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Infusion Therapy Patterns by Treatment Site Studied

J Med Econ; ePub 2017 Sep 25; Hopson, et al

Older patients who received infusion therapy as hospital outpatients experienced different patterns of treatment than those treated in physician offices, but quality of care was similar, according to a recent retrospective analysis. Participants initiated infusion therapy between 2008 and 2012 for early stage breast cancer; metastatic breast, lung, or colorectal cancer; or non-Hodgkin's lymphoma or chronic lymphocytic leukemia. Investigators looked at first-line treatment and end-of-life quality differences. Among the results:

  • Patients in the hospital outpatient setting had shorter treatment duration and fewer infusions for some regimens.
  • Quality care was similar across all sites.
  • Costs were 15% higher in patients treated in the hospital outpatient setting, compared with those seen in the physician office setting (nearly $56,000 vs ~$48,500).

Hopson S, Casebeer A, Stemkowski S, et al. Does site-of-care for oncology infusion therapy influence treatment patterns, cost and quality in the United States? [Published online ahead of print September 25, 2017]. J Med Econ. doi:10.1080/13696998.2017.1384736.

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