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Vol. 35. Núm. S2.
Farmacoeconomía: fundamentos y aplicaciones
Páginas 25-31 (Mayo 2011)
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Vol. 35. Núm. S2.
Farmacoeconomía: fundamentos y aplicaciones
Páginas 25-31 (Mayo 2011)
Acceso a texto completo
Aspectos farmacoeconómicos de los citostáticos orales
Pharmacoeconomic aspects of oral cytostatic agents
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J.E. Poquet Jorneta,
Autor para correspondencia
jaime.poquet@marinasalud.es

Autor para correspondencia.
, F.J. Carrera-Huesob, J.M. Gasent Blesac, M. Peris Godoyd
a Jefe del Área Clínica de Farmacia, Hospital de Denia, Denia, Alicante, España
b Servicio de Farmacia, Hospital Dr. Moliner, Serra, Valencia, España
c Jefe del Área Clínica de Oncología, Hospital de Denia, Denia, Alicante, España
d Director Asistencial, Hospital de Denia, Denia, Alicante, España
Este artículo ha recibido
Información del artículo
Resumen

En la validación de la quimioterapia oral, el farmacéutico debe comprobar la idoneidad de la prescripción, así como la corrección de su contenido, aplicando los mismos estándares de seguridad para los citostáticos parenterales. Cada vez hay más cánceres que tienen disponibles tratamientos por vía oral, mejorando la satisfacción del paciente, ya que pueden tomarse en sus domicilios sin necesidad de visitar el hospital. A medida que se incrementen los tratamientos citostáticos por vía oral será mucho más importante asegurarse de que ese cumplimiento de los tratamientos sea lo más óptimo posible. Los nuevos citostáticos por vía oral son menos tóxicos, reducen los costes indirectos e implican una menor pérdida de tiempo para el paciente y sus cuidadores, pero sus costes deberían estar por debajo de un umbral aceptado por la sociedad. Para ayudar a esta toma de decisiones, deberemos emplear las herramientas que la farmacoeconomía pone en nuestras manos.

Palabras clave:
Quimioterapia oral
Citostáticos
Farmacoeconomía
Cumplimiento
Valor
Abstract

When validating oral chemotherapy, pharmacists should confirm the suitability and correctness of the prescription, applying the same safety standards as those used for parenteral cytostatic drugs. There are an increasing number of cancers for which orally administered drugs are available, which increases patient satisfaction as these drugs can be taken at home without the need to visit a hospital. As oral cytostatic treatments increase, so does the importance of ensuring optimal treatment compliance. The new oral cytostatic agents are less toxic, reduce indirect costs and imply less loss of time for patients and their families. However, the cost of these agents should be below a threshold acceptable for society. As an aid to decision making, pharmacoeconomic tools should be used.

Keywords:
Oral chemotherapy
Cytostatic agents
Pharmacoeconomics
Compliance
Value
El Texto completo está disponible en PDF
Bibliografía
[1.]
C. Cuesta Grueso, A. Munilla Das, J.E. Poquet Jornet.
El farmacéutico especialista del área oncohematológica en el tratamiento de pacientes con quimioterapia oral.
Aten Farm, 12 (2010), pp. 203-204
[2.]
Pontón JL. Procedimientos de seguridad en el tratamiento con medicamentos citostáticos. Vol 1.3. Formación continuada para farmacéuticos de hospital. Módulo IV. Lab Ferrer. Sociedad Española de Farmacia Hospitalaria.
[3.]
M. Moody, J. Jackowski.
Are patients on oral chemotherapy in your practice setting safe?.
Clin J Oncol Nurs, 14 (2010), pp. 339-346
[4.]
C. Oakley, M. Crowe, M. Johnson.
Introducing the United Kingdom oncology nursing Society (UKONS) position statement on oral chemotherapy.
Eur J Cancer, 19 (2010), pp. 1-4
[5.]
M. Findlay, G. Von Minckwitz, A. Wardley.
Effective oral chemotherapy for breast cancer: pillars of strength.
Ann Oncol, 19 (2008), pp. 212-222
[6.]
G.L. Banna, E. Collova, V. Gebbia, et al.
Anticancer oral therapy: emerging related issues.
Cancer Treat Review, 36 (2010), pp. 595-605
[7.]
A. Schickedanz.
Of value: a discussion of cost, communication and evidence to improve cancer care.
The Oncologist, 15 (2010), pp. 73-79
[8.]
Di Mario, M.J. Ratain.
Oral chemotherapy: rationale and future directions.
J Clinical Oncology, 16 (1998), pp. 2557-2567
[9.]
S. Ramsey, A. Schickedanz.
How should we define value in cancer care?.
The Oncologist, 15 (2010), pp. 1-4
[10.]
T.J. Smith, B.E. Hillner.
Concrete options and ideas for increasing value in oncology care: the view from one trench.
The Oncologist, 15 (2010), pp. 65-72
[11.]
Reese DW, Skyberg JT, Kuntz GA. Oral oncology treatment regimens and the role of medication therapy management on patient adherence and compliance [consultado 12/01/2011]. Disponible en: http://www.intellogyhealth.com/pdf/Oral_Onco_MTM.pdf.
[12.]
R.J. Gralla.
Quality of life considerations in patients with advanced lung cancer: effect of topotecan on symptoms palliation and quality of life.
The Oncologist, 9 (2004), pp. 14-24
[13.]
F.R. Curtiss.
Pharmacy benefits spending on oral chemotherapy drugs.
J Managed Care, 12 (2006), pp. 570-577
[14.]
F. Peys.
Pharmacoecomics: where is the link with pharmacokinetics and biopharmaceutics?.
Pharm World Sci, 19 (1997), pp. 73-81
[15.]
J. Barefoot, C.S. Blecher, R. Emery.
Keeping pace with oral chemotherapy.
Oncology, 24 (2009), pp. 36-39
[16.]
A. Sparreboom, M.J.A. De Jonge, J. Verweij.
The use of oral cytotoxic and cytostatic drugs in cancer treatment.
Eur J Cancer, 38 (2002), pp. 18-22
[17.]
R. James, C. Blanco, C. Farina.
Savings in staff time as a result of switching from de Gramont to oral capecitabina for patients with colorectal cancer.
Eur J Cancer, 1 (2003), pp. S83
[18.]
S. Irshad, N. Maisey.
Considerations when choosing oral chemotherapy: identifying and responding to patient need.
Eur J Cancer Care, 19 (2010), pp. 5-11
[19.]
M. Bebawy, D.M. Sze.
Targeting P-glycoprotein for effective oral anti-cancer chemotherapeutics.
Current Cancer Drug Targets, 8 (2008), pp. 47-52
[20.]
A.H. Lebovits, J.J. Strain, S.J. Schleifer, J.S. Tanaka, S. Bhardwaj, M.R. Messe.
Patient non compliance with self-administered chemotherapy.
Cancer, 65 (1990), pp. 17-22
[21.]
J. So.
Improving the quality of oral chemotherapy services using home care.
Eur J Cancer, 19 (2010), pp. 35-39
[22.]
C. Vidall.
Providing community oral chemotherapy services.
Eur J Cancer Care, 19 (2010), pp. 29-34
[23.]
G. Liu, E. Franssen, M.I. Fitch, E. Warner.
Patient preferences for oral versus intravenous palliative chemotherapy.
J Clin Oncol, 15 (1997), pp. 110-115
[24.]
F. Husseini, J.Y. Douillard, M. Ychou, G. Perrocheau, P. Tilleul, P. Maes, et al.
Capecitabine vs. Mayo Clinic and the Gramont 5FU/LV regimens for stage III colon cancer: cost-effectiveness analysis in the French setting.
Ann Oncol, 17 (2006), pp. 64
[25.]
F. Di Constanzo, A. Sobrero, C. Twelves, J. Douillard, G. Giuliani, K. Patel.
Italian economic evaluation of capecitabine vs bolus 5FU/LV as adjundant chemotherapy for patients with Dukes’C colon cancer.
Ann Oncol., 17 (2006), pp. 63
[26.]
J. Cassidy, J.Y. Douillard, C. Twelves, J.J. McKendrick, W. Scheithauer, I. Bustová, et al.
Pharmacoeconomic analysis of adjudant oral capecitabine vs. intravenous 5-FU/LV in Dukes’C colon cancer: the X-ACT trial.
British J Cancer, 94 (2006), pp. 1122-1129
[27.]
J. Darba, G. Restovic, A. Ramírez de Arellano.
Economic assessment of capecitabin/cisplatin versus 5-FU/cisplatin regimens in treatment of advanced gastric cancer in Spain.
33th congress of the European Society form Medical Oncology,
[28.]
A. De Benito, B. Caballo, J. Gómez, N. Moyano, E. Giménez, M. Prior, et al.
Estudio comparativo de costes del tratamiento oral con Xeloda y Tarceva frente al tratamiento quimioterápico intravenoso desde la perspectiva de una aseguradora privada española.
Rev Esp Econ Salud, 9 (2010), pp. 28-36
[29.]
Rugo HS. Pharmacoeconomic considerations associated with use of oral agents in metastatic breast cancer [consultado 15/01/2011]. Disponible en: http://www.staging.medscape.org/viewarticle/710916.
[30.]
F.G. Jansman, M.J. Postma, D. Van Hartskamp, P.H. Willemse, J.R. Brouwers.
Cost-benefit analysis of capecitabine versus 5-fluorouracil/leucovorin in the treatment of colorectal cancer in the Netherlands.
Clin Ther, 26 (2004), pp. 579-589
[31.]
J.J. Carlson.
Erlotinib in non-small-cell lung cancer: a review of the clinical and economic evidence.
Expert Rev Pharmacoeconomics Outcomes Res, 9 (2009), pp. 409-416
[32.]
L.N. Newcomer.
The responsibility to pay for cancer treatments: a health insurer's view of value.
The Oncologist, 15 (2010), pp. 32-35
[33.]
L. Tilson, A. O’Leary, C. Usher, C. Usher, M. Barry.
Pharmacoeconomic evaluation in Ireland.
Pharmacoeconomics, 28 (2010), pp. 307-322
[34.]
P.M. Danzon, E. Taylor.
Drug pricing and value in oncology.
The Oncologist, 15 (2010), pp. 24-31
[35.]
R.A. Ingramm.
Counting the true cost and value of medicines.
The Oncologist, 8 (2003), pp. 2-4
[36.]
D.W. Brock.
Ethical and value issues in insurance coverage for cancer treatment.
The Oncologist, 15 (2010), pp. 36-42
[37.]
P.A. Ubel.
Beyond cost and benefits: understanding how patients make health care decisions.
The Oncologist, 15 (2010), pp. 5-10
[38.]
E. Nadler, B. Eckert, P.J. Neumann.
Do oncologists believe new cancer drugs offer good value?.
The Oncologist, 11 (2006), pp. 90-95
[39.]
D.A. Hugues, L. Tilson, M. Drummond.
Estimating drug cost in economic evaluations in Ireland and the UK.
Pharmacoeconomics, 27 (2009), pp. 635-643
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