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2011 年至 2015 年韩国癌症的社会经济负担。

Socioeconomic Burden of Cancer in Korea from 2011 to 2015.

机构信息

Division of Cancer Control and Policy, National Cancer Control Institute, National Cancer Center, Goyang, Koreayang, Korea.

Department of Preventive Medicine, Kyung Hee University College of Medicine, Seoul, Korea.

出版信息

Cancer Res Treat. 2020 Jul;52(3):896-906. doi: 10.4143/crt.2019.398. Epub 2020 Mar 18.

Abstract

PURPOSE

Though the socioeconomic burden of cancer on patients is increasing in South Korea, there is little research regarding the type of cancer that incurs the highest costs. This study analyzed the socioeconomic burden on cancer patients from 2011 to 2015 according to sex and age.

MATERIALS AND METHODS

A prevalence-based approach was applied utilizing claim data of the National Health Insurance Service in Korea to estimate the socioeconomic burden of cancer on patients. Patients who received treatment for cancer from 2011 to 2015 were the study subjects. The total socioeconomic burden of their disease and treatment was divided into direct and indirect costs.

RESULTS

There was an increase of 50.7% for 5 years, from 821,525 to 1,237,739 cancer patients. The cancer costs for men and women increased $8,268.4 million to $9,469.7 million and $3,626.5 million to $4,475.6 million, respectively. Furthermore, the 50-59-year-old age group accounted for a large portion of the total disease cost. Liver, lung, stomach, and colorectal cancers created the heaviest economic burdens on patients.

CONCLUSION

Overall, this study indicates new policies for cancer prevention, early detection, and post-cancer treatment management are necessary to help limit the costs associatedwith cancer, especially in the elderly, and provides a foundation for establishing cancer-related health care policies, particularly by defining those cancers with heavier disease burdens.

摘要

目的

尽管癌症给韩国患者带来的社会经济负担正在增加,但针对哪种癌症的费用最高的相关研究却很少。本研究根据性别和年龄分析了 2011 年至 2015 年癌症患者的社会经济负担。

材料和方法

本研究采用基于患病率的方法,利用韩国国家健康保险服务的数据来估算癌症患者的社会经济负担。研究对象为 2011 年至 2015 年接受癌症治疗的患者。他们疾病和治疗的总社会经济负担分为直接和间接成本。

结果

5 年内癌症患者人数增加了 50.7%,从 821,525 人增加到 1,237,739 人。男性和女性的癌症费用分别增加了 8,268.4 百万美元至 9,469.7 百万美元和 3,626.5 百万美元至 4,475.6 百万美元。此外,50-59 岁年龄组占总疾病费用的很大一部分。肝癌、肺癌、胃癌和结直肠癌给患者带来了最重的经济负担。

结论

总体而言,本研究表明需要制定新的癌症预防、早期发现和癌症治疗后管理政策,以帮助控制癌症相关成本,特别是在老年人中,并为制定癌症相关医疗保健政策奠定基础,特别是通过确定那些疾病负担较重的癌症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0353/7373867/3b6157fba772/crt-2019-398f1.jpg

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