Table 6.
Direct health care costs | |||||
---|---|---|---|---|---|
Once | SE | Alpha | Beta | Source | |
MammaPrint® costs | €2674 | fixed | n.a. | n.a. | [32] |
Endocrine therapy | Per cycle | SE | |||
Average of AIs | €31.03 | 3.10a | 100 | 0.31 | [33] |
Tamoxifen (generic) | €19.11 | 1.91a | 100 | 0.19 | |
Ovarian suppression—first cycle 3 injections per cycle | €908.91 | 90.9a | 100 | 9.09 | |
Ovarian suppression—subsequent cycles 1 injection per cycle | €302.97 | 30.3a | 100 | 3.03 |
Minor adverse event costs | |||||
---|---|---|---|---|---|
Per cycle | SE | Alpha | Beta | Source | |
Vasomotor | €22.17 | 0.22a | 100 | 0.22 | [39] + assumptions |
Vulvovaginal | €22.17 | 0.22a | 100 | 0.22 | |
Mood | €22.17 | 0.22a | 100 | 0.22 | |
Cognitive | €22.17 | 0.22a | 100 | 0.22 | |
Once | SE | Alpha | Beta | Source | |
Fractures | €5486 | €1321b | 16 | 343 | [46] (once) |
Major adverse event health care costs | |||||
---|---|---|---|---|---|
Once | SE | Alpha | Beta | Source | |
Thromboembolic events | €4459 | €1130b | 16 | 279 | [47] |
Endometrium cancer | €15,292 | €562 | 739 | 21 | [48] |
Other malignancies | €29,897 | €7474b | 16 | 1869 | [49–51] |
Indirect health care costs | |||||
Per cycle | SE | Alpha | Beta | Source | |
Indirect medical costs | Based on PAID 3.0 | n.v. | n.a. | n.a. | [34] |
End-of-life costs | n.v. | n.a. | n.a. |
Patient and family costs | |||||
---|---|---|---|---|---|
Per cycle | SE | Alpha | Beta | Source | |
Travel costs | |||||
Patients with minor AEs | €4.64 | €0.46a | 100 | 0.05 | [17] |
Informal care costs | |||||
Patients who died from major AEs | €2680 | €670b | 16 | 168 | [52] |
Costs made in other sectors | |||||
---|---|---|---|---|---|
Per cycle | SE | Alpha | Beta | Source | |
Costs due to productivity losses for patients treated with ET with related AEs —first 3 months | €3094 | €656 | 22 | 139 | TOTAM study (see Supplemental file 7) [28, 29] |
Costs due to productivity losses for patients treated with ET-related AEs —next 3 months | €907 | €348 | 7 | 133 | |
Costs due to productivity losses for patients treated with ET-related AEs —subsequent months | €846 | €342 | 6 | 138 | |
Costs due to productivity losses for patients without ET-related AEs —first 3 months | €320 | €320 | 1 | 320 | |
Costs due to productivity losses for patients without ET-related AEs — 3–6 months | €346 | €163 | 5 | 77 | |
Costs due to productivity losses for patients without ET-related AEs—subsequent months | 0 | €0.5 | 1 | 250 | |
Cost due to productivity losses for patients who died from major adverse events | €3501 | €875 | 16 | 219 | (costs of 1 friction costs period = 102 days) [17] |
Non-medical consumption costs in life years gained | |||||
Non-medical consumption costs for each age ≥63 y | Based on PAID 3.0 | n.v. | n.a. | n.a. | [34] |
AEs adverse events, AIs aromatase inhibitors (anastrozole, letrozole, exemestane), ET endocrine therapy, n.a. not applicable, n.v. not varied, PAID Practical Application to Include Disease Costs
aSE assumed to be 10% of mean
bSE assumed to be 25% of mean