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Pharmacoeconomic evaluation of gefitinib in the treatment of non-small cell lung cancer |
ZHAO Shengwen1, SU Jin2, DING Yuexia3 |
1 Library,Binzhou Medical University, Yantai 264003, P.R.China; 2 Yantai Engineering & Technology College; 3 Department of Pharmacy, Yantai Yuhuangding Hospital |
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Abstract Objective To make a pharmacoeconomic evaluation of gefitinib and carboplatin plus paclitaxel in treating non-small cell lung cancer considering the medical insurance management, and the whole society in Hubei province. Methods IPASS test Results were taken as the treatments utility evidence, corresponding medical expense by the survey in Wuhan five hospitals as the cost. Incremental cost-utility analysis was done by their Epidermal Growth Factor Receptor (EGFR) mutation. Results The incremental cost of the treated by gefitinib was 0.98 times to the per capital GDP by their overall survival (OS), 0.61 times to the per capital GDP by their quality of life adjusted OS in the EGFR positive group. The OS was lower treated by gefitinib than that of control group in the EGFR negative group. Conclusion Gefitinib met the recommended criteria for pharmacoeconomic evaluation to EGFR positive patients. It is suggested that gefitinib be included in medical insurance payments, and the EGFR mutation test was strongly recommended before they be treated with gefitinib.
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Received: 27 February 2019
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