所有类型癌症的住院及门诊护理直接费用：来自中国北京的证据
Directcostsofbothinpatientandoutpatientcareforalltypecancers:TheevidencefromBeijing,China
AbstractBackground:
Cancerisamajorpublichealthissueworldwide.Thecostofcancercareimposesasubstantialeconomicburdenonsocietyandpatient,butithasnotbeenthoroughlystudiedinChina.Thisstudyaimedtodescribedirectcostandcostelementsofallcancertypesbydifferentbeneficialcharacteristics.
Methods:
Theresearchwasaretrospectiveobservationalstudybasedoninpatientandoutpatientrecordswithaprimarydiagnosisofcancerfrom31hospitalsin.Totalcostandcostpertimewereanalyzedbycancertype,sources(prescriptionmedicines,consumablesfeefordiagnosisandsurgery,andotherhealthservices),andbeneficialcharacteristics(genderandage).
Results:
Atotalofeligibleinpatientadmissionsandoutpatientvisitswereidentifiedduringthestudyperiod.Inpatientcarecostsaccountfor58.6%cancertreatmentcosts.Nearly70%ofthetotalexpenditureisspentonpatientsaged50‐79years.Lungcancerhadthehighesteconomiccost(15%ofoverallcancercosts),followedbybreastcancer(12%),andcolorectalcancer(10%).Anticancerdrugcostaccountedalargeproportioninbothinpatient(37.7%)andoutpatientcare(64.6%).Theaveragecostperinpatientadmissionwasestimatedtobe$.1(.9),rangingfrom$.7(.8)fortestiscancerto$(.9)forstomachcancer.Theregressionanalysesrevealedthatlengthofhospitalstay,cancertype,age,paymenttype,andhospitallevelwerehighlycorrelatedwiththeexpenditureperadmission(P0.).
Conclusions:
Thecancercarecostissubstantialandvarieswithcancertype.Ourfindingsprovideimportantinformationforhealthserviceplanning,allowingmoreefficientallocationofhealthresourcesforthecareofpeoplewithcancer.
译文对照Background:
Cancerisamajorpublichealthissueworldwide.Thecostofcancercareimposesasubstantialeconomicburdenonsocietyandpatient,butithasnotbeenthoroughlystudiedinChina.Thisstudyaimedtodescribedirectcostandcostelementsofallcancertypesbydifferentbeneficialcharacteristics.
背景：
癌症是一个主要的全球性公共问题。癌症治疗的费用给社会和患者带来了巨大的经济负担，但有关这个问题在中国仍未进行深入地研究。本研究旨在通过不同的合理特征来描述所有癌症类型的直接成本及成本要素。
Methods:
Theresearchwasaretrospectiveobservationalstudybasedoninpatientandoutpatientrecordswithaprimarydiagnosisofcancerfrom31hospitalsin.Totalcostandcostpertimewereanalyzedbycancertype,sources(prescriptionmedicines,consumablesfeefordiagnosisandsurgery,andotherhealthservices),andbeneficialcharacteristics(genderandage).
方法：
该研究是一项回顾观察性研究，基于来自31家医院的年全年的住院和门诊记录数据，对癌症进行了初步诊断。根据癌症类型，来源（处方药、诊断和手术耗材费以及其他卫生服务）以及合理特征（性别和年龄）分析总成本和每次成本。
Results:
Atotalofeligibleinpatientadmissionsandoutpatientvisitswereidentifiedduringthestudyperiod.Inpatientcarecostsaccountfor58.6%cancertreatmentcosts.Nearly70%ofthetotalexpenditureisspentonpatientsaged50‐79years.Lungcancerhadthehighesteconomiccost(15%ofoverallcancercosts),followedbybreastcancer(12%),andcolorectalcancer(10%).Anticancerdrugcostaccountedalargeproportioninbothinpatient(37.7%)andoutpatientcare(64.6%).Theaveragecostperinpatientadmissionwasestimatedtobe$.1(.9),rangingfrom$.7(.8)fortestiscancerto$(.9)forstomachcancer.Theregressionanalysesrevealedthatlengthofhospitalstay,cancertype,age,paymenttype,andhospitallevelwerehighlycorrelatedwiththeexpenditureperadmission(P0.).
结果：
在研究期间共确定了名符合标准的住院患者和名门诊患者。住院护理费用占癌症治疗费用的58.6％，其中总支出的70％左右主要用于50-79岁的患者。肺癌的经济成本最高（占总癌症成本的15％），其次是乳腺癌（12％）和大肠癌（10％）。在住院（37.7％）和门诊（64.6％）中，抗癌药物成本占很大比例。每次患者的住院平均费用估计为.1美元（.9），范围从睾丸癌的.7美元（.8）到胃癌的美元（.9）不等。回归分析显示，住院时间，癌症类型，年龄，医院水平与每次住院的支出高度相关（P0.）。
Conclusions:
Thecancercarecostissubstantialandvarieswithcancertype.Ourfindingsprovideimportantinformationforhealthserviceplanning,allowingmoreefficientallocationofhealthresourcesforthecareofpeoplewithcancer.
结论：
癌症护理费用巨大，并且会因所患癌症的不同而异。我们的发现为规划医疗服务提供了重要信息，从而可以更有效地分配医疗资源用于癌症患者的护理。
原文链接：XuejunYin,YueXu,XiaoweiMan,LimingLiu,YanJiang,LiyingZhao,WeiCheng.Directcostsofbothinpatientandoutpatientcareforalltypecancers:TheevidencefromBeijing,China[J].CancerMedicine,,8(6):.
翻译：赵烜赫
编辑：刘梁
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