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黑色素瘤患者的成本项目按临床特征和诊断后的时间划分
Alessandra Buja1, Claudia Cozzolino1,2, Anna Zanovello1,2
1Department of Cardiologic, Vascular and Thoracic Sciences, and Public Health, University of Padua, Padua, Italy.
Frontiers in oncology
|November 29, 2023
概括
黑色素瘤治疗费用在诊断后的第一年是最高的,主要是住院和门诊服务. 先进阶段增加了成本,主要是由于住院药物使用,影响了资源配置策略.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 由于发病率增加和新型治疗方法,黑色素瘤患者的医疗保健支出不断增加.
- 需要对皮肤恶性黑色素瘤 (CMM) 的成本驱动因素进行详细分析.
研究的目的:
- 根据诊断阶段和临床病理特征分层分析CMM成本项目.
- 了解黑色素瘤治疗随着时间的推移带来的经济负担.
主要方法:
- 来自威尼托癌症登记处 (2015-2017年) 的2,647例侵入性CMM病例的分析.
- 从诊断前2年到诊断后4年,每个患者的直接黑色素瘤相关成本的计算.
- 成本按项目分层划分 (门诊,住院药物,住院费用等). 和临床病理因素.
- 记录线性多变量分析以确定成本驱动因素.
主要成果:
- 平均直接黑色素瘤成本在诊断后的第一年达到顶峰 (2903欧元),然后下降.
- 与随后的年相比,在第一年住院费用显著上升 (8-16倍).
- 先进的CMM阶段与更高的成本有关,主要是由住院药物支出驱动的.
结论:
- 根据瘤特征对患者的分层增强了对CMM成本组件的理解.
- 诊断后更高的初始成本与住院和门诊服务有关.
- 特定阶段的成本数据对于在黑色素瘤患者管理中有效分配资源至关重要.
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