Cost analysis of adjuvant therapy with XELOX or FOLFOX4 for colon cancer.

Xie, Q; Wen, F; Wei, Y Q; Deng, H X; Li, Q · Colorectal Dis · 2013

retrospective_cohort · Level III

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Abstract

XELOX and FOLFOX4 have both been recommended as adjuvant therapy for stage III colon cancer. This study compared the two regimens in terms of monetary costs, assuming equal efficacy of the therapies. A retrospective financial audit was conducted of the medical records of patients treated with XELOX or FOLFOX4. All itemized expenses were classified as direct (chemotherapy, hospitalization, venous access and tests), related to adverse effects due to the adjuvant therapy, or societal (travel and time costs). The cost of supportive care was not included. XELOX involved less total cost to the patient than FOLFOX4 (a difference of US$2857.68), fewer costs related to adverse effects ($668.97), and less travel ($26.07) and time ($390.93) expenditure per patient. The results indicate that, overall, XELOX is a more affordable option than FOLFOX4 in China.

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