Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA.
J Cancer Surviv. 2012 Dec;6(4):407-19. doi: 10.1007/s11764-012-0221-2. Epub 2012 Jul 19.
The prevalence of cancer survivorship in the USA is expected to increase in the future because the US population is increasing in size and is aging and because survival following diagnosis is improving for many types of cancer. Medical care costs associated with cancer are also projected to increase dramatically. However, currently available data for estimating medical care costs and other important aspects of the burden of cancer, including time spent receiving medical care, productivity loss due to morbidity for patients and their families, and financial hardship, are limited, particularly in the population under the age of 65.
We describe selected publicly available data sources for estimating the burden of cancer in the USA and a new collaborative effort to improve the quality of these data: the nationally representative Medical Expenditure Panel Survey (MEPS) Experiences with Cancer Survivorship Supplement.
Data from this effort can be used to address key gaps in cancer survivorship research related to medical care costs, employment patterns, financial hardship, and other aspects of the burden of illness for cancer survivors and their families.
Research using the MEPS Experiences with Cancer Survivorship Supplement can inform efforts by health care policy makers, healthcare systems, providers, and employers to improve the cancer survivorship experience in the USA.
由于美国人口规模的增长、人口老龄化以及许多类型癌症的诊断后存活率提高,未来美国的癌症生存者人数预计将会增加。与癌症相关的医疗保健费用预计也将大幅增加。然而,目前可用于估计医疗保健费用和癌症负担的其他重要方面的数据(包括接受医疗护理的时间、患者及其家属因发病导致的生产力损失以及经济困难)有限,尤其是在 65 岁以下的人群中。
我们描述了一些可用于估计美国癌症负担的公开可用数据源,以及一项旨在提高这些数据质量的新合作努力:具有全国代表性的医疗支出面板调查(MEPS)癌症生存者经历补充调查。
这项工作的数据可用于解决癌症生存者研究中与医疗保健费用、就业模式、经济困难和癌症生存者及其家庭疾病负担的其他方面相关的关键空白。
使用 MEPS 癌症生存者经历补充调查进行的研究可以为医疗保健政策制定者、医疗保健系统、提供者和雇主提供信息,以改善美国的癌症生存者体验。