Postinfusion monitoring costs by site of care for patients with relapsed/refractory large B-cell lymphoma receiving third- or later-line treatment with lisocabtagene maraleucel in the TRANSCEND NHL 001 and OUTREACH trials.
Maria Lia PalombaMonika Parisi JunJames LympAndy NguyenNovember McGarveyMatthew GitlinCorey PelletierScott J KeatingJohn GodwinPublished in: Leukemia & lymphoma (2021)
This retrospective study estimated postinfusion health care resource utilization (HCRU) by site of care among 303 patients with relapsed/refractory large B-cell lymphoma who received third- or later-line treatment with lisocabtagene maraleucel (liso-cel) in the TRANSCEND NHL 001 and OUTREACH trials. Inpatients (n = 256) had higher rates of hospitalization versus outpatients (n = 47; >99% vs 62%), by definition, and higher rates of tocilizumab use for cytokine release syndrome and/or neurological events (22% vs 9%). Rates of intensive care unit admission, corticosteroid use, vasopressor use, hemodialysis, and intubation were generally low and similar between groups. Median (range) total hospital length of stay was 15 (0-88) days (inpatients) and 4 (0-77) days (outpatients). Over 6 months, estimated mean postinfusion cost of care was $89,535 (inpatients) and $36,702 (outpatients). Most costs were incurred in the first month post infusion (inpatients, $50,369 [56%]; outpatients, $19,837 [54%]). Lower overall HCRU was observed with outpatient postinfusion monitoring.
Keyphrases
- healthcare
- diffuse large b cell lymphoma
- intensive care unit
- palliative care
- acute lymphoblastic leukemia
- acute myeloid leukemia
- quality improvement
- emergency department
- rheumatoid arthritis
- multiple myeloma
- cardiac arrest
- low dose
- hodgkin lymphoma
- pain management
- systemic lupus erythematosus
- mechanical ventilation
- combination therapy
- replacement therapy
- subarachnoid hemorrhage
- health information
- acute respiratory distress syndrome
- extracorporeal membrane oxygenation
- electronic health record
- disease activity
- adverse drug