دورية أكاديمية

The efficacy and cost-impact of rasburicase 3 mg versus 6 mg for the management of tumor lysis syndrome: A multicenter analysis

التفاصيل البيبلوغرافية
العنوان: The efficacy and cost-impact of rasburicase 3 mg versus 6 mg for the management of tumor lysis syndrome: A multicenter analysis
المؤلفون: Marjoncu, Dennis, Holman, Kori
المصدر: Journal of Oncology Pharmacy Practice ; volume 29, issue 4, page 893-898 ; ISSN 1078-1552 1477-092X
بيانات النشر: SAGE Publications
سنة النشر: 2022
مصطلحات موضوعية: Pharmacology (medical), Oncology
الوصف: Purpose: Hyperuricemia is a complication arising from tumor lysis syndrome (TLS). Literature has shown that a single 3 mg dose was just as efficacious as a single 6 mg dose when the uric acid (UA) levels were ≤12 mg/dL. Here, we present a multi-center analysis rasburicase utilization and its effect on healthcare costs. Methods: This is a multi-center, retrospective analysis of adult cancer patients who were admitted to Methodist Le Bonheur Healthcare hospitals and received rasburicase from February 2020 to February 2021. The primary endpoint was to test whether rasburicase 3 mg had similar rates of uric acid normalization (defined as uric acid ≤7.5 mg/dL) within 24 h as a dose of 6 mg. Results: Seventy-nine patients were included in the study. While the baseline uric acid was lower in the 3 mg arm compared to the 6 mg arms, there was no difference in the uric acid normalization at 24 h between the 3 mg arm (95%) and 6 mg arm (82%) ( p = 0.134). A cost-savings of over $300,000 annually can be achieved with the proposed protocol. Conclusion: A single, fixed rasburicase dose of 3 mg was effective in normalizing uric acid levels within 24 h, and is associated with significant cost-savings.
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1177/10781552221087978
الإتاحة: https://doi.org/10.1177/10781552221087978Test
حقوق: http://journals.sagepub.com/page/policies/text-and-data-mining-licenseTest
رقم الانضمام: edsbas.475305B1
قاعدة البيانات: BASE