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早期非小细胞肺癌的经济负担:对医疗资源利用和医疗费用的评估。

Economic burden of early-stage non-small-cell lung cancer: an assessment of healthcare resource utilization and medical costs.

机构信息

AstraZeneca Pharmaceuticals, One MedImmune Way, Gaithersburg, MD 20878, USA.

Analysis Group, 333 South Hope Street, 27th Floor, Los Angeles, CA 90071, USA.

出版信息

J Comp Eff Res. 2023 Nov;12(11):e230107. doi: 10.57264/cer-2023-0107. Epub 2023 Sep 1.

Abstract

To quantify the economic burden of early-stage non-small-cell lung cancer (NSCLC) among patients with and without adjuvant therapy. All-cause and NSCLC-related healthcare resource utilization and medical costs were assessed among patients with resected stage IB-IIIA NSCLC in the SEER-Medicare database (1 January 2011-31 December 2019), from NSCLC diagnosis to death, end of continuous enrollment, or end of data availability (whichever occurred first). Patients receiving adjuvant therapy had the lowest mean NSCLC-related medical costs (adjuvant [n = 1776]: $3738; neoadjuvant [n = 56]: $5793; both [n = 47]: $4818; surgery alone [n = 3478]: $4892, per-person-per-month), driven by lower NSCLC-related hospitalization rates. Post-surgical management of early-stage NSCLC was associated with high economic burden. Adjuvant therapy was associated with numerically lower medical costs over surgical resection alone.

摘要

量化辅助治疗前后早期非小细胞肺癌(NSCLC)患者的经济负担。从 NSCLC 诊断到死亡、连续注册结束或数据可用结束(以先发生者为准),在 SEER-Medicare 数据库中评估了接受手术治疗的 IB-IIIA 期 NSCLC 患者(2011 年 1 月 1 日-2019 年 12 月 31 日)的全因和 NSCLC 相关医疗资源利用和医疗费用。接受辅助治疗的患者的 NSCLC 相关医疗费用最低(辅助治疗[n=1776]:3738 美元;新辅助治疗[n=56]:5793 美元;辅助和新辅助治疗[n=47]:4818 美元;单纯手术治疗[n=3478]:4892 美元,人均每月),这是由于 NSCLC 相关住院率较低所致。早期 NSCLC 的术后管理与高昂的经济负担相关。辅助治疗与单纯手术切除相比,医疗费用数值上较低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6729/10690396/1fbe1a4aee44/cer-12-230107-g1.jpg

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