Evidence map›Paper›PMID 38777864›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

Chemotherapy-induced febrile neutropenia (FN): healthcare resource utilization (HCRU) and costs in commercially insured patients in the US.

Jeanine A Flanigan, Marie Yasuda, Chi-Chang Chen, Edward C Li

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Jeanine A FlaniganUniversity of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA.
Marie YasudaIQVIA Inc, Plymouth Meeting, PA, USA.
Chi-Chang ChenIQVIA Inc, Plymouth Meeting, PA, USA.
Edward C LiSandoz Inc, Princeton, NJ, USA. edward-1.li@sandoz.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFebrile neutropenia (FN) is a known side effect of chemotherapy, often requiring hospitalization. Economic burden increases with an FN episode and estimates of cost per episode should be updated from real-world data.

methodsA retrospective claims analysis of FN episodes in patients with non-myeloid malignancies from 2014 to 2021 was performed in IQVIA PharMetrics® Plus database. FN episodes were defined as having same-day claims for neutropenia and fever or infection, plus antibiotic in outpatient settings, following a claim for chemotherapy; index date was defined as the first claim for neutropenia/fever/infection. Patients receiving bone marrow/stem cell transplant and CAR-T therapy were excluded, as were select hematologic malignancies or COVID-19. Healthcare utilization and costs were evaluated and described overall, by episode type (w/wo hospitalization), index year, malignancy type, NCI comorbidity score, and age group.

results7,033 FN episodes were identified from 6,825 patients. Most episodes had a hospitalization (91.2%) and 86% of patients had ≥1 risk factor for FN. Overall, FN episodes had a mean (SD) FN-related cost of $25,176 ($39,943). Episodes with hospitalization had higher average FN-related costs versus those without hospitalization ($26,868 vs $7,738), and costs increased with comorbidity score (NCI=0: $23,095; NCI >0-2: $26,084; NCI ≥2: $26,851).

conclusionsFN continues to be associated with significant economic burden, and varied by cancer type, comorbidity burden, and age. In this analysis, most FN episodes were not preceded by GCSF prophylaxis. The results of this study highlight the opportunity to utilize GCSF in appropriate oncology scenarios.

Indexed as

Chemotherapy-Induced Febrile NeutropeniaAdolescentAdultAgedAntineoplastic AgentsFemaleHealth Care CostsHealth ResourcesHospitalizationHumansInsurance, HealthMaleMiddle AgedNeoplasmsPatient Acceptance of Health CareRetrospective StudiesAntineoplastic AgentschemotherapyFebrile neutropeniafebrile neutropenia episodeshealthcare costsneutropenia

Identifiers

PMID38777864
PMCPMC11111559

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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.