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Table 5 Costs of management of adverse events attributed to chemotherapy

From: Hospitalisation costs of metastatic melanoma in France; the MELISSA study (MELanoma In hoSpital coSts Assessment)

 

National tariff

ENCC

Adjusted ENCC

All ADRs – Annual per capita costs

 Pre-progression (N = 1223 patients)

  Base case

€ 3729

€ 3947

€ 3915

  Survival-corrected

€ 3979

€ 4212

€ 4177

 Post-progression (N = 1354 patients)

  Base case

€ 5474

€ 5452

€ 5631

  Survival-corrected

€ 8582

€ 8546

€ 8827

Individual ADRs (both progression stages combined) – Mean cost per stay with ADRa

 Infections (N = 1090 stays)

€ 3936 ± 4328

€ 4184 ± 4301

€ 4214 ± 4451

 Neutropenia (N = 225 stays)

€ 3806 ± 3920

€ 4115 ± 3877

€ 3946 ± 3988

 Glomerulonephritis (N = 41 stays)

€ 3456 ± 3552

€ 3713 ± 4099

€ 3698 ± 4017

 Myalgia/pain (N = 309 stays)

€ 3032 ± 4609

€ 2580 ± 2213

€ 2940 ± 4468

 Colitis (N = 93 stays)

€ 2942 ± 2114

€ 3107 ± 2078

€ 3105 ± 2130

 Diarrhoea (N = 40 stays)

€ 2747 ± 3036

€ 3043 ± 4158

€ 3104 ± 4376

 Decreased blood ACTH (N = 34 stays)

€ 2607 ± 2725

€ 2410 ± 1907

€ 2454 ± 2143

 Fatigue (N = 268 stays)

€ 2567 ± 2817

€ 2405 ± 1771

€ 2541 ± 2549

 Skin reactions (N = 137 stays)

€ 2333 ± 2544

€ 2278 ± 1647

€ 2398 ± 2514

 Dyspnoea (N = 56 stays)

€ 1875 ± 1508

€ 1896 ± 1487

€ 1918 ± 1512

 Anaemia (N = 660 stays)

€ 1645 ± 2510

€ 1726 ± 1554

€ 1791 ± 2370

 Nausea/vomiting (N = 42 stays)

€ 1302 ± 703

€ 1539 ± 796

€ 1532 ± 792

 Thrombocytopenia (N = 208 stays)

€ 1252 ± 1432

€ 1929 ± 2159

€ 1392 ± 1330

 Basocellular carcinoma (N = 2599 stays)

€ 1129 ± 2671

€ 1073 ± 1922

€ 1116 ± 2553

 Neuropathies (N = 15 stays)

€ 691 ± 597

€ 1489 ± 610

€ 808 ± 586

  1. aMean costs are calculated for the total number of stays related to each individual ADR and are presented with their standard deviations. ENCC: Études Nationales de Coûts à Méthodologie Commune