Across rheumatic diseases

Budget impact analysis and treatment availability with biosimilar TNF inhibitors in rheumatic diseases in Poland: real-world evidence using a nationwide database

Ann Rheum DisPublished Retrospective budget impact analysis

Authors' conclusion

This is the first nation-level analysis that shows estimated and real-life direct cost-savings for TNFi biosimilars.

Study context

Population
Patients with rheumatic musculoskeletal diseases (RMDs) treated with tumour necrosis factor inhibitors (TNFi) in Poland12,687 treatment courses
Exposure
Biosimilar TNFi: estimated vs real-life savings
Outcome
Estimated and real-life savings for public payer
Follow-up
8-year perspective
Methodological detailsnationwide database, real-world evidence, 8-year perspective, public payer perspective
  • Nationwide database
  • Real-world evidence
  • 8-year perspective
  • Public payer perspective

Main finding

As reported in the abstract

Savings for public payer

Estimated total savings for TNFi

over €243 million

Estimated savings attributed to treatment cost reduction in RMDs

over €166 million

Real-life total savings for TNFi

€133 million

Real-life savings in RMDs

€107 million

Observational data: associations, not effects.

Further findings

Share of total savings generated by rheumatology sector

Rheumatology share of total savings across models, depending on scenario
between 68% and 92%

Decrease in mean annual cost of treatment

Overall decrease in mean annual cost of treatment in the study frame
between 75% and 89%

Hypothetical additional patients with RMDs treatable if all savings reinvested in TNFi · 2021

Hypothetical total patients with RMDs treatable
almost 45 000

Original publication

Budget impact analysis and treatment availability with biosimilar TNF inhibitors in rheumatic diseases in Poland: real-world evidence using a nationwide database. Ann Rheum Dis. Published 16 June 2023. doi:10.1136/ard-2022-223696

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