Metastatic renal cancer: real-world evidence from a large Italian claims database

  • Giulia Ronconi Fondazione ReS - Ricerca e Salute, Casalecchio di Reno, Bologna - Italy https://orcid.org/0000-0002-5502-8110
  • Letizia Dondi Fondazione ReS - Ricerca e Salute, Casalecchio di Reno, Bologna - Italy
  • Carlo Piccinni Fondazione ReS - Ricerca e Salute, Casalecchio di Reno, Bologna - Italy https://orcid.org/0000-0002-8648-8961
  • Silvia Calabria Fondazione ReS - Ricerca e Salute, Casalecchio di Reno, Bologna - Italy http://orcid.org/0000-0001-9345-2855
  • Anna Capponcelli Fondazione ReS - Ricerca e Salute, Casalecchio di Reno, Bologna - Italy
  • Antonella Pedrini Fondazione ReS - Ricerca e Salute, Casalecchio di Reno, Bologna - Italy
  • Maurizio Marangolo Fondazione ReS - Ricerca e Salute, Casalecchio di Reno, Bologna - Italy
  • Immacolata Esposito Drugs & Health Srl, Roma - Italy
  • Carmine Pinto Struttura Complessa di Oncologia, IRCCS Santa Maria Nuova, Reggio Emilia - Italy
  • Nello Martini Fondazione ReS - Ricerca e Salute, Casalecchio di Reno, Bologna - Italy
Keywords: Big Data, Health Care Costs, Italian National Health Service, Public Health Practice, Renal Neoplasms

Abstract

Purpose: To assess the healthcare resources’ consumption and integrated costs of patients with renal cancer and new metastasis (mRCC), in the perspective of the Italian National Health System (NHS).

Methods: From the ReS database, through the administrative data record linkage, adults with a primary/secondary hospital (ordinary/daily admissions) diagnosis (ICD9-CM code) of renal cancer and lymph node and/or distant metastases in the same hospital discharge (index date) were selected in 2015. Metastases were defined new if they were absent in the 2 previous years. Patients were described in terms of gender, age (mean ± SD) and comorbidities of interest. The 2-year survival and annual pharmacological treatments, hospitalization, outpatient specialist services and costs were analysed.

Results: Out of >6 million adults in the 2015 ReS database, 133 (2.1 × 100,000) were hospitalized with a diagnosis of RCC and metastasis. Patients with new metastases were 63.2% (1.4 × 100,000; 73.8% males; mean age 68 ± 13). Hypertension was the most common comorbidity (70.2% of mRCC patients). The 2-year survival of mRCC patients was 26.2%. During 1-year follow-up, at least a drug was prescribed to 88.1% of mRCC patients (on average € 12,095/patient), 91.7% were hospitalized (€ 8,897/patient) and 82.1% entrusted the outpatient specialist care (€ 1,075/patient). The mean overall expenditure for the NHS was € 22,067 per capita.

Conclusions: This study shows the mRCC burden on the Italian real clinical practice and its economic impact in the perspective of the NHS. Real-world analyses prove to be useful to concretely estimate the overall healthcare responsibility on patients affected by mRCC.

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Published
2021-02-05
How to Cite
1.
Ronconi G, Dondi L, Piccinni C, Calabria S, Capponcelli A, Pedrini A, Marangolo M, Esposito I, Pinto C, Martini N. Metastatic renal cancer: real-world evidence from a large Italian claims database. GRHTA [Internet]. 5Feb.2021 [cited 16May2021];8:1-. Available from: https://journals.aboutscience.eu/index.php/grhta/article/view/2178
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Original Research Article