Department of Dermatology, Xiangya Hospital, Central South University, Changsha, China.
Hunan Engineering Research Center of Skin Health and Disease, Xiangya Hospital, Central South University, Changsha, China.
Front Public Health. 2022 Jul 19;10:917119. doi: 10.3389/fpubh.2022.917119. eCollection 2022.
This study aimed to describe the economic burden of Chinese patients with melanoma in Hunan province of China, and to investigate the factors for hospitalization spending and length of stay (LOS) in patients undergoing melanoma surgery.
Data was extracted from the Chinese National Health Statistics Network Reporting System database in Hunan province during 2017-2019. Population and individual statistics were presented, and nonparametric tests and quantile regression were used to analyze the factors for spending and LOS.
A total of 2,644 hospitalized patients with melanoma in Hunan were identified. During 2017-2019, the total hospitalization spending was $5,247,972, and out-of-pocket payment (OOP) was $1,817,869, accounting for 34.6% of the total expenditure. The median spending was $1,123 [interquartile range (IQR): $555-2,411] per capita, and the median LOS was 10 days (IQR: 5-18). A total of 1,104 patients who underwent surgery were further analyzed. The non-parametric tests and quantile regression showed that women were associated with less spending and LOS than men. In general, patients aged 46-65 and those with lesions on the limbs had higher hospitalization costs and LOS than other subgroups.
Melanoma causes heavy economic burdens on patients in Hunan, such that the median spending is close to 60% of the averagely annual disposable income. Middle-aged men patients with melanoma on the limbs present the highest financial burden of melanoma.
本研究旨在描述中国湖南省黑素瘤患者的经济负担，并探讨黑素瘤手术患者住院费用和住院时间（LOS）的影响因素。
本研究从中国国家卫生统计网络报告系统湖南省数据库中提取数据，分析了 2017 年至 2019 年期间的人口和个体统计数据，并采用非参数检验和分位数回归分析了影响住院费用和 LOS 的因素。
共纳入 2644 例湖南省黑素瘤住院患者。2017-2019 年，总住院费用为 5247972 美元，自付费用（OOP）为 1817869 美元，占总支出的 34.6%。人均中位住院费用为 1123 美元（四分位距[IQR]：555-2411），中位 LOS 为 10 天（IQR：5-18）。对 1104 例接受手术的患者进行了进一步分析。非参数检验和分位数回归结果显示，女性患者的住院费用和 LOS 均低于男性。总体而言，46-65 岁患者和四肢病变患者的住院费用和 LOS 均高于其他亚组。
黑素瘤给湖南省患者带来了沉重的经济负担，中位支出接近平均年可支配收入的 60%。中年男性四肢黑素瘤患者的经济负担最高。
