Clinical and Translational Oncology

, Volume 15, Issue 1, pp 9–19 | Cite as

Analysis of economic evaluations of pharmacological cancer treatments in Spain between 1990 and 2010

  • Ángel Sanz-Granda
  • Álvaro Hidalgo
  • Juan E. del Llano
  • Joan Rovira
Educational Series – Red Series NEW TRENDS IN CLINICAL ONCOLOGY
  • 266 Downloads

Abstract

Economic evaluation of pharmacological cancer treatment is a critical clinical problem currently under consideration worldwide. We have analysed their main characteristics in Spain between 1990 and 2010 following a systematic review of the 29 complete economic analyses published. The pathology most frequently evaluated was non-small cell lung cancer (31 %). Cost-effectiveness analyses (69 %) were the most frequent analyses. A wide range of incremental cost-effectiveness values (295–160,667 €/QALY) has been reported, and mostly are developed from the perspective of the National Health System (65.5 %). However, none of the studies estimated the indirect costs. The major conclusion is that the absence of regulations concerning the application of the efficiency criterion in decision-making on the subject of price and financing and, most importantly, the fact that these are not included in Spanish hospitals forms make it difficult to analyse the real impact of economic evaluations of cancer treatments on such decisions.

Keywords

Economic evaluation Cost-effectiveness Medications Drugs Cancer/oncology Spain 

Notes

Acknowledgments

The authors thank Lilly S.A. Spain, for the help provided in the performance of the study.

Conflict of interest

ASG, AH, JDL and JR have received an investigator-led research from Lilly.

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Copyright information

© Federación de Sociedades Españolas de Oncología (FESEO) 2012

Authors and Affiliations

  • Ángel Sanz-Granda
    • 1
  • Álvaro Hidalgo
    • 2
  • Juan E. del Llano
    • 3
  • Joan Rovira
    • 4
  1. 1.Weber Economía y Salud, Pharmacoeconomics DepartmentMadridSpain
  2. 2.Universidad de Castilla-La ManchaMadridSpain
  3. 3.Gaspar Casal FoundationMadridSpain
  4. 4.Universidad de BarcelonaBarcelonaSpain

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