Lang B H-H, Wong C K H, Chan C T Y
Department of Surgery, University of Hong Kong, Pokfulam, Hong Kong Special Administrative Region.
Department of Family Medicine and Primary Care, University of Hong Kong, 3/F Ap Lei Chau Clinic, 161 Main Street, Ap Lei Chau, Hong Kong Special Administrative Region.
Eur J Surg Oncol. 2015 Jun;41(6):758-65. doi: 10.1016/j.ejso.2015.01.019. Epub 2015 Jan 31.
Rapid rise in differentiated thyroid cancer (DTC) may impose a heavy economic burden on future healthcare. We aimed to calculate the average first-year monetary cost/patient for DTC and estimate the projected cost burden on our local healthcare system.
Medical records of 270 clinically-relevant DTC patients were reviewed to calculate the amount of services utilized during the first-year. Only direct costs were included with estimates derived from government gazette. Cancer incidences were derived from the territory-wide cancer registry. Total annual cost equaled to the incidence multiplied by the cost/patient.
The average first-year cost of DTC was USD11,560/patient. Initial surgery accounted for 66.9% of total cost. Male and female annual percentage increases for DTC were 4.86% and 4.28%, respectively. Female DTC is projected to surpass rectal cancer in 2019 (20.4/100,000 vs. 20.0/100,000) and colon cancer (47.2/100,000 vs. 46.8/100,000) in 2039. However, the projected incidence of DTC in 2026 would still be about one fourth that of CRC (19.5/100,000 vs. 83.2/100,000).
The average first-year monetary cost of DTC care was relatively low. Initial surgery accounted for most of the cost. Despite a rapid incidence rise, the projected first-year cost for DTC is unlikely to impose substantial economic burden on our local future healthcare system.
分化型甲状腺癌（DTC）的快速增长可能给未来的医疗保健带来沉重的经济负担。我们旨在计算DTC患者第一年的平均货币成本，并估计本地医疗系统的预计成本负担。
回顾了270例具有临床相关性的DTC患者的病历，以计算第一年使用的服务量。仅包括直接成本，估算值来自政府公告。癌症发病率来自全地区癌症登记处。年度总成本等于发病率乘以每位患者的成本。
DTC患者第一年的平均成本为每人11,560美元。初次手术占总成本的66.9%。DTC男性和女性的年增长率分别为4.86%和4.28%。预计女性DTC在2019年将超过直肠癌（20.4/10万对20.0/10万），并在2039年超过结肠癌（47.2/10万对46.8/10万）。然而，2026年DTC的预计发病率仍将约为结直肠癌的四分之一（19.5/10万对83.2/10万）。
DTC护理第一年的平均货币成本相对较低。初次手术占成本的大部分。尽管发病率迅速上升，但DTC预计的第一年成本不太可能给我们当地未来的医疗系统带来重大经济负担。
