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Identification and Economic Evaluation of Differentiated Thyroid Cancer Care Consumption Patterns Using Sequence
Romain Demeulemeester1, Pascale Grosclaude2, Solange Grunenwald3
1Unité d'Evaluation Médico-Economique, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
International Journal of Public Health
|May 6, 2024
Summary
Caring for differentiated thyroid carcinoma (DTC) costs more due to consumption patterns and socioeconomic factors. Understanding these can lead to better management strategies for DTC patients.
Area of Science:
- Oncology
- Health Economics
- Public Health
Background:
- Differentiated thyroid carcinoma (DTC) management involves significant healthcare costs.
- Understanding cost drivers is crucial for effective resource allocation and patient care.
- Socioeconomic factors may influence healthcare utilization and treatment expenses.
Purpose of the Study:
- To evaluate how care consumption patterns and individual characteristics, particularly socioeconomic position, affect the cost of treating DTC in France.
- To identify key predictors of high care consumption in DTC patients.
Main Methods:
- Utilized a net cost approach with data from the EVATHYR cohort and French National Health Insurance database.
- Employed Optimal Matching and clustering for care consumption pattern analysis.
- Applied multinomial logistic regression and generalized estimating equations to assess influencing factors on patterns and costs.
Main Results:
- Average initial 3-year cost for DTC treatment was €13,753 per patient.
- High cancer recurrence risk, female gender, and socioeconomic deprivation were associated with higher DTC-specific care consumption.
- High DTC-specific care consumers incurred 35% higher general care costs (RR = 1.35).
Conclusions:
- DTC management costs are significantly influenced by patient consumption habits and socioeconomic status.
- Nuanced management strategies are needed to address cost variations in DTC care.
- Further research into socioeconomic impacts on DTC treatment costs is warranted.

