Palacio Nebreda M Mar, de Miguel-Diez Javier, Villegas Fernández Francisco Ramón, Segura Fragoso Antonio, Rodríguez Calderón Juan Luis, Martínez Hernández David
Servicio de Medicina Interna, Hospital San Rafael, Madrid, España.
Servicio de Neumología, Hospital General Universitario Gregorio Marañón, Universidad Complutense de Madrid, Madrid, España.
Arch Bronconeumol. 2016 Aug;52(8):411-9. doi: 10.1016/j.arbres.2016.01.020. Epub 2016 Mar 9.
To analyze changes in the incidence, diagnostic procedures, comorbidity, length of hospital stay and costs of patients hospitalized for lung cancer in Spain between 2001 and 2011.
Retrospective study including all patients hospitalised with a primary diagnosis of lung cancer between 2001 and 2011. Data were collected from the National Hospital Discharge Database, encompassing the entire Spanish population. Economic and sociodemographic characteristics and health-related variables were analyzed.
A total of 298,435 hospitalizations occurred. The overall crude incidence increased from 61.18 per 100,000 inhabitants in 2001 to 65.08 per 100,000 in 2011 (P <.05), with a decrease in men and a proportionate increase in women. The age group with the highest incidence was 70 to 79 years. In 2001, 4.5% of patients had a Charlson comorbidity index (CCI) >2, and in 2011, prevalence of CCI >2 increased to 9.1% (P<.05). Mean length of hospital stay decreased during the study period. Computed tomography was the most common procedure. Mean cost per patient increased from €4,471.22 in 2001 to €5,562.54 (P<.05) in 2011. Factors related to the incidence of hospitalizations were age, sex and year of study in the multivariate analysis.
We found a decrease in the rate of hospitalizations in men and an increase in women, with a concomitant increase in comorbidities and cost; however, length of hospital stay decreased. Factors related to incidence of hospitalizations were age, sex and year of study.
分析2001年至2011年间西班牙肺癌住院患者的发病率、诊断程序、合并症、住院时间和费用变化。
回顾性研究纳入2001年至2011年间所有以肺癌为主要诊断入院的患者。数据收集自涵盖整个西班牙人口的国家医院出院数据库。分析经济和社会人口学特征以及与健康相关的变量。
共发生298,435例住院病例。总体粗发病率从2001年的每10万居民61.18例增至2011年的每10万居民65.08例（P<.05），男性发病率下降，女性发病率相应上升。发病率最高的年龄组为70至79岁。2001年，4.5%的患者查尔森合并症指数（CCI）>2，2011年，CCI>2的患病率增至9.1%（P<.05）。研究期间平均住院时间缩短。计算机断层扫描是最常见的检查程序。每位患者的平均费用从2001年的4,471.22欧元增至2011年的5,562.54欧元（P<.05）。多变量分析中与住院发病率相关的因素为年龄、性别和研究年份。
我们发现男性住院率下降，女性住院率上升，同时合并症和费用增加；然而，住院时间缩短。与住院发病率相关的因素为年龄、性别和研究年份。
