58. Direct medical costs of treatment regimens for EGFR-mutant non-small cell lung cancer in Vietnam
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Abstract
A retrospective study was conducted using the Vietnam Social Security database to estimate the direct medical costs (DMC) of treatment regimens for non-small cell lung cancer (NSCLC) with EGFR mutations in 2020. A multivariate linear regression model was used to identify factors associated with the total DMC of NSCLC patients. The average total DMC per year for NSCLC patients was 113.9 million VND per person; 84.30% of the total cost went towards chemotherapy. The TKI treatment regimen had a lower average DMC per year compared to pre-TKI chemotherapy and post-TKI chemotherapy (110.9 million VND vs. 113.8 million VND and 128.1 million VND per person, p < 0.001). Factors such as the number of inpatient days, treatment regimen, health insurance coverage rate, and economic status were found to be associated with the total DMC (p < 0.05). Therefore, selecting cost-effective TKI drugs to reduce the economic burden on patients with NSCLC is crucial.
Article Details
Keywords
Non-small cell lung cancer, direct cost, direct medical cost, Vietnam Social Security
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