• Oncology Ny · May 1999

    Cost modeling for alternate routes of administration of opioids for cancer pain.

    • S J Hassenbusch.
    • Department of Neurosurgery, M. D. Anderson Cancer Center, Houston, Texas, USA.
    • Oncology Ny. 1999 May 1; 13 (5 Suppl 2): 63-7.

    AbstractThe economic considerations relative to neuraxial infusion can be looked at with different types of economic models, including cost-minimization, cost-effectiveness, and cost-benefit analyses. A theoretical predictive model was developed about 2 years ago using a computer spreadsheet and based on four levels of supportive data. The model shows that the breakeven point at which it becomes less expensive to administer opioids with an intrathecal/implanted pump, rather than an epidural/external pump, is between 3 and 6 months after the start of pain management. In addition, the break even point between systemic treatment and spinal delivery with an implanted system is between 1 1/2 and 2 1/2 years from start of pain treatment.

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