Cost-Utility Analysis of Nilotinib Versus High-dose Imatinib for the Second-Line Treatment of Patients with Chronic Myeloid Leukemia
Abstract:Objective:Based on the data of clinical treatment costs in China,the cost-utility of Nilotinib and high-dose imatinib for the second-line treatment of chronic myeloid leukemia in China,and provided evidence for nilotinib being included in medical insurance drug directory.Methods:Based on nationwide medical insurance data of chronic myeloid leukemia,cost-effectiveness was analyzed by quality-adjusted life year(QALY).Results:Model predicted that compared to high-dose imatinib in 5-years second-line treatment,nilotinib cumulatively reduced hospitalization by 148 times,and hospitalization length was reduced by 2 661.9 days,and gained QALY of 170.7,as well as saved direct medical expenses of 5.97 million yuan.Conclusion:Nilotinib was an absolute advantage as a second-line treatment of CML.Medical insurance fund would be greatly saved in the payment for CML treatment if Nilotinib could be included in the China's medical insurance directory,
Keywords:chronic myeloid leukemiatyrosine kinase inhibitorresistance/intolerancecost-utility analysis
Publication Date:2018-01-01
Online Publishing Date:2025-08-15(First online date of this platform, not the publication date of the document)
Pages:5( 57-61 )
Chinese Health Economics

Chinese Health Economics

PKUISTIC
ISSN:1003-0743
Year, Vol.(Issue):2018,37(5)