Division of Health Services Research, National Cancer Center, Tokyo 104-0045, Japan.
Department of Social Medicine, Graduate School of Medicine, University of Tokyo, Tokyo 113-8654, Japan.
Int J Environ Res Public Health. 2021 Sep 7;18(18):9447. doi: 10.3390/ijerph18189447.
Reports on the expenditure of cancer treatments per patient using comprehensive data remain unavailable in Japan. This study aimed to use Japan's cancer registry data and health service utilization data for evaluating the disease-specific, per-patient costs of five major cancers-stomach, lung, colorectal, liver, and breast cancers. We used a database linking the 2017 data from a hospital-based cancer registry and the health service utilization data from the Diagnosis Procedure Combination survey. All patients who started their first treatment course at each hospital were included. The costs were calculated using the total volume of the health services provided and the unit fee information included in the data. We analyzed 304,698 patients. Lung cancer had the highest healthcare cost per-patient for the first year of diagnosis and the longest median hospitalization duration. Conversely, breast cancer showed the lowest cost and the shortest median hospitalization duration. However, in the first month after diagnosis, colorectal cancer showed the highest cost. Subsequently, the gaps between the costs of the five common cancers drastically diminished. The cancer type having the longest hospitalization duration had the highest overall healthcare resource utilization costs. This information is essential for care planning and research studies.
在日本，仍缺乏关于每位癌症患者治疗支出的报告。本研究旨在使用日本癌症登记数据和卫生服务利用数据，评估五种主要癌症（胃癌、肺癌、结直肠癌、肝癌和乳腺癌）的特定疾病、每位患者的成本。我们使用了一个数据库，将 2017 年医院癌症登记处的数据和诊断程序组合调查中的卫生服务利用数据进行了链接。所有在每家医院开始首个治疗疗程的患者均被纳入分析。成本是根据提供的卫生服务总量和数据中包含的单位费用信息计算得出的。我们分析了 304698 名患者。肺癌在诊断后第一年的每位患者的医疗保健费用最高，中位住院时间最长。相反，乳腺癌的成本最低，中位住院时间最短。然而，在诊断后的第一个月，结直肠癌的成本最高。随后，五种常见癌症的成本差距急剧缩小。住院时间最长的癌症类型具有最高的整体医疗资源利用成本。这些信息对于护理计划和研究很重要。
