Abstract
Polychemotherapy is the therapeutic option recommended for nonresectable, non-small cell lung cancer (NSCLC). However, the modest gains in survival, and the frequent and often serious adverse effects, associated with chemotherapy should also be considered when deciding on therapy. We therefore performed a cost-utility analysis of chemotherapy and best supportive care in NSCLC. Effectiveness and costs were analysed on 70 patients who were randomised to receive one of 3 treatments: VP (vindesine and cisplatin), CAP (cyclophosphamide, doxorubicin and cisplatin), or best supportive care. Subsequently, an assessment of the value of polychemotherapy and best supportive care was performed by oncology personnel using the time trade-off technique. Polychemotherapy was found to be more effective than best supportive care, but was also more costly and had a lower value score. Because of its cost utility and its higher value, best supportive care should not be discarded as an alternative for the treatment of NSCLC.
Publication types
-
Clinical Trial
-
Comparative Study
-
Randomized Controlled Trial
-
Research Support, Non-U.S. Gov't
MeSH terms
-
Antibiotics, Antineoplastic / economics
-
Antibiotics, Antineoplastic / therapeutic use
-
Antineoplastic Agents / economics
-
Antineoplastic Agents / therapeutic use
-
Antineoplastic Agents, Phytogenic / economics
-
Antineoplastic Agents, Phytogenic / therapeutic use
-
Antineoplastic Combined Chemotherapy Protocols / economics*
-
Antineoplastic Combined Chemotherapy Protocols / therapeutic use*
-
Canada
-
Carcinoma, Non-Small-Cell Lung / drug therapy*
-
Carcinoma, Non-Small-Cell Lung / economics*
-
Cisplatin / economics
-
Cisplatin / therapeutic use
-
Cost-Benefit Analysis
-
Costs and Cost Analysis
-
Cyclophosphamide / economics
-
Cyclophosphamide / therapeutic use
-
Doxorubicin / economics
-
Doxorubicin / therapeutic use
-
Humans
-
Lung Neoplasms / drug therapy*
-
Lung Neoplasms / economics*
-
Retrospective Studies
-
Survival Analysis
-
Vindesine / economics
-
Vindesine / therapeutic use
Substances
-
Antibiotics, Antineoplastic
-
Antineoplastic Agents
-
Antineoplastic Agents, Phytogenic
-
Doxorubicin
-
Cyclophosphamide
-
Cisplatin
-
Vindesine