van Ballegooijen M, Koopmanschap M A, Tjokrowardojo A J, van Oortmarssen G J
Department of Public Health and Social Medicine, Erasmus University Rotterdam, The Netherlands.
Eur J Cancer. 1992;28A(10):1703-8. doi: 10.1016/0959-8049(92)90072-a.
The types, amounts and costs of hospital and home care in patients who died from cervical cancer are investigated, using both national data sources and hospital files. Our goal has been assessment of the savings on treatment and care of advanced cervical cancer resulting from cervical cancer screening. Hospital costs account for 70% of the total cost per patient of Dfl 29,200. The amount of hospital care decreases significantly with increasing age. The average number of days of hospitalisation per patient with advanced disease decreases from 62 days below age 50 to less than 10 days at age 70 and older. In-hospital medical procedures, home care and nursing home care account for 24, 22 and 8% of the costs, respectively. Mass screening programmes for cervical cancer will result in a reduction in both advanced disease and mortality. The potential savings compensate approximately 10% of the costs of screening.
利用国家数据源和医院档案，对死于宫颈癌患者的医院护理和家庭护理的类型、数量及成本进行了调查。我们的目标是评估宫颈癌筛查在晚期宫颈癌治疗和护理方面所节省的费用。医院成本占每位患者总成本（29200荷兰盾）的70%。医院护理量随着年龄的增长而显著减少。晚期疾病患者的平均住院天数从50岁以下的62天降至70岁及以上的不足10天。住院医疗程序、家庭护理和疗养院护理分别占成本的24%、22%和8%。宫颈癌大规模筛查计划将减少晚期疾病和死亡率。潜在的节省费用约占筛查成本的10%。
