在儿科和青少年神经外科瘤学的金融毒性
Alexandra M Giantini-Larsen1,2, Samantha Brown3, Anne S Reiner3
1Department of Neurosurgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Journal of neuro-oncology
|May 12, 2025
概括
金融毒性 (FT) 显著影响儿童神经外科患者,影响19%的术后. 以前存在的金融毒性强烈预测未来的金融毒性,即使对于那些有保险的人来说也是如此.
科学领域:
- 在瘤学瘤学.
- 神经外科 神经外科
- 卫生经济学 卫生经济学
背景情况:
- 财务毒性 (FT) 是医疗成本对患者的不利影响.
- 在儿科和青少年神经外科瘤学中对FT的研究有限.
- 这项研究旨在确定FT在这个特定患者群体中的发病率.
研究的目的:
- 为了确定儿童和青少年神经外科瘤病人的金融毒性的发生率.
- 为了确定与金融毒性相关的因素,在这个人群中.
- 了解与癌症相关的神经外科手术的长期财务负担.
主要方法:
- 对医疗和金融服务数据的回顾性审查.
- 针对癌症相关诊断进行神经外科手术的21岁以下患者的分析 (2016-2020年).
- 评估财务毒性发生率和相关因素的神经外科手术前后.
主要成果:
- 16%的患者经历了手术前的FT;19%的患者经历了2年内手术后的FT.
- 手术前的FT显著增加了手术后的FT的累积发病率 (61%对11%).
- 大多数FT患者有商业保险,这表明即使有保险,也存在脆弱性.
结论:
- 金融毒性对儿科神经外科瘤学患者构成重大挑战.
- 手术前的财务毒性是术后财务毒性的强有力的预测因素.
- 保险状况并不能完全保护这一群体免受金融毒性的影响.
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