在开放性囊切除患者的护理成本跨越时间和空间:这是否重要?
Helen H Sun1,2, Megan Prunty1,2, Ilaha Isali1,2
1Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Bladder cancer (Amsterdam, Netherlands)
|July 12, 2024
概括
开放激进囊切除术 (ORC) 护理的成本受患者的性别,并发症和住院时间的影响. 出院时间也影响住院费用,突出了膀癌治疗潜在成本优化的领域.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
背景情况:
- 膀癌的开放激进囊切除术 (ORC) 需要复杂的护理,成本可变.
- 影响ORC成本的因素包括手术方法,转移类型,患者的并发症和术后并发症.
研究的目的:
- 确定与开放激进囊切除术 (ORC) 治疗膀癌的成本变化相关的因素.
- 使用国家住院样本 (NIS) 数据库进行全面分析.
主要方法:
- 分析了2012-2017年NIS数据,这些数据是针对患有膀癌的内皮管经过ORC的患者.
- 使用单变量和多变量物流回归来确定影响成本的因素.
- 在分析中包括人口统计,临床特征,手术因素和出院季度.
主要成果:
- 女性性别,更高的Elixhauser并发症得分,以及住院并发症显著增加了住院费用.
- 较长的逗留时间与较高的ORC护理成本密切相关.
- 第三季度 (7月至9月) 放算与第二季度相比,成本增加相关.
结论:
- 患者的性别,并发症和出院时间是ORC成本的重要决定因素.
- 成本变化的潜在原因包括女性患者的疾病负担,患者的复杂性和学术课程护理差异.
- 了解这些因素可以为管理和优化ORC护理费用的策略提供信息.
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