Research Article

Healthcare Resource Use and Expenditures among Metastatic Breast Cancer Patients Treated with HER2-Targeted Agents

Table 6

Unadjusted healthcare costs during follow-up period among HER2-targeted agent users.

HT−HT+De novo RecurrentAGE 18–44AGE 45–64AGE 65+
= 1,272 = 1,357 = 1,654 = 1,801
Mean (SD)Mean (SD)Mean (SD)Mean (SD)Mean (SD)Mean (SD)Mean (SD)

All-cause monthly  expenditures
Inpatient admissions$4,623 (18,646)$2,111 (7,605)a$3,129 (13,402)$3,443 (14,548)$2,249 (5,461)$3,914 (16,706)$1,861 (4,470)b
Outpatient visits and services$10,493 (8,752)$9,422 (8,130)b$11,517 (8,661)$9,009 (8,190)a$11,166 (8,494)$10,334 (8,497)$7,091 (7,597)a
 Emergency department (ED) visits$138 (766)$101 (1,418)$101 (618)$129 (1,370)$129 (744)$118 (1,277)$113 (869)
 Outpatient office visits$270 (434)$240 (335)$287 (491)$235 (308)b$260 (214)$264 (434)$207 (281)b
 Radiation treatmentd$817 (1,945)$655 (1,300)c$765 (1,310)$715 (1,815)$870 (1,527)$751 (1,532)$531 (2,136)b
 Diagnostic radiologyd$1,501 (2,521)$1,425 (2,728)$1,436 (2,486)$1,477 (2,712)$1,647 (2,607)$1,544 (2,699)$939 (2,271)a
 Laboratory services$311 (657)$265 (464)c$301 (446)$279 (627)$349 (562)$305 (612)$153 (277)a
 Other outpatient caree$7,456 (6,965)$6,737 (6,301)b$8,626 (7,190)$6,174 (6,116)a$7,911 (6,727)$7,353 (6,703)$5,148 (5,907)a
Prescription fills$818 (1,369)$858 (1,227)$577 (845)$994 (1,481)a$923 (1,355)$848 (1,309)$722 (1,185)
Total healthcare$15,934 (20,928)$12,391 (11,591) a$15,223 (16,448)$13,446 (17,078) b$14,338 (10,828)$15,096 (19,091)$9,674 (8,982) a
Breast cancer monthly expenditures
Inpatient $476 (4,374)$207 (1,054)c$601 (4,758)$183 (1,503)b$246 (1,181)$400 (3,654)$159 (1,737)
Outpatient visits and services$8,258 (7,793)$7,475 (7,401)b$9,582 (7,961)$6,841 (7,195)a$8,916 (7,912)$8,201 (7,573)$5,388 (6,911)a
 Emergency department (ED) visits$50 (431)$65 (1,407)$43 (427)$67 (1,288)$52 (403)$64 (1,247)$36 (363)
 Outpatient office visits$200 (369)$171 (317)c$216 (418)$167 (289)b$190 (195)$194 (382)$144 (269)c
 Radiation treatmentd$524 (1,682)$423 (1,006)$568 (1,115)$416 (1,507)b$591 (1,295)$484 (1,245)$309 (1,879)c
 Diagnostic radiologyd$1,133 (2,136)$1,095 (2,470)$1,167 (2,218)$1,083 (2,370)$1,282 (2,484)$1,182 (2,356)$668 (1,880)a
 Laboratory services$264 (640)$243 (592)$281 (578)$236 (637)$317 (793)$264 (593)$145 (493)b
 Other outpatient caree$4,497 (5,260)$3,873 (3,919)b$5,155 (5,200)$3,601 (4,418)a$4,690 (4,867)$4,342 (4,562)$2,989 (4,483)a
 Office-administered antineoplastic agents$1,590 (3,186)$1,606 (3,620)$2,152 (3,555)$1,272 (3,292)a$1,794 (3,401)$1,672 (3,619)$1,098 (2,346) c
Outpatient pharmacy antineoplastic agents$369 (890)$410 (844)$227 (534)$487 (1,001)a$426 (798)$403 (894)$303 (804)
Total healthcare$9,103 (9,000)$8,092 (7,521) b$10,409 (9,334)$7,510 (7,394) a$9,589 (8,103)$9,004 (8,472)$5,850 (7,020) a

value compared to corresponding HER2-targeted agent subgroup(s) <0.0001.
value compared to corresponding HER2-targeted agent subgroup(s) <0.01.
value compared to corresponding HER2-targeted agent subgroup(s) <0.05.
dRadiation treatment and diagnostic radiology encompass all outpatient radiology services during follow-up.
eOther outpatient care includes all remaining outpatient services that are not reported individually.
fPatient’s monthly expenditures were calculated using the following formula: (patient’s total expenditures/patient’s total days of follow-up) * 30 days.