Department of Surgery, The University of Texas Medical Branch, Galveston, TX, USA.
Ann Surg Oncol. 2012 Aug;19(8):2435-42. doi: 10.1245/s10434-012-2326-2. Epub 2012 Mar 27.
Little is known about resource utilization (number of days in the hospital or medical care) between diagnosis and death in patients with pancreatic cancer.
Using Surveillance, Epidemiology, and End Results (SEER)-Medicare linked data, we identified 25,476 patients with pancreatic cancer (1992-2005). Hospital and medical care days per person-month from the time of diagnosis were described, stratified by stage, treatment, and survival duration.
Hospital/medical care days vary by length of survival and treatment strategy in patients with pancreatic cancer. For all stages, patients were in the hospital a mean of 6.4 days and received medical care a total of 9.0 days in the first month after diagnosis, decreasing to 1.7 and 3.7 days per month, respectively, by the end of the first year. Hospital/medical care days per month of life were higher in patients with shorter survival but increased sharply at the end of life in all patients, regardless of duration of survival. In patients with locoregional disease, resection was associated with a higher number of hospital/medical care days during the first 4 months after diagnosis, but fewer at the end of the first year. For distant disease, hospital days were similar but days in medical care were higher for patients receiving chemotherapy, increasing especially at the end of life.
This study is the first to quantify hospital/medical care days in patients with pancreatic cancer by stage, treatment, and survival. This information will provide realistic expectations and allow for treatment decisions based on patient preferences.
关于胰腺癌患者从诊断到死亡之间的资源利用（住院天数或医疗护理天数）情况知之甚少。
我们使用监测、流行病学和最终结果（SEER）-医疗保险链接数据，确定了 25476 名胰腺癌患者（1992-2005 年）。根据分期、治疗和生存时间，描述了每个人每月的住院和医疗护理天数。
在胰腺癌患者中，住院/医疗护理天数因生存时间和治疗策略而异。所有分期的患者在诊断后第一个月平均住院 6.4 天，总共接受医疗护理 9.0 天，到第一年结束时，分别减少至每月 1.7 天和 3.7 天。无论生存时间长短，所有患者的生存期间每月住院/医疗护理天数都较高，但在生命末期急剧增加。对于局部区域疾病患者，手术与诊断后前 4 个月的住院/医疗护理天数较多相关，但在第一年结束时较少。对于远处疾病，住院天数相似，但接受化疗的患者的医疗护理天数较高，尤其是在生命末期。
本研究首次按分期、治疗和生存时间量化了胰腺癌患者的住院/医疗护理天数。这些信息将提供现实的预期，并允许根据患者的偏好做出治疗决策。
