Cipora Elżbieta, Partyka Olga, Pajewska Monika, Czerw Aleksandra, Sygit Katarzyna, Sygit Marian, Kaczmarski Mateusz, Mękal Dominika, Krzych-Fałta Edyta, Jurczak Anna, Karakiewicz-Krawczyk Katarzyna, Wieder-Huszla Sylwia, Banaś Tomasz, Bandurska Ewa, Ciećko Weronika, Deptała Andrzej
Medical Institute, Jan Grodek State University in Sanok, 38-500 Sanok, Poland.
Department of Economic and System Analyses, National Institute of Public Health NIH-National Research Institute, 00-791 Warsaw, Poland.
Cancers (Basel). 2023 Mar 22;15(6):1911. doi: 10.3390/cancers15061911.
(1) Background: Pancreatic cancer is the cancer with the third-highest mortality rate, and forecasts indicate its growing share in morbidity. The basis of treatment is inpatient chemotherapy and there is a strong focus on palliative care. (2) Methods: A literature review was conducted based on the rapid review methodology in PubMed and Cochrane databases. The search was supplemented with publications from the snowball search. Qualitative assessment of included publications was performed using AMSTAR2 modified scheme. (3) Results: The review included 17 publications, of which majority concerned direct costs related to the adopted treatment regimen. Most of the publications focused on comparing the cost-effectiveness of drug therapies and the costs of palliative treatment. Other publications concerned indirect costs generated by pancreatic cancer. They particularly focused on the economic burden of lost productivity due to sickness absence. (4) Conclusion: The increase in the incidence of pancreatic cancer translates into an increase in the costs of the health care system and indirect costs. Due to the significant share of hospitalization in the health care structure, direct costs are increasing. The inpatient treatment regimen and side effects translate into a loss of productivity for patients with pancreatic cancer. Among gastrointestinal cancers, pancreatic cancer generates the second largest indirect costs, although it has a much lower incidence rate than the dominant colorectal cancer. This indicates a significant problem of the economic burden of this cancer.
(1) 背景:胰腺癌是死亡率第三高的癌症,且预测显示其在发病率中的占比不断增加。治疗的基础是住院化疗,并且非常注重姑息治疗。(2) 方法:基于PubMed和Cochrane数据库中的快速综述方法进行了文献综述。通过滚雪球搜索补充了出版物。使用AMSTAR2修改方案对纳入的出版物进行定性评估。(3) 结果:该综述纳入了17篇出版物,其中大多数涉及与所采用治疗方案相关的直接成本。大多数出版物专注于比较药物治疗的成本效益和姑息治疗的成本。其他出版物涉及胰腺癌产生的间接成本。它们特别关注因病缺勤导致的生产力损失的经济负担。(4) 结论:胰腺癌发病率的增加转化为医疗保健系统成本和间接成本的增加。由于住院在医疗保健结构中占很大比例,直接成本在增加。住院治疗方案和副作用导致胰腺癌患者生产力下降。在胃肠道癌症中,胰腺癌产生的间接成本位居第二,尽管其发病率远低于占主导地位的结直肠癌。这表明这种癌症的经济负担是一个重大问题。