对于较低风险的甲状腺癌,甲状腺切除术的全州情节支出变化
Catherine B Jensen1, Steven Xie2, Aayushi Sinha2
1Department of Surgery, University of Michigan, Ann Arbor, MI, USA; National Clinician Scholars Program, University of Michigan, Ann Arbor, MI, USA; Department of Surgery, University of Wisconsin, Madison, WI, USA.
American journal of surgery
|January 15, 2026
概括
甲状腺切除术的开支在各个设施之间有很大差异. 减少并发症,停留时间和再接收,可以提高甲状腺癌护理的价值.
科学领域:
- 卫生经济学 卫生经济学
- 外科手术的结果
- 在瘤学瘤学.
背景情况:
- 甲状腺切除手术的医疗保健支出存在显著差异.
- 了解成本驱动因素对于提高医疗保健价值至关重要.
研究的目的:
- 评估甲状腺癌患者甲状腺切除术的支出变化.
- 确定导致甲状腺切除手术成本差异的因素.
主要方法:
- 使用密歇根州索赔数据 (2015-2022) 的回顾性队列研究.
- 包括因甲状腺癌风险较低而接受甲状腺切除术的患者.
- 分析了90天的支出,使用混合线性模型来确定变化因素.
主要成果:
- 分析了来自81个医疗机构的2516名患者.
- 90天的支出范围从5917美元到25630美元 (中位数为8993美元).
- 与患者年龄,再入院,术后并发症和延长住院时间相关的更高支出.
结论:
- 减少手术后并发症和再入院是关键机会.
- 优化住院时间可以降低甲状腺切除术的整体成本.
- 改善护理途径可以增强甲状腺切除术对癌症患者的价值.
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