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Table 4 Treatment and consequences of CIT requiring inpatient or outpatient care

From: Risk and consequences of chemotherapy-induced thrombocytopenia in US clinical practice

 

All Agents

(n = 27,913)

Number of CIT-Related Hospital Admissions, mean per patient-episode (95% CI)

0.03 (0.03–0.03)

 Characteristics of Admissions (i.e., per admission)

   LOS, days, mean (95% CI)

4.6 (4.4–5.0)

   Mortalitya, % (95% CI)

4.7 (2.8–6.6)

   Diagnoses, % (95% CI)

     CIT Only

7.7 (5.7–9.6)

     Bleeding Only

85.2 (82.5–87.6)

     CIT and Bleeding

7.1 (5.4–9.1)

   Cost ($), mean per admission (95% CI)

36,448 (32,332 - 41,331)

 Number of Hospital Days, mean per patient-episode (95% CI)

0.13 (0.12–0.14)

 Cost of Admissions ($), mean per patient-episode (95% CI)

1024 (881–1167)

Number of CIT-Related Ambulatory Encounters, mean per patient-episode (95% CI)

3.7 (3.7–3.8)

 Characteristics of Outpatient Encounters (i.e., per encounter)

  Setting of Care, % (95% CI)

    Physician Office

44.6 (44.3–44.9)

    Emergency Department

2.2 (2.1–2.3)

    Hospital Outpatient

40.7 (40.4–41.0)

    Labs

4.5 (4.4–4.6)

    Other

8.0 (7.8–8.1)

  Diagnoses, % (95% CI)

    CIT Only

16.2 (16.0–16.4)

    Bleeding Only

15.8 (15.6–16.0)

    CIT and Bleeding

0.4 (0.4–0.5)

    None of the Above

67.5 (67.2–67.8)

  Procedures, % (95% CI)

    Blood Product Transfusion

      Platelet

2.0 (1.9–2.1)

      Red Blood

3.1 (3.0–3.2)

      Stem Cell

0.2 (0.2–0.2)

      Whole Blood

0.0 (0.0–0.0)

      Other

0.4 (0.3–0.4)

    Coagulation Factor Transfusion

0.0 (0.0–0.0)

    Control of Bleeding

0.7 (0.6–0.7)

    Labs

64.1 (63.8–64.4)

  Pharmacotherapy, % (95% CI)

    Glucocorticosteroid

28.3 (28.0–28.6)

   Immunoglobulin

0.0 (0.0–0.0)

    Thrombopoietin Receptor Agonists

     Eltrombopag

---

     Romiplostim

0.0 (0.0–0.0)

  Cost ($), mean per encounter (95% CI)

    Physician Office

123 (121–125)

    Emergency Department

839 (779–918)

    Hospital Outpatient

504 (486–524)

    Labs

11 (11–11)

    Other

359 (337–383)

 Cost of Ambulatory Encounters ($), mean per patient-episode (95% CI)

1153 (1119 - 1187)

Characteristics of Outpatient Pharmacotherapy

  Number of Filled Prescriptions, mean per patient-episode (95% CI)

0.2 (0.2–0.2)

    Glucocorticosteroid, % (95% CI)

99.9 (99.8–100.0)

    Immunoglobulin, % (95% CI)

0.1 (0.0–0.1)

    Thrombopoietin Receptor Agonists, % (95% CI)

      Eltrombopag

0.0 (0.0–0.1)

      Romiplostim

0

    Cost ($), mean per prescription (95% CI)

     Glucocorticosteroid

10 (10–11)

     Immunoglobulin

7302 (6735 - 7869)

     Thrombopoietin Receptor Agonists

       Eltrombopag

5640 (5038 - 6242)

       Romiplostim

0

  Cost of Prescriptions ($), mean per patient-episode (95% CI)

3 (2–4)

Total Cost per Cycle ($), mean per patient-episode

2179 (2029 - 2329)

  1. aHospital mortality was based on data from the MarketScan Database only