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Cost-Effectiveness Analysis of Adjuvant Endocrine Therapy With Ovarian Suppression in Premenopausal Patients With Hormone Receptor-Positive Early Breast Cancer in China

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机构: [1]Breast Disease Center, Cancer Center, West China Hospital, Sichuan University,Chengdu, China [2]Nursing Department, Sichuan Clinical Research Center for Cancer, Sichuan CancerHospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of Universityof Electronic Science and Technology of China, Chengdu, China
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关键词: Tamoxifen Exemestane Ovarian function suppression

摘要:
Endocrine therapy combined with ovarian function suppression (OFS) is recommended in intermediate- or high-risk patients among premenopausal women with hormone receptor-positive early breast cancer. However, in China, the cost-effectiveness of this strategy compared with endocrine therapy alone is unclear. This study aimed to evaluate the long-term cost-effectiveness of tamoxifen (TAM), TAM+OFS, and exemestane plus OFS (EXE+OFS).On the basis of prognostic data from the Suppression of Ovarian Function Trial (SOFT), cost data from the Hospital Information System of the West China Hospital of Sichuan University, and health utility values from the published literature, a Markov model was established. The incremental cost-effectiveness ratio (ICER) was used to compare the treatment strategies.In a 25-year simulation of adjuvant therapy in Chinese women with early breast cancer, the total costs of TAM, TAM+OFS, and EXE+OFS were $7821, $9318, and $9445, respectively. The quality-adjusted life-years (QALYs) were 11.615, 11.896, and 11.734 years, respectively. Compared with TAM, the ICERs of TAM+OFS and EXE+OFS were $5,327.4021/QALY and $13,647.0588/QALY, respectively. The ICERs of TAM+OFS and EXE+OFS were below the threshold of $32,517/QALY. The reliability and stability of the simulation results were verified using Monte Carlo simulation and sensitivity analysis.In the context of limited resources in China, TAM+OFS and EXE+OFS are cost-effective options compared with TAM.Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.

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出版当年[2023]版:
大类 | 3 区 医学
小类 | 4 区 肿瘤学
最新[2023]版:
大类 | 3 区 医学
小类 | 4 区 肿瘤学
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Q2 ONCOLOGY
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Q2 ONCOLOGY

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第一作者机构: [1]Breast Disease Center, Cancer Center, West China Hospital, Sichuan University,Chengdu, China
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通讯机构: [*1]Nursing Department, Sichuan ClinicalResearch Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, Affiliated Cancer Hospital of University of Electronic Science and Technologyof China, No. 55, Section 4, Renmin South Road, Wuhou District, Chengdu, SichuanProvince, China [*2]Breast Disease Center, Cancer Center,West China Hospital, Sichuan University, No. 37 Guoxue Lane, Chengdu, Sichuan,China
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