使用直肠间隔器和整体长期医疗费用:付款人的观点
James B Yu1, Ryoko Sato2, Michael R Folkert3
1Department of Radiation Oncology, Dartmouth Hitchcock Medical Center, Hanover, NH, United States.
Frontiers in oncology
|August 29, 2025
概括
前列腺癌 (PCa) 放射治疗的直肠间隔器 (RS) 增加了预先的成本,但为保险公司带来了显著的长期医疗节省. 这项研究表明,尽管初始费用较高,但RS能降低总体成本.
科学领域:
- 癌症学
- 辐射瘤学
- 健康经济学
背景情况:
- 在前列腺癌 (PCa) 放射治疗 (RT) 期间,直肠间隔器 (RS) 将直肠的辐射剂量降至最低.
- 虽然RS涉及初始成本,但通过减少治疗毒性和相关医疗费用,它们可能会带来长期的经济效益.
研究的目的:
- 评估使用RS聚乙烯糖醇水凝和不使用RS的PCa患者的长期保险人支付医疗费用模式.
主要方法:
- 对接受RT的PCa患者的医疗保险和商业保险数据 (2015-2020年) 的回顾性分析.
- 多变量通用线性模型评估了RS用户和非用户之间的成本差异,从试验前的一年到试验后的四年.
- 分析按付款人类型和成本类型分层,控制患者和治疗共变量.
主要成果:
- 在RT前 (+1,811美元) 和RT期间 (+3,949美元) 的RS患者的费用较高.
- 然而,对于RS用户来说,在RT后的4年内,保险公司支付的总成本显著降低了8,095美元.
- 对于与肠道,性或尿路功能障碍相关的成本,也观察到类似的节省模式.
结论:
- 尽管初始支出较高,但在接受RT的PCa患者中使用直肠间隔器与保险公司的整体医疗成本的长期显著降低有关.
- 随着长期毒性相关的医疗保健使用和支出减少,RS的前期投资可能会在经济上得到抵消.
相关概念视频
Issues And Trends In Healthcare Delivery System
5.8K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.8K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
170
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
170
Preventive Healthcare Services
1.1K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.1K
PPE Use in Healthcare Settings I: Donning
1.3K
Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
1.3K
Inhaled Medications
388
Inhaled medications are crucial for managing chronic obstructive pulmonary disease (COPD) and asthma. They are essential for effective treatment and control, ensuring optimal respiratory health and well-being. Inhaled medication delivers drugs directly to the lungs, providing a rapid onset of action and reducing systemic side effects compared to oral or injectable medications. Three primary types of inhalation devices are used to administer these medications: nebulizers, metered-dose inhalers...
388
Secondary Healthcare System
1.6K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.6K


