LG, Scalone L, et al. Cost of care and quality of life for patients with hemophilia complicated by inhibitors: the COCIS Study Group. Blood 2003;102:2358-63.
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– reference: Herdman M, Rajmil L, Ravens-Sieberer U, et al. Expert consensus in the development of a European health-related quality of life measure for children and adolescents: a Delphi study. Acta Paediatr 2002;91:1385-90.
– reference: Aledort L, Bullinger M, von Mackensen S, et al. Why should we care about quality of life in persons with haemophilia? Haemophilia 2012;18:e154-7.
– reference: Gater A, Thomson TA, Strandberg-Larsen M. Haemophilia B: impact on patients and economic burden of disease. Thromb Haemost 2011;106:398-404.
– reference: Barr RD, Saleh M, Furlong W, et al. Health status and health-related quality of life associated with hemophilia. Am J Hematol 2002;71:152-60.
– reference: Szucs TD, Offner A, Kroner B, et al. Resource utilisation in haemophiliacs treated in Europe: results from the European Study on Socioeconomic Aspects of Haemophilia Care. The European Socioeconomic Study Group. Haemophilia 1998;4:498-501.
– reference: Gringeri A, Mantovani LG, Scalone L, et al. Cost of care and quality of life for patients with hemophilia complicated by inhibitors: the COCIS Study Group. Blood 2003;102:2358-63.
– reference: Nicholson A, Berger K, Bohn R, et al. Recommendations for reporting economic evaluations of haemophilia prophylaxis: a nominal groups consensus statement on behalf of the Economics Expert Working Group of The International Prophylaxis Study Group. Haemophilia 2008;14:127-32.
– reference: Berntorp E, Shapiro AD, Waters J, et al. The international factor IX treatment network survey. Haemophilia 2012;18:e60-2.
– reference: Leplège A, Ecosse E, Pouchot J, et al. Le questionnaire SF-36. Manuel de l'utilisateur et guide d'interprétation des scores. Paris: ESTEM; 2001.
– reference: Escobar MA. Health economics in haemophilia: a review from the clinician's perspective. Haemophilia 2010;16 Suppl 3:29-34.
– reference: White GC 2nd, Beebe A, Nielsen B. Recombinant factor IX. Thromb Haemost 1997;78:261-5.
– reference: Miners AH, Sabin CA, Stevens AJ, et al. Financing the rising cost of haemophilia care at a large comprehensive care centre. J R Coll Phys Lond 1997;31:640-4.
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Snippet BACKGROUND EQOFIX is a medicoeconomic study that analyzed the health‐related quality of life (HRQoL) and costs of care of the moderate and severe forms of...
EQOFIX is a medicoeconomic study that analyzed the health-related quality of life (HRQoL) and costs of care of the moderate and severe forms of hemophilia B,...
BACKGROUND EQOFIX is a medicoeconomic study that analyzed the health-related quality of life (HRQoL) and costs of care of the moderate and severe forms of...
BACKGROUND: EQOFIX is a medicoeconomic study that analyzed the health-related quality of life (HRQoL) and costs of care of the moderate and severe forms of...
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SubjectTerms [INFO.INFO-BT]Computer Science [cs]/Biotechnology
Adolescent
Adult
Child
Cohort Studies
Costs
Costs and Cost Analysis
Economics and Finance
Factor IX
Factor IX - administration & dosage
Factor IX - economics
Female
France
Hematology
Hemophilia
Hemophilia B
Hemophilia B - drug therapy
Hemophilia B - economics
Hemorrhage
Hemorrhage - economics
Hemorrhage - prevention & control
Human health and pathology
Humanities and Social Sciences
Humans
Life Sciences
Male
Middle Aged
Quality of Life
Santé publique et épidémiologie
Title EQOFIX: a combined economic and quality-of-life study of hemophilia B treatments in France
URI https://api.istex.fr/ark:/67375/WNG-HR44KJ8J-4/fulltext.pdf
https://cir.nii.ac.jp/crid/1873961342779374464
https://onlinelibrary.wiley.com/doi/abs/10.1111%2Ftrf.13016
https://www.ncbi.nlm.nih.gov/pubmed/25652955
https://www.proquest.com/docview/1696070179
https://www.proquest.com/docview/1697213630
https://hal.science/hal-01463671
Volume 55
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