Cost of illness of metastatic prostate cancer: a perspective of costs for new treatment options in The Netherlands

J Comp Eff Res. 2017 Oct;6(7):575-581. doi: 10.2217/cer-2017-0026. Epub 2017 Sep 13.

Abstract

Aim: To assess the resource use and associated costs of treating patients with metastatic prostate cancer with a focus on skeletal-related events (SREs).

Methods: We performed a bottom-up cost of illness study in The Netherlands.

Results: A total of 136 patients were studied. The mean total costs were €17,931 per patient. SREs that required hospitalization (n = 53) were, at median costs of €2039-9346, depending on care. These SREs had median costs of €200-1912.

Conclusion: Our data provide a basis to investigate the cost-effectiveness of novel treatment options for metastatic prostate cancer. The impact of SREs on total costs could justify policy aimed at actively preventing SREs, possibly resulting in better quality of life and cost-reduction.

Keywords: bone metastases; cost of illness; prostate cancer; radionuclide therapy; skeletal-related events.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents, Hormonal / economics
  • Antineoplastic Agents, Hormonal / therapeutic use
  • Bone Neoplasms / economics*
  • Bone Neoplasms / secondary
  • Bone Neoplasms / therapy
  • Brachytherapy / economics
  • Cost of Illness*
  • Cost-Benefit Analysis
  • Humans
  • Length of Stay / economics
  • Male
  • Middle Aged
  • Netherlands
  • Prostate-Specific Antigen / metabolism
  • Prostatectomy / economics
  • Prostatic Neoplasms / economics*
  • Quality of Life
  • Retrospective Studies

Substances

  • Antineoplastic Agents, Hormonal
  • Prostate-Specific Antigen