Mukundan Arvind, Nagisetti Yaswanth, Karmakar Riya, Wang Hsiang Chen
Department of Chemistry, Saveetha School of Engineering, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai 600077, Tamil Nadu, India.
Department of Mechanical Engineering, National Chung Cheng University, Chiayi 62102, Taiwan.
World J Gastrointest Oncol. 2025 Jul 15;17(7):107154. doi: 10.4251/wjgo.v17.i7.107154.
The article by Wu highlights the growing incidence of esophageal tumor patients, particularly in China, where the high frequency and death rate are significant problems. The article also examined the impact of health insurance on treatment availability and patient outcomes, demonstrating that the type of insurance can affect the financial burden on patients. This study investigates the effects of different types of health care coverage, namely Urban Employee Basic Medical Insurance Urban-Rural Resident Basic Medical Insurance, and the personal spending ratio on treatment decisions and survival outcomes. The database used is derived from esophageal tumor patient continuation from Chongqing University Hospital in China. A total of 2543 patients were included in the study, allowing for the formation of research cohorts. Patient information included demographic characteristics. The study followed various processes to maintain consistency, including data sources, inclusion and exclusion criteria, follow-up duration, health insurance, and statistical analysis. The average age at diagnosis ranged from 57-74 years, and predominantly included men, married people, and those of Han ethnic background, comprising 2088 and 2519 individuals, respectively. Upon controlling for age, sex, relationship status, country of origin, pathological evaluation, tumor stage, and biochemical indicators, individuals who had Urban Employee Basic Medical Insurance exhibited a higher propensity to opt for radiotherapy, chemotherapy, immunotherapy, and targeted therapy compared to those covered by the Urban-Rural Resident Basic Medical Insurance. During the follow-up phase of the study, a total of 1438 deaths were documented, with 1106 ascribed to esophageal cancer. Additionally, individuals with Urban-Rural Resident Basic Medical Insurance had a significantly elevated risk of esophageal cancer, particularly mortality, compared to those without Urban-Rural Resident Basic Medical Insurance.
吴的文章强调了食管癌患者发病率的不断上升，尤其是在中国，其高发病率和死亡率是重大问题。该文章还研究了医疗保险对治疗可及性和患者预后的影响，表明保险类型会影响患者的经济负担。本研究调查了不同类型的医疗保障，即城镇职工基本医疗保险、城乡居民基本医疗保险，以及个人支出比例对治疗决策和生存结局的影响。所使用的数据库来自中国重庆大学医院的食管癌患者延续数据。共有2543名患者纳入研究，从而形成了研究队列。患者信息包括人口统计学特征。该研究遵循了各种流程以保持一致性，包括数据来源、纳入和排除标准、随访时长、医疗保险以及统计分析。诊断时的平均年龄在57至74岁之间，主要包括男性、已婚人士以及汉族背景的人，分别有2088人和2519人。在控制了年龄、性别、婚姻状况、籍贯、病理评估、肿瘤分期和生化指标后，与参加城乡居民基本医疗保险的患者相比，参加城镇职工基本医疗保险的患者选择放疗、化疗、免疫治疗和靶向治疗的倾向更高。在研究的随访阶段，共记录了1438例死亡，其中1106例归因于食管癌。此外，与未参加城乡居民基本医疗保险的人相比，参加城乡居民基本医疗保险的人患食管癌的风险显著升高，尤其是死亡风险。
