Polednak A P, Shevchenko I P, Flannery J T
Connecticut Department of Public Health, Hartford, USA.
Conn Med. 1996 May;60(5):263-7.
Previous studies of estimated costs for cancer treatment have been limited to elderly patients or to specific health maintenance organizations. Data from the statewide population-based Connecticut Tumor Registry on a random sample of 407 breast cancer patients diagnosed in 1991 were linked with a statewide hospital-discharge database, to estimate charges (through September 1993) for inpatient and ambulatory surgery care. For the 377 cases (92.6% of 407) successfully linked, average charges attributed to breast cancer care declined with age, increased with extent of disease (stage at diagnosis), and increased with extent of surgery; these associations persisted in multivariate analyses. Total hospital-related charges for comorbid conditions (during 1991-93) were considerable by age 45 to 64 years. The merged database should be most useful in estimating charges for: cancers treated mainly by surgery (including ambulatory surgery at hospitals); comorbid conditions; and terminal care.
先前关于癌症治疗预估费用的研究仅限于老年患者或特定的健康维护组织。来自基于全州人口的康涅狄格肿瘤登记处的数据，对1991年确诊的407例乳腺癌患者的随机样本，与全州医院出院数据库相链接，以估算（截至1993年9月）住院和门诊手术护理的费用。对于成功链接的377例病例（407例中的92.6%），归因于乳腺癌护理的平均费用随年龄下降，随疾病范围（诊断时的分期）增加，且随手术范围增加；这些关联在多变量分析中持续存在。到45至64岁时，共病状况（1991 - 93年期间）的总住院相关费用相当可观。合并后的数据库在估算以下费用方面应该最有用：主要通过手术治疗的癌症（包括医院的门诊手术）；共病状况；以及临终护理。
