三个卫生系统中转移性乳腺癌症DPYD检测成本效益的预算影响和可转移性。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-07-01 Epub Date: 2023-08-14 DOI:10.2217/pme-2022-0133

Rositsa Koleva-Kolarova, Heleen Vellekoop, Simone Huygens, Matthijs Versteegh, Maureen Rutten-van Mölken, László Szilberhorn, Tamás Zelei, Balázs Nagy, Sarah Wordsworth, Apostolos Tsiachristas

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引用次数: 0

摘要

研究了在英国、荷兰和匈牙利的转移性乳腺癌症患者中，在基于氟嘧啶的化疗之前引入扩展的DPYD测试的成本效益和预算影响。使用ToxNav©进行DPYD测试在这三个国家都具有成本效益。在英国和荷兰，与没有基因检测和标准剂量的卡培他滨/5-氟尿嘧啶相比，ToxNav策略带来了更多的质量调整寿命，降低了卫生系统的成本。在匈牙利，与没有检测和标准剂量相比，ToxNav策略以更高的成本产生了更多的质量调整生命年。ToxNav战略在英国和荷兰被发现可以节省预算，而在匈牙利，它导致了额外的预算成本。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Budget impact and transferability of cost-effectiveness of DPYD testing in metastatic breast cancer in three health systems.

The cost-effectiveness and budget impact of introducing extended DPYD testing prior to fluoropyrimidine-based chemotherapy in metastatic breast cancer patients in the UK, The Netherlands and Hungary were examined. DPYD testing with ToxNav^© was cost-effective in all three countries. In the UK and The Netherlands, the ToxNav strategy led to more quality-adjusted life years and fewer costs to the health systems compared with no genetic testing and standard dosing of capecitabine/5-fluorouracil. In Hungary, the ToxNav strategy produced more quality-adjusted life years at a higher cost compared with no testing and standard dose. The ToxNav strategy was found to offer budget savings in the UK and in The Netherlands, while in Hungary it resulted in additional budget costs.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.