Tinzaparin for the Management of Cancer Associated Thrombosis in Patients with Cancer: a Budget Impact Analysis from the Italian Healthcare System Perspective

BACKGROUND: Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is a significant health problem with especially increased prevalence, morbidity and mortality in patients with cancer. This study aimed at assessing the economic impact of tinzaparin in p...

Full description

Saved in:
Bibliographic Details
Main Authors: Lorenzo Giovanni Mantovani, Ippazio Cosimo Antonazzo, Paolo Angelo Cortesi
Format: Article
Language:English
Published: SEEd Medical Publishers 2025-06-01
Series:Farmeconomia: Health Economics and Therapeutic Pathways
Subjects:
Online Access:https://journals.seedmedicalpublishers.com/index.php/FE/article/view/1566
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849425377522352128
author Lorenzo Giovanni Mantovani
Ippazio Cosimo Antonazzo
Paolo Angelo Cortesi
author_facet Lorenzo Giovanni Mantovani
Ippazio Cosimo Antonazzo
Paolo Angelo Cortesi
author_sort Lorenzo Giovanni Mantovani
collection DOAJ
description BACKGROUND: Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is a significant health problem with especially increased prevalence, morbidity and mortality in patients with cancer. This study aimed at assessing the economic impact of tinzaparin in patients with cancer associated thrombosis (CAT). METHODS: A budget impact model (BIM) was developed to assess the economic impact of tinzaparin as treatment for patients with CAT. The analysis was conducted over a 3-year time horizon and by adopting the Italian Healthcare system perspective. The model estimated and compared direct medical costs associated with tinzaparin (scenario with tinzaparin) to the ones associated without tinzaparin (scenario where only enoxaparin is available). Epidemiological data as well as VTE events’ rates were retrieved from literature, while costs data were retrieved from the Italian rate tables. The model estimated the economic impact as well as the economic variation associated with drug wastage and VTE management. RESULTS: The model estimated 2,090, 4,202 and 5,429 patients potentially eligible to the treatment during the first, second and third year, respectively. The use of tinzaparin resulted in a cost saving of about €3 millions over 3 years (−€446,378 during the first, −€1,025,848 during the second, and −€1,657,508 during the third year). In the same timeframe, the use of tinzaparin also resulted in decreased costs associated with drug wastage (−€738,604) and recurrent VTE management (−€404,470). CONCLUSIONS: Tinzaparin for the management of CAT patients has the potential for substantial savings, compared to treatments currently available. Stakeholders may consider these data to improve healthcare resource allocation in the Italian setting
format Article
id doaj-art-1b236f494ef44a0b9dc13f03bf1cd194
institution Kabale University
issn 2240-256X
language English
publishDate 2025-06-01
publisher SEEd Medical Publishers
record_format Article
series Farmeconomia: Health Economics and Therapeutic Pathways
spelling doaj-art-1b236f494ef44a0b9dc13f03bf1cd1942025-08-20T03:29:48ZengSEEd Medical PublishersFarmeconomia: Health Economics and Therapeutic Pathways2240-256X2025-06-0126110.7175/fe.v26i1.15661375Tinzaparin for the Management of Cancer Associated Thrombosis in Patients with Cancer: a Budget Impact Analysis from the Italian Healthcare System PerspectiveLorenzo Giovanni Mantovani0Ippazio Cosimo Antonazzo1Paolo Angelo Cortesi2Department of Medicine and Surgery, University of Milan-Bicocca, Monza, ItalyDepartment of Medicine and Surgery, University of Milan-Bicocca, Monza, ItalyDepartment of Medicine and Surgery, University of Milan-Bicocca, Monza, ItalyBACKGROUND: Venous thromboembolism (VTE), which includes deep vein thrombosis (DVT) and pulmonary embolism (PE), is a significant health problem with especially increased prevalence, morbidity and mortality in patients with cancer. This study aimed at assessing the economic impact of tinzaparin in patients with cancer associated thrombosis (CAT). METHODS: A budget impact model (BIM) was developed to assess the economic impact of tinzaparin as treatment for patients with CAT. The analysis was conducted over a 3-year time horizon and by adopting the Italian Healthcare system perspective. The model estimated and compared direct medical costs associated with tinzaparin (scenario with tinzaparin) to the ones associated without tinzaparin (scenario where only enoxaparin is available). Epidemiological data as well as VTE events’ rates were retrieved from literature, while costs data were retrieved from the Italian rate tables. The model estimated the economic impact as well as the economic variation associated with drug wastage and VTE management. RESULTS: The model estimated 2,090, 4,202 and 5,429 patients potentially eligible to the treatment during the first, second and third year, respectively. The use of tinzaparin resulted in a cost saving of about €3 millions over 3 years (−€446,378 during the first, −€1,025,848 during the second, and −€1,657,508 during the third year). In the same timeframe, the use of tinzaparin also resulted in decreased costs associated with drug wastage (−€738,604) and recurrent VTE management (−€404,470). CONCLUSIONS: Tinzaparin for the management of CAT patients has the potential for substantial savings, compared to treatments currently available. Stakeholders may consider these data to improve healthcare resource allocation in the Italian settinghttps://journals.seedmedicalpublishers.com/index.php/FE/article/view/1566thrombosiscancerlow molecular weight heparintinzaparinbudget impact analysis
spellingShingle Lorenzo Giovanni Mantovani
Ippazio Cosimo Antonazzo
Paolo Angelo Cortesi
Tinzaparin for the Management of Cancer Associated Thrombosis in Patients with Cancer: a Budget Impact Analysis from the Italian Healthcare System Perspective
Farmeconomia: Health Economics and Therapeutic Pathways
thrombosis
cancer
low molecular weight heparin
tinzaparin
budget impact analysis
title Tinzaparin for the Management of Cancer Associated Thrombosis in Patients with Cancer: a Budget Impact Analysis from the Italian Healthcare System Perspective
title_full Tinzaparin for the Management of Cancer Associated Thrombosis in Patients with Cancer: a Budget Impact Analysis from the Italian Healthcare System Perspective
title_fullStr Tinzaparin for the Management of Cancer Associated Thrombosis in Patients with Cancer: a Budget Impact Analysis from the Italian Healthcare System Perspective
title_full_unstemmed Tinzaparin for the Management of Cancer Associated Thrombosis in Patients with Cancer: a Budget Impact Analysis from the Italian Healthcare System Perspective
title_short Tinzaparin for the Management of Cancer Associated Thrombosis in Patients with Cancer: a Budget Impact Analysis from the Italian Healthcare System Perspective
title_sort tinzaparin for the management of cancer associated thrombosis in patients with cancer a budget impact analysis from the italian healthcare system perspective
topic thrombosis
cancer
low molecular weight heparin
tinzaparin
budget impact analysis
url https://journals.seedmedicalpublishers.com/index.php/FE/article/view/1566
work_keys_str_mv AT lorenzogiovannimantovani tinzaparinforthemanagementofcancerassociatedthrombosisinpatientswithcancerabudgetimpactanalysisfromtheitalianhealthcaresystemperspective
AT ippaziocosimoantonazzo tinzaparinforthemanagementofcancerassociatedthrombosisinpatientswithcancerabudgetimpactanalysisfromtheitalianhealthcaresystemperspective
AT paoloangelocortesi tinzaparinforthemanagementofcancerassociatedthrombosisinpatientswithcancerabudgetimpactanalysisfromtheitalianhealthcaresystemperspective