Source:http://linkedlifedata.com/resource/pubmed/id/15110879
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
2004-4-27
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pubmed:abstractText |
A prospective randomised phase III study in patients < or =65 years old with previously untreated multiple myeloma (MM), intensive chemotherapy followed by myeloablative chemotherapy and autologous stem-cell rescue was compared with intensive chemotherapy alone. This economic evaluation was based on detailed data from patient charts and hospital information systems. In the intention-to-treat analysis, mean total treatment and follow-up costs of the myeloablative treatment arm were 81,643 euros compared to 68,802 euros for the chemotherapy arm (P=0.09). Costs per quality-adjusted life year were 51,357 euros versus 37,328 euros. In the clinical study, no significant differences were found in overall survival after a median follow-up of 33 months from randomisation. Intensive chemotherapy is regarded as standard therapy for younger patients with previously untreated MM. Cost-effectiveness of myeloma therapy after 3 years of follow up seems not to be favoured by myeloablative treatment with autologous stem-cell rescue.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0959-8049
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
40
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1159-69
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:15110879-Adult,
pubmed-meshheading:15110879-Aged,
pubmed-meshheading:15110879-Antineoplastic Agents, Alkylating,
pubmed-meshheading:15110879-Cost-Benefit Analysis,
pubmed-meshheading:15110879-Costs and Cost Analysis,
pubmed-meshheading:15110879-Cyclophosphamide,
pubmed-meshheading:15110879-Female,
pubmed-meshheading:15110879-Follow-Up Studies,
pubmed-meshheading:15110879-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:15110879-Humans,
pubmed-meshheading:15110879-Male,
pubmed-meshheading:15110879-Melphalan,
pubmed-meshheading:15110879-Middle Aged,
pubmed-meshheading:15110879-Multiple Myeloma,
pubmed-meshheading:15110879-Prospective Studies,
pubmed-meshheading:15110879-Transplantation, Autologous
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pubmed:year |
2004
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pubmed:articleTitle |
A cost-utility analysis comparing intensive chemotherapy alone to intensive chemotherapy followed by myeloablative chemotherapy with autologous stem-cell rescue in newly diagnosed patients with stage II/III multiple myeloma; a prospective randomised phase III study.
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pubmed:affiliation |
Institute for Medical Technology Assessment, Erasmus MC, PO Box 1738, 3000 DR Rotterdam, The Netherlands. vanagthoven@bmg.eur.nl
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't,
Multicenter Study,
Clinical Trial, Phase III
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