Evidence map›Paper›PMID 38001598›Full record

ArticleCancers2023

Evolution of Pharmacological Treatments and Associated Costs for Multiple Myeloma in the Public Healthcare System of Catalonia: A Retrospective Observational Study.

Gemma Garrido-Alejos, Guillem Saborit-Canals, Laura Guarga, Thais de Pando, Miriam Umbria, Albert Oriol, Anna Feliu, Caridad Pontes, Antonio Vallano

Abstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Observational
  2. Article
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

9 authors.

Gemma Garrido-AlejosDepartment of Pharmacology, Therapeutics and Toxicology, Autonomous University of Barcelona, 08193 Barcelona, Spain.
Guillem Saborit-CanalsMedicines Department, Catalan Health Service (CatSalut), 08007 Barcelona, Spain.
Laura GuargaMedicines Department, Catalan Health Service (CatSalut), 08007 Barcelona, Spain.
Thais de PandoMedicines Department, Catalan Health Service (CatSalut), 08007 Barcelona, Spain.ORCID 0009-0002-9238-5560
Miriam UmbriaMedicines Department, Catalan Health Service (CatSalut), 08007 Barcelona, Spain.
Albert OriolCatalan Institute of Oncology, Hospital German Trias i Pujol, 08916 Badalona, Spain.
Anna FeliuPharmacy Department, Hospital de la Santa Creu i Sant Pau, 08025 Barcelona, Spain.
Caridad PontesDepartment of Pharmacology, Therapeutics and Toxicology, Autonomous University of Barcelona, 08193 Barcelona, Spain.ORCID 0000-0002-3274-6048
Antonio VallanoDepartment of Pharmacology, Therapeutics and Toxicology, Autonomous University of Barcelona, 08193 Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Our understanding of and treatment for multiple myeloma (MM) has advanced significantly, and new pharmacological treatments have promising benefits but high price tags. This study analyzes prescription patterns and pharmaceutical expenditure for MM treatments in Catalonia's public healthcare system over eight years. (2) Methods: A retrospective observational study examined MM treatment data from 2015 to 2022 in Catalonia, using healthcare registries from the Catalan Health Service to collect information on patients, medicines used, and treatment costs. (3) Results: A total of 4556 MM patients received treatment, with a rising trend in the number of treated patients each year from 902 in 2015 to 1899 in 2022. The mean age was 68.9 years, and patients were almost evenly distributed by gender (51.5% male). Most patients were treated with bortezomib (3338 patients), lenalidomide (2952), and/or daratumumab (1093). Most drugs showed increased utilization annually, most significantly for lenalidomide and daratumumab. The total pharmacological treatment cost throughout the entire study period was EUR 321,811,249, with lenalidomide leading with the highest total cost (EUR 157,236,784), and daratumumab exhibiting the highest increase in annual expenditure. (5) Conclusions: The study reveals a progressive increase in the number of MM patients treated and rising pharmaceutical costs. Lenalidomide and daratumumab incurred the highest costs. The findings highlight MM treatment's economic impact and the need to monitor prescription patterns and expenditures to optimize healthcare resources and decision making. Understanding these trends can guide resource allocation effectively.

Indexed as

health expenditureshematological neoplasmsmultiple myelomapharmacological treatmentstreatment patterns

Identifiers

PMID38001598
PMCPMC10670024

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Registered trials

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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.