在瘤学中,第二意见的成本影响是什么? 一个回顾性的回顾
Benjamin R Roman1,2, Allison Lipitz-Snyderman2,3, Susan Chimonas2,3
1Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
JCO oncology practice
|December 2, 2025
概括
在瘤学中寻求第二意见往往会导致不那么密集的治疗计划,并为患者节省大量的成本. 这项研究发现,每位患者平均节省了15,015美元,这突显了专家咨询的价值.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
背景情况:
- 瘤学中的第二意见可以改进治疗策略,潜在地改善患者的预后并减少发病率.
- 虽然在第二次意见后治疗降级是常见的,但有关成本影响的数据很少.
研究的目的:
- 评估癌症治疗计划在瘤学第二意见后发生变化的成本影响.
- 量化与第二次意见后治疗降级相关的潜在成本节约.
主要方法:
- 分析了120名患有癌症 (结肠直肠癌,头癌,肺癌,骨髓瘤) 的患者队列,这些患者在一个大批量中心接受了第二意见.
- 治疗费用 (手术,放射,药物治疗) 估计为治疗计划变更的患者的初次和第二次意见 (n=43).
主要成果:
- 在43名改变治疗的患者中,31人经历了更低的成本,七人经历了更高的成本,五人经历了第二次意见后的不变成本.
- 在所有120例病例中,每名患者平均节省了15.015美元的成本.
- 成本的降低源于不那么密集的治疗,包括手术,药物治疗方案,或转向观察.
结论:
- 瘤学中的第二意见与治疗强度的降低和显著的成本节省有关.
- 需要进一步的研究来验证这些研究结果在不同类型的癌症和医疗保健环境.
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