Estimating the direct costs of oral cancer in Spain: a retrospective hospital data analysis.

IF 2.2 3区 医学
M Porta-Vázquez, J-L López-Cedrún, J Fernández-Sanromán, E García-Mato, P Diz-Dios, M Diniz-Freitas
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Abstract

Background: Studies on the costs incurred from cancer in Spain are scarce and have focused on the most prevalent types such as colorectal, breast, and lung cancer. The aim of this study was to calculate the direct costs associated with the diagnostic, treatment and follow-up procedures for oral cancer in Spain.

Material and methods: Applying a bottom-up approach, we retrospectively analyzed the medical records of a cohort of 200 patients with oral cancer (C00-C10), diagnosed and treated in Spain between 2015 and 2017. For each patient, we collected their age, sex, degree of medical impairment (American Society of Anesthesiologists [ASA] classification), tumor extent (TNM classification), relapses and survival during the first 2 years of follow-up. The final calculation of the costs is expressed in absolute values in euros as the percentage of the gross domestic product per capita and in international dollars (I$).

Results: The total cost per patient rose to €16,620 (IQR, €13,726; I$11,634), and the total direct cost at the national level was €136,084,560 (I$95,259,192). The mean cost for oral cancer represented 65.1% of the gross domestic product per capita. The costs for the diagnostic and therapeutic procedures were determined by the ASA grade, tumor size, lymph node infiltration and presence of metastases.

Conclusions: The direct costs for oral cancer are considerable compared with other types of cancer. In terms of gross domestic product, the costs were similar to those of countries neighboring Spain, such as Italy and Greece. The main determinants of this economic burden were the patient's degree of medical impairment and tumor extent.

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估计口腔癌在西班牙的直接成本:回顾性医院数据分析。
背景:关于西班牙癌症费用的研究很少,主要集中在最常见的类型,如结肠直肠癌、乳腺癌和肺癌。本研究的目的是计算与西班牙口腔癌的诊断、治疗和随访程序相关的直接成本。材料和方法:采用自下而上的方法,我们回顾性分析了2015年至2017年在西班牙诊断和治疗的200例口腔癌(C00-C10)患者的医疗记录。对于每位患者,我们收集了他们的年龄、性别、医学损害程度(美国麻醉医师学会[ASA]分类)、肿瘤程度(TNM分类)、复发情况和随访前2年的生存情况。成本的最终计算以绝对价值表示,以欧元作为人均国内生产总值的百分比,并以国际美元表示。结果:每位患者的总成本上升至16,620欧元(IQR, 13,726欧元;11,634美元),国家一级的总直接成本为136,084,560欧元(95,259,192美元)。口腔癌的平均费用占人均国内生产总值的65.1%。诊断和治疗程序的费用由ASA分级、肿瘤大小、淋巴结浸润和转移的存在决定。结论:与其他类型的癌症相比,口腔癌的直接成本相当可观。就国内生产总值(gdp)而言,其成本与意大利和希腊等西班牙邻国相当。这种经济负担的主要决定因素是患者的医疗损害程度和肿瘤范围。
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来源期刊
CiteScore
4.50
自引率
0.00%
发文量
52
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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