根据疾病阶段和护理阶段,使用基于人口的数据库更新了女性乳腺癌的成本
Nicole Mittmann1,2, Soo Jin Seung3, Zharmaine Ante4
1Clinical Evaluative Sciences, Sunnybrook Research Institute.
Health reports
|November 21, 2024
概括
乳腺癌护理显著增加了医疗保健费用,费用随疾病严重程度而上升,并根据年龄和护理阶段而异. 在诊断后的第一年,医疗保健支出增量最高.
科学领域:
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 评估安大略省 (加拿大) 乳腺癌成年妇女的医疗保健系统成本和资源利用情况.
- 根据疾病阶段,患者年龄和护理阶段更新成本数据.
研究的目的:
- 提供乳腺癌对医疗保健系统经济负担的最新估计.
- 分析不同疾病严重程度,年龄组和护理轨迹的成本变化.
主要方法:
- 对基于人口的相关行政数据 (2017-2022) 的回顾性分析.
- 包括37,133例乳腺癌病例与185,665例对照进行匹配.
- 使用线性回归估计增量成本,控制人口和社会经济因素.
主要成果:
- 乳腺癌的每年增量成本为每例27,485美元.
- 费用随着阶段的升级:$ 15,588 (第一阶段) 到$ 137,319 (第四阶段).
- 在诊断后的最初一年 (43,408美元) 和年轻患者 (70岁以下) 中观察到的最高成本.
结论:
- 乳腺癌给医疗保健系统带来了大量和可变的成本.
- 疾病的严重程度,诊断时的年龄和接近诊断/死亡的距离是关键的成本驱动因素.
- 调查结果强调了考虑到这些成本变化的资源配置策略的需要.
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