ヘッド・アンド・ネック・ガン 医療費の普遍的な保健医療システム:人口ベースのケース・コントロール研究
Noémie Villemure-Poliquin1,2,3, Rui Fu1,2,4, Kelvin K W Chan2,4,5
1Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
まとめ
頭頸部がん (HNC) は,63ヶ月間にわたり,一人当たり5万3000ドル以上の直接的な医療費がかかります. 費用は,早期の診断後および進行段階の治療やマルチモダルの治療で最も高くなります.
科学分野:
- 腫瘍学 腫瘍学
- 健康経済学 医療経済学
- 公衆衛生は公衆衛生である.
背景:
- 頭頸部がん (HNC) は,医療システムに重大な経済的負担を及ぼします.
- HNCの介護段階における直接的な医療費を理解することは,普遍的な医療におけるリソースの割り当てと費用対効果に不可欠です.
研究 の 目的:
- HNCの診断後の60ヶ月の間における直接的な医療費を定量化するために.
- 癌のサブサイト,ステージ,治療方法によるコストの変動を分析する.
主な方法:
- カナダのオンタリオ州の行政医療データを利用した,人口ベースの,マッチングした症例対照研究.
- HNCと診断された19,832人の成人を含む (2007-2020年),それぞれ5つのコントロールとマッチングしました.
- 医療段階,サブサイト,ステージ,治療による63ヶ月の平均一人当たりの直接医療費を分析した.
主要な成果:
- 63ヶ月の1人当たりのHNCの平均コストは,53,812.9ドルでした.
- 費用は診断後最初の3ヶ月 (9709.7ドル/月) にピークに達し,時間の経過とともに減少しました.
- 喉 / 喉下関節がん,進行段階 (IV対IV). I) とマルチモダル治療 (外科 + 化学放射線治療) が最も高い費用を負った.
結論:
- HNCは,サブサイト,ステージ,治療による大きな変動で,かなりの医療費を発生させます.
- 費用のピークは早期治療中に発生し,マルチモダル療法患者では上昇しています.
- 結果は,HNCのケアのためのリソースの割り当てと費用対効果の評価を参考にします.
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