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Neuromodulation. 2016 Feb;19(2):196-205. doi: 10.1111/ner.12384. Epub 2016 Jan 27.

Health Services Utilization and Payments in Patients With Cancer Pain: A Comparison of Intrathecal Drug Delivery vs. Conventional Medical Management.

Author information

1
Arizona Center for Pain and Supportive Care, Phoenix, AZ, USA.
2
Neuromodulation, Medtronic, Inc., Minneapolis, MN, USA.
3
National Center for Policy Analysis, Dallas, TX, USA.

Abstract

INTRODUCTION:

To compare health services utilization and payments for cancer patients who received an implantable intrathecal drug delivery (IDD) system, consisting of a pump and catheter, vs. conventional medical management (CMM) for the treatment of cancer-related pain.

METHODS:

This retrospective claims-data analysis compared health services utilization and payments in a population of patients receiving either IDD or CMM for treatment of cancer pain. Patients were propensity score-matched 1:1 based on characteristics including, but not limited to, age, gender, cancer type, comorbid conditions, and health care utilization and payments.

RESULTS:

From a sample of 142 IDD patients and 3188 CMM patients who met all inclusion/exclusion criteria, 73 matched pairs were obtained. In the year following implant, IDD patients had a consistent trend of lower medical utilization, and total payments that were $3195 lower compared to CMM.

CONCLUSIONS:

Despite the high initial cost of IDD, this analysis suggests that patients with IDD incur lower medical utilization and payments over the first year post-implant. Further analysis comprised of a larger, longitudinal sample would contribute to health economics and outcomes research, and assist with future practice guideline development.

KEYWORDS:

Cancer pain; conventional medical management; health services utilization; intrathecal drug delivery; retrospective study

PMID:
26816205
PMCID:
PMC5066649
DOI:
10.1111/ner.12384
[Indexed for MEDLINE]
Free PMC Article

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