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Table 2 Base case results for France, all anthracycline doses

From: Evaluation of the cost-effectiveness of dexrazoxane for the prevention of anthracycline-related cardiotoxicity in children with sarcoma and haematologic malignancies: a European perspective

 

Sarcoma patients

Haematological malignancy patients

Usual treatment

Usual treatment + dexrazoxane

Usual treatment

Usual treatment + dexrazoxane

Clinical events

 Proportion with CHF (%)

21.90

5.18

24.38

4.26

 Average age at CHF diagnosis (years)

57.44

59.66

56.57

59.06

 Years of life with CHF

4.90

1.07

5.45

0.88

 Number of CHF hospitalizations

0.61

0.17

0.68

0.15

 Average age at death (years)

68.93

69.00

67.42

67.55

Cause of death (%)

 Death from cancer

56.38

57.07

56.12

57.04

 Cardiac death

5.42

4.12

5.69

3.95

 Death from infection or respiratory disease

2.62

2.70

2.60

2.71

 Death from other disease

28.06

28.49

28.10

28.69

 Violent death

7.52

7.62

7.49

7.61

 Death from unknown cause

0.00

0.00

0.00

0.00

QALYs

 QALYs without cardiac disease

18.379

19.593

18.528

20.099

 QALYs with ALVD

1.044

0.681

1.094

0.500

 QALYs with CHF

0.361

0.074

0.368

0.056

 Total QALYs

19.783

20.349

19.990

20.654

 Total LY disc

21.901

21.913

22.021

22.041

Costs (€)

 Drug and administration costs

7080.96

8123.61

7080.96

8123.61

 Heart failure costs

757.48

199.24

806.93

140.74

 Death costs

4261.18

4252.88

4198.35

4184.70

 Total costs

12,099.62

12,575.73

12,086.25

12,449.05

Incrementals

 QALYs

0.565

 

0.665

 

 Costs (€)

476.11

 

362.80

 

 ICER (€)

894.55

 

545.87

 
  1. ALVD asymptomatic left ventricular dysfunction, CHF congestive heart failure, ICER incremental cost effectiveness ratio, QALY quality-adjusted life years