Department of Surgery, São José do Rio Preto Medical School, São José do Rio Preto, Brazil.
Rev Panam Salud Publica. 2010 Oct;28(4):244-8. doi: 10.1590/s1020-49892010001000002.
to determine the trends in hospital admission rates for colorectal cancer (CRC) in the Brazilian Public Health System from 1996 to 2008 and to assess the economic costs.
data from the Hospital Information Systems database of the Brazilian Unified Health System were used for analysis of all admissions with a primary diagnosis of CRC between 1996 and 2008.
there were 297 108 CRC admissions over the study period, with an annual increase from 12 821 in 1996 to 35 040 in 2008. Age-standardized admission rates increased from 8.7 to 23.56 per 100 000 for a percentage increase of 171%. The average length of stay decreased from 11.6 days in 1996 to 7.5 days in 2008. The average hospital mortality declined from 10.4% to 8.5%. Overall costs in United States dollars (US$) of CRC hospitalizations rose from US$ 16.5 million in 1996 to US$ 33.5 million in 2008; the average cost of each admission, however, decreased from US$ 1 283 to US$ 954.
hospitalization rates for CRC in Brazil significantly increased during a 13-year period, incurring a considerable rise in the inflation-adjusted economic burden; national in-hospital mortality rates have remained relatively high.
确定 1996 年至 2008 年巴西公立医疗系统中结直肠癌（CRC）住院率的趋势，并评估其经济成本。
使用巴西统一医疗系统的医院信息系统数据库中的数据，对 1996 年至 2008 年间所有以 CRC 为主要诊断的住院病例进行分析。
研究期间共收治 297108 例 CRC 患者，年增长率从 1996 年的 12821 例增至 2008 年的 35040 例。年龄标准化的入院率从 1996 年的每 10 万人 8.7 例增至 2008 年的每 10 万人 23.56 例，增长率为 171%。平均住院时间从 1996 年的 11.6 天减少到 2008 年的 7.5 天。平均住院死亡率从 10.4%下降到 8.5%。CRC 住院治疗的美元总成本从 1996 年的 1650 万美元增加到 2008 年的 3350 万美元；然而，每次住院的平均费用从 1283 美元降至 954 美元。
在 13 年期间，巴西 CRC 的住院率显著增加，导致通胀调整后的经济负担显著增加；全国住院死亡率仍相对较高。
