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Home > All articles > Finnish hospital data lakes can be adapted to analysis of complex treatment patterns, outcomes and healthcare burden in multiple myeloma
Finnish hospital data lakes can be adapted to analysis of complex treatment patterns, outcomes and healthcare burden in multiple myeloma
Our latest Multiple Myeloma (MM) publication describes how treatments have changed in 2013–2019, and what the estimated treatment costs are in Multiple Myeloma. The study was published in Future Oncology in October 2023 and carried out by experts at Medaffcon, Sanofi, and Helsinki University Hospital (HUS).
The availability of stem cell transplantation (SCT) and novel immunochemotherapies (ICTs) have improved the outcomes of multiple myeloma therapies. However, it is not clear how treatment patterns have changed longitudinally and what is the magnitude of burden associated with the treatment and follow-up of multiple myeloma in Finland.
In this RWE study we analyzed data from Helsinki University Hospital Data Lake and examined 509 adult Multiple Myeloma (MM) patients treated with ICTs in 2013–2019 in the Hospital District of Helsinki and Uusimaa. Compared with a nontransplant group, patients eligible for stem cell transplantation had a better 5-year survival rate (74.4 % vs 44.0 %) but used high levels of specialty care resources.
At seven years of the follow-up of the 509 patients, total estimated cumulative any-cause specialty care costs per patient, excluding medications, wereapproximately 148 000 euros (95 % CI: 134 000–161 000) in SCT-eligible patients and 64 000 euros (95 % CI: 58 000–70 000) in non-eligible individuals. Respective average per patient year costs were 33 000 euros (95 % CI: 30 000–37 000) and 21 000 euros (95 % CI: 18 000–22 000). The treatment costs of patients with better survival continued growing for several years after diagnosis.
This study highlights the value of hospital data lakes and computer-assisted analysis of large patient cohorts with complex treatment patterns. These results are valuable to strategies combatting the healthcare burden in the management of multiple myeloma.
Mariann joined Medaffcon’s team in 2016 after finishing her PhD. The transition to real world evidence (RWE) research was a natural continuum to her previous research career. Through RWE studies, she has had the privilege to gain a broad insight into working with different stakeholders within the healthcare field. The vast proportion of her days goes towards interacting with clients, planning and performing RWE studies, and supporting Medaffcon’s RWE team. Subjects that keep her work interesting are the vast variability of customers and projects, problem-solving, and interacting with people.
“The number of RWE studies has increased since stakeholders within the healthcare industry have an increasing demand for knowledge-based decision making tools that need to be fulfilled. The future, therefore, has an ever-increasing emphasis on RWE”.