Brain tumours in Sweden 1996:: care and costs
Brain tumours in Sweden 1996:: care and costs
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DOI：
10.1136/jnnp.69.6.792
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发表时间：
2000-12-01
影响因子：
11
通讯作者：
Ekbom, A
中科院分区：
文献类型：
--
作者：
Blomqvist, P;Lycke, J;Ekbom, A
目标——脑肿瘤由于死亡率高而引起相当大的关注，人们越来越努力地提供足够的护理，有时是在医院之外。分析了 1996 年瑞典的医疗保健利用情况、直接护理费用以及脑肿瘤引起的发病和早期死亡的间接社会成本。方法 - 来自综合国家数据源的门诊护理、住院护理、长期和姑息/临终护理、药物消耗、暂时和长期发病率和死亡率的量化。直接成本按 1996 年收费计算。间接成本按性别和年龄特定工资计算。敏感性分析考虑了每个项目的替代估计的影响。结果——间接成本占总成本的 75%，主要由早期死亡引起。直接成本主要用于医院护理、长期护理和家庭保健。在直接费用中，星形细胞瘤III-IV型和脑膜瘤分别占42%和30%。结论——脑肿瘤的疾病费用反映了这些恶性肿瘤的特点。尽管发病率较低，但年轻人高死亡率造成的经济影响是一个主要特征。急性医院护理以及长期护理和家庭护理的费用相当可观。
Objectives-Brain tumours cause considerable concern due to a high mortality and there are increasing efforts to provide adequate care, sometimes outside hospitals. Health care utilisation, direct costs of care, and the indirect social cost of morbidity and early mortality caused by brain tumours in Sweden in the year 1996 was analysed.Methods-Quantification of ambulatory care, care in hospital, long term and palliative/terminal care, drug consumption, temporary as well as long term morbidity, and mortality from comprehensive national data sources. Direct costs were calculated using 1996 charges. Indirect costs were calculated by sex and age specific salaries. A sensitivity analysis considered the impact of alternative estimates of each item.Results-Indirect costs were 75% of the total and were caused mainly by early mortality. Direct costs were predominantly for care in hospital, long term care, and home health care. Among direct costs, astrocytomas III-IV and meningiomas accounted for 42% and 30% respectively.Conclusions-The cost of illness from brain tumours reflects the characteristics of these malignancies. Despite their low incidence rate, the economic impact caused by high mortality among young persons is a predominant trait. Costs of acute hospital care and also long term care and home care are considerable.