墨西哥社会保障研究所肺癌的发病率、死亡率及相关费用。
Incidence, mortality and associated costs of lung cancer in the Mexican Institute of Social Security.
机构信息
Unidad de Atención Primaria a la Salud, Dirección de Prestaciones Médicas, Instituto Mexicano del Seguro Social. Ciudad de México, México.
Coordinación de Planeación en Salud, Dirección de Prestaciones Médicas, Instituto Mexicano del Seguro Social. Ciudad de México, México.
出版信息
Salud Publica Mex. 2019 May-Jun;61(3):257-264. doi: 10.21149/9808.
OBJECTIVE
To describe temporal trends in lung cancer incidence, mortality and associated health care costs in the Mexican Institute of Social Security.
MATERIALS AND METHODS
. Incident cases were estimated from hospital discharges in 276 IMSS hospitals between 2006 and 2016. Crude and adjusted mortality rates were calculated. The costs of outpatient and inpatient treatment were calculated based on the medical-technical costs of reference o standard cost.
RESULTS
Both incidence and mortality had a decreased time trend. The cost of medical care for the 2 539 patients in 2017 was 42 million US dollars, with an average cost per patient of 16 537 US dollars. The cost per annum of disability pensions is 97.2 million pesos.
CONCLUSIONS
It is likely that the reduction of the risk of getting sick and dying from lung cancer in IMSS affiliates is due to the control measures of tobacco smoke. It is still necessary to establish strategies to diagnose and treat patients in early stages.
目的
描述墨西哥社会保障研究所肺癌发病率、死亡率及相关医疗费用的时间趋势。
材料与方法
2006 年至 2016 年期间，276 家 IMSS 医院的住院数据估计出了发病病例。计算了粗死亡率和校正死亡率。根据参考标准成本的医疗技术成本计算了门诊和住院治疗的费用。
结果
发病率和死亡率均呈下降趋势。2017 年 2539 名患者的医疗费用为 4200 万美元，每名患者的平均费用为 16537 美元。伤残抚恤金的年度费用为 9720 万比索。
结论
IMSS 参保人患肺癌的风险降低，这可能是由于对烟草烟雾的控制措施。仍有必要制定策略，以便早期诊断和治疗患者。
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