[Resource use and healthcare costs in long-term breast cancer survivors (CONCEPT-COSTS)].

Cristina Valcárcel Nazco, Benjamín Rodríguez Díaz, David Abbad Gómez, Carmen Guirado Fuentes, Francisco Estupiñán Romero, Enrique Bernal Delgado, María Sala Serra
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Abstract

Objective: To analyze the use of resources and healthcare costs of a cohort of long-term survivors of breast cancer in four autonomous communities in Spain (Aragon, Catalonia, Madrid and Navarre) by assessing their pathways in the National Health System.

Method: Patient pathways were analyzed based on their interactions with the National Health System between 2012 and 2016. Healthcare pathways were obtained from the CONCEPT project and were use to examine resource use, associated costs, and to analyze potential differences between cohorts and regions. A total of 18,527 women were included, of whom 6115 were long-term survivors of breast cancer and 12,412 formed the control group, consisting of women with no history of the disease, matched by age and healthcare area with the survivors. Regression models were applied to analyze factors associated with the cost of trajectories.

Results: Long-term survivors of breast cancer had a higher use of healthcare resources, and a higher number of comorbidity and drug use compared to the control group, with statistically significant differences. Costs were also higher for survivors, especially in outpatient clinics. Factors such as the number of drugs, comorbidity and the Charlson index were identified as the main factors associated with higher healthcare costs in both groups.

Conclusions: This study identified the costs of healthcare pathways in long-term breast cancer survivors and suggests that the methodology used could help healthcare professionals allocate resources more efficiently.

[长期乳腺癌幸存者的资源使用和医疗费用(CONCEPT-COSTS)]。
目的:通过评估西班牙四个自治区(阿拉贡、加泰罗尼亚、马德里和纳瓦拉)的乳腺癌长期幸存者在国家卫生系统中的途径,分析其资源使用和医疗费用。方法:分析2012 - 2016年患者与国家卫生系统互动的路径。从CONCEPT项目中获得了医疗保健途径,用于检查资源使用、相关成本,并分析队列和地区之间的潜在差异。总共包括18,527名妇女,其中6115名是乳腺癌的长期幸存者,12,412名组成对照组,由没有疾病史的妇女组成,按年龄和保健地区与幸存者相匹配。采用回归模型分析与轨迹成本相关的因素。结果:与对照组相比,乳腺癌长期幸存者的医疗资源使用、合并症和药物使用数量均较高,差异有统计学意义。幸存者的费用也更高,尤其是在门诊。药物数量、合并症和Charlson指数等因素被确定为与两组较高的医疗费用相关的主要因素。结论:本研究确定了长期乳腺癌幸存者的医疗保健途径的成本,并建议使用的方法可以帮助医疗保健专业人员更有效地分配资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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