TABLE 4.
Comparison of Annual Health Care Costs Between Early and Late TKI Initiator Patients
| Average Annual Costs, $ (mean ± SD) | Unadjusted | Adjusted | ||||
|---|---|---|---|---|---|---|
| Patients Who Initiated TKI Therapy | Cost Differencea [A] – [B] | P Value | Cost Differencea (beta coefficient) | P Value | ||
| ≤ 1 month from First CML Diagnosis (n = 397) [A] | Within > 1-12 months from First CML Diagnosis (n = 80) [B] | |||||
| Medical costs | 18,022.82 ± 47,196.26 | 37,385.61 ± 102,911.10 | -19,362.79 | 0.03b | -7,581.78 (-.29) | 0.22 |
| TKI pharmacy costs | 100,261.80 ± 32,276.67 | 85,516.64 ± 37,864.63 | 14,745.16 | < 0.01b | 9,922.02 (.11) | < 0.05b |
| Non-TKI pharmacy costs | 2,580.74 ± 6,031.22 | 2,644.48 ± 4,655.23 | -63.74 | 0.92 | -217.17 (-.05) | 0.80 |
| Total all-cause health care costs | 120,865.40 ± 57,195.23 | 125,546.70 ± 108,251.90 | -4,681.30 | 0.70 | -2,679.20 (-.02) | 0.79 |
a Cost differences < 0 indicate that late initiators incurred higher health care costs. Cost differences were estimated using multivariable generalized linear models with a gamma distribution and a log link.
b Significant at the 5% level.
CML = chronic myeloid leukemia; SD = standard deviation; TKI = tyrosine kinase inhibitor.