[影响前列腺癌患者住院费用的因素:基于定量回归和随机森林的分析]
1School of Public Health, Wuhan University, Wuhan, Hubei 430071, China.
Zhonghua nan ke xue = National journal of andrology
|August 10, 2025
概括
前列腺癌患者面临高的住院费用,自付费用占64.40%. 关键的成本驱动因素包括住院时间,并发症,入院方法和手术方法,突出了经济救济的领域.
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
- 医疗保健服务研究 医疗服务研究
背景情况:
- 前列腺癌 (PCa) 给患者带来了巨大的经济负担,特别是医院住院费用.
- 腹腔镜激进前列腺切除术 (LRP) 是一种常见的治疗方法,但其相关成本需要彻底调查.
研究的目的:
- 确定影响LRPPCa患者住院费用的关键因素.
- 为减少PCa治疗的直接经济负担提供基于证据的战略.
主要方法:
- 分析了893名PCa患者的住院数据,这些患者接受了LRP治疗.
- 利用多重线性回归,量子力回归和随机森林算法来分析成本决定因素.
- 使用的统计软件包括 Stata 18.0,SPSS 27.0 和 R 4.4.1.1.
主要成果:
- 出口支付占总成本的64.40%,平均为60,794.9¥.
- 人均治疗,药品和消费品成本是最高的支出.
- 住院时间,并发症的数量,入院方式和外科手术方法显著影响了成本.
结论:
- PCa患者经历了大量的住院费用,需要优化成本组成.
- 建议包括将医疗耗材整合到保险中,推进药物开发和机器人手术,减少住院时间.
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