Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Am J Prev Med. 2018 Apr;54(4):591-595. doi: 10.1016/j.amepre.2017.12.004. Epub 2018 Feb 1.
Smoking has been causally linked to 12 tobacco-related cancers: oral cavity and pharynx, esophagus, stomach, colon and rectum, liver, pancreas, larynx, lung, cervix, bladder, kidney, and acute myeloid leukemia. Tobacco-related cancers-related morbidity and mortality have been well described, but little is known about the prevalence of tobacco-related cancer hospitalizations and associated costs. This study estimates the annual number of tobacco-related cancer hospitalizations and their associated direct medical costs in the U.S.
This study examined data from the 2014 National Inpatient Sample, the largest publicly available all-payer inpatient care database in the U.S. The authors calculated number of hospitalizations, total costs, length of stay, and cost per stay for tobacco-related cancer hospitalizations and cancer hospitalizations not related to tobacco.
In 2014, there were an estimated 461,295 annual tobacco-related cancer hospitalizations at a cost of $8.2 billion in the U.S. Tobacco-related cancers accounted for 45% of total cancer hospitalizations and cancer hospitalization costs. Compared with cancer hospitalizations not related to tobacco, tobacco-related cancer hospitalizations had a longer mean length of stay (6.8 vs 5.7 days).
The burden of tobacco-related cancer hospitalizations is substantial in the U.S. These findings highlight the importance of tobacco prevention and cessation efforts to decrease the burden of tobacco-related cancers in the U.S.
吸烟已被确定与 12 种与烟草相关的癌症有关：口腔和咽、食管、胃、结肠和直肠、肝、胰腺、喉、肺、子宫颈、膀胱、肾和急性髓系白血病。与烟草相关的癌症的发病率和死亡率已有详细描述，但对与烟草相关的癌症住院率及其相关直接医疗费用的了解甚少。本研究估计了美国每年与烟草相关的癌症住院人数及其相关的直接医疗费用。
本研究分析了来自 2014 年全国住院患者样本（美国最大的公开全支付住院患者数据库）的数据。作者计算了与烟草相关的癌症住院和非与烟草相关的癌症住院的住院人数、总费用、住院时间和每次住院的费用。
2014 年，美国估计有 461295 例与烟草相关的癌症住院，费用为 82 亿美元。与烟草相关的癌症占所有癌症住院和癌症住院费用的 45%。与非与烟草相关的癌症住院相比，与烟草相关的癌症住院的平均住院时间更长（6.8 天 vs. 5.7 天）。
在美国，与烟草相关的癌症住院负担很大。这些发现强调了预防和戒烟工作的重要性，以减少美国与烟草相关的癌症负担。
