Evidence map›Paper›PMID 37942566›Full record

ArticleCancer medicine2023

Improved efficiency of daratumumab treatment of multiple myeloma adopting the subcutaneous route: A micro-costing analysis in three Italian hematology centers.

Lorenzo Pradelli, Massimo Massaia, Elisabetta Todisco, Filippo Gherlinzoni, Anna Furlan, Maria La Targia, Elisabetta Grande, Ignazio Ezio Tripoli, Francesca Occhipinti, Francesco Comello and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Lorenzo PradelliAdRes HE&OR, Torino, Italy.ORCID 0000-0002-7648-8917
Massimo MassaiaS.C. Ematologia A.O. Santa Croce e Carle, Cuneo, Italy.
Elisabetta TodiscoU.O. Ematologia ASST Valle Olona Busto Arsizio, Busto Arsizio, Italy.
Filippo GherlinzoniDivisione di Ematologia, Ospedale Cà Foncello di Treviso-ASL 2, Treviso, Italy.
Anna FurlanDivisione di Ematologia, Ospedale Cà Foncello di Treviso-ASL 2, Treviso, Italy.ORCID 0000-0001-6443-3241
Maria La TargiaU.O. Ematologia ASST Valle Olona Busto Arsizio, Busto Arsizio, Italy.
Elisabetta GrandeS.C. Ematologia A.O. Santa Croce e Carle, Cuneo, Italy.
Ignazio Ezio TripoliS.C. Ematologia A.O. Santa Croce e Carle, Cuneo, Italy.
Francesca OcchipintiU.O. Ematologia ASST Valle Olona Busto Arsizio, Busto Arsizio, Italy.
Francesco ComelloDivisione di Ematologia, Ospedale Cà Foncello di Treviso-ASL 2, Treviso, Italy.
Fabrizio IannelloJanssen-Cilag SpA, Cologno Monzese, Italy.
Stefania BellucciJanssen-Cilag SpA, Cologno Monzese, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDaratumumab is a humanized monoclonal antibody approved for the treatment of adult patients with newly diagnosed or relapsed/refractory multiple myeloma (RRMM). Subcutaneous (SC) formulation proved to be non-inferior in comparison with intravenous (IV) administration route. This study aimed at assessing the economic and time impact associated with the use of SC versus IV daratumumab in patients with RRMM from the perspective of the hematology center.

methodsThis was a 5-month multicenter time-and-motion cross-sectional micro-costing study conducted in three Italian hematology centers among adult patients diagnosed with RRMM with ongoing treatment with IV or SC daratumumab. Measurements were performed by an ad hoc App.

resultsNineteen (20%) IV and 76 (80%) SC administration procedures were measured. Patients spent a mean of 4.85 ± 0.91 or 1.08 ± 0.56 h in the hematology center to receive IV or SC daratumumab, respectively. Healthcare professionals (HCPs) spent a mean of 49.38 ± 16.13 and 20.37 ± 7.88 min of active working time to manage IV and SC administrations, respectively. The infusion chair was occupied for a mean of 4.85 ± 0.91 and 0.99 ± 0.55 h during IV or SC administration, respectively. On average, considering the costs due to HCP and chair time, materials, and overhead costs, every IV and SC administration costed €80.33 and 34.90, respectively.

conclusionsIn conclusion, as compared with IV administration, SC daratumumab was associated with 78%, 59%, 80% savings in terms of patient time, HCP active working time, and infusion chair, respectively, and 56.6% budget savings.

Indexed as

Antibodies, MonoclonalMultiple MyelomaAdultCross-Sectional StudiesHumansItalyAntibodies, Monoclonaldaratumumabcancer managementclinical managementclinical observationsdrug discovery and deliverymultiple myeloma

Identifiers

PMID37942566
PMCPMC10726826

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.