DeGroote School of Business and Centre for Health Economics and Policy Analysis, Mc- Master University, Hamilton, and Dalla Lana School of Public Health, University of Toronto, Toronto, ON.
Curr Oncol. 2011 Jan;18(1):e1-8. doi: 10.3747/co.v18i1.681.
Monthly out-of-pocket costs (oopc) for Ontario patients with cancer have previously been reported, but little detail has been provided on differences based on tumour type.
A questionnaire administered in cancer clinics in the province of Ontario, with a mix of urban and rural patients, was analyzed using descriptive statistics and a regression analysis of cross-sectional data. The dependent variable was oopc (Canadian dollars), analyzed separately for total oopc (excluding imputed travel costs), and for each of the individual cost categories.
Compared with colorectal, lung, and prostate cancer patients combined, breast cancer patients had statistically significantly higher total oopc ($393 vs. $149, p = 0.02), device costs ($142 vs. $12, p = 0.018), and family care costs ($38 vs. $3, p = 0.01). By contrast, they trended toward lower costs for travel ($225 vs. $426, p = 0.055) and had lower costs for parking ($32 vs. $53, p = 0.0198). Compared with non-breast cancer patients, patients with breast cancer reported a greater perceived financial burden (31% vs. 17% p = 0.0133).
These findings highlight that financial burden for cancer patients can vary by tumour type, and that patients with breast cancer may require a different mix of supportive services than do patients with other common tumour types. Supportive care programs related to financial burden should consider the likelihood and nature of financial burden when counselling breast cancer patients.
先前有报道安大略省癌症患者的月度自付费用（oopc），但基于肿瘤类型的差异，很少有详细信息。
对安大略省癌症诊所的患者进行问卷调查，其中包括城市和农村患者，使用描述性统计和横截面数据的回归分析对数据进行分析。因变量为oopc（加元），分别分析总 oopc（不包括推断的旅行费用）以及每个单独费用类别的 oopc。
与结直肠癌、肺癌和前列腺癌患者相比，乳腺癌患者的总 oopc（$393 比 $149，p=0.02）、设备费用（$142 比 $12，p=0.018）和家庭护理费用（$38 比 $3，p=0.01）均显著更高。相比之下，他们的旅行费用（$225 比 $426，p=0.055）呈下降趋势，停车费用（$32 比 $53，p=0.0198）更低。与非乳腺癌患者相比，乳腺癌患者报告的经济负担更大（31%比 17%，p=0.0133）。
这些发现突出表明，癌症患者的经济负担可能因肿瘤类型而异，与其他常见肿瘤类型的患者相比，乳腺癌患者可能需要不同的支持性服务组合。与经济负担相关的支持性护理计划在为乳腺癌患者提供咨询时应考虑到经济负担的可能性和性质。
