Societal Costs and Benefits of Treatment with Trastuzumab in Patients with Early HER2neu-Overexpressing Breast Cancer in Singapore
2011

Costs and Benefits of Trastuzumab for Breast Cancer in Singapore

publication Evidence: moderate

Author Information

Author(s): Gilberto Jr de Lima Lopes

Primary Institution: Johns Hopkins Singapore International Medical Centre

Hypothesis

What are the societal costs and benefits of treatment with trastuzumab in patients with early HER2-positive breast cancer in Singapore?

Conclusion

Treatment with adjuvant trastuzumab is likely to generate net societal economic benefits in Singapore.

Supporting Evidence

  • Trastuzumab significantly improves disease-free and overall survival in early HER2-positive breast cancer.
  • Incremental costs in Singapore were estimated at $26,971.05.
  • Average cost per QALY was $19,174.59.

Takeaway

This study looks at how much money society gains or loses when using a specific breast cancer drug called trastuzumab. It finds that using this drug is likely to be beneficial for society overall.

Methodology

The study estimated societal costs and benefits by analyzing direct and indirect costs associated with trastuzumab treatment, using data from four treatment centers in Singapore.

Potential Biases

Using GNP per capita as a measure of productivity may introduce bias as it is not age and gender specific.

Limitations

The study relies on previously published cost-effectiveness studies rather than developing an independent model specific to Singapore.

Participant Demographics

Patients with early HER2-positive breast cancer in Singapore.

Statistical Information

Confidence Interval

95% confidence intervals were calculated based on QALYs gained.

Digital Object Identifier (DOI)

10.1186/1471-2407-11-178

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