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Epidemiology, Resource Use, and Treatment Patterns of Locally Advanced or Metastatic Urothelial Carcinoma in France

Abstract

Aim: Describe real-world epidemiology, treatment patterns, health care resource utilization, and costs of locally advanced or metastatic urothelial carcinoma (la/mUC) in France.

Patients & Methods: Retrospective study including all adults with la/mUC diagnosis during January 2017 to December 2020 in the PMSI database.

Results: Annual prevalence and incidence ranged from 36.4 to 38.9 and 16.4 to 18.5 cases per 100,000 people, respectively. Of the 25,314 patients with incident la/mUC, 37.6% did not receive first-line systemic treatment. Of the 14,656 patients who started first-line systemic treatment, 66.6%, 22.5%, and 10.9% received 1, 2, and 3 lines of therapy, respectively. Annual per-patient costs in second-/third-line setting ranged from €8803 to €16,012.

Conclusion: The substantial disease burden of la/mUC in France highlights the unmet need for new therapies.

References
1.
Roupret M, Pignot G, Masson-Lecomte A, Comperat E, Audenet F, Roumiguie M . [French ccAFU guidelines - update 2020-2022: bladder cancer]. Prog Urol. 2020; 30(12S):S78-S135. DOI: 10.1016/S1166-7087(20)30751-X. View

2.
Poulalhon C, Rotelli-Bihet L, Moine S, Fagot-Campagna A, Aubry R, Tuppin P . Use of hospital palliative care according to the place of death and disease one year before death in 2013: a French national observational study. BMC Palliat Care. 2018; 17(1):75. PMC: 5954461. DOI: 10.1186/s12904-018-0327-z. View

3.
Neuzillet Y, Audenet F, Loriot Y, Allory Y, Masson-Lecomte A, Leon P . French AFU Cancer Committee Guidelines - Update 2022-2024: Muscle-Invasive Bladder Cancer (MIBC). Prog Urol. 2022; 32(15):1141-1163. DOI: 10.1016/j.purol.2022.07.145. View

4.
Dreyer N . Advancing a Framework for Regulatory Use of Real-World Evidence: When Real Is Reliable. Ther Innov Regul Sci. 2018; 52(3):362-368. PMC: 5944086. DOI: 10.1177/2168479018763591. View

5.
Bannay A, Chaignot C, Blotiere P, Basson M, Weill A, Ricordeau P . The Best Use of the Charlson Comorbidity Index With Electronic Health Care Database to Predict Mortality. Med Care. 2015; 54(2):188-94. DOI: 10.1097/MLR.0000000000000471. View