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Evaluation of the treatment and hospital costs for head and neck cancer

头颈癌的治疗和住院费用评估

基本信息

批准号：
07672445
负责人：
UMESATO Yoshimasa
金额：
$ 1.41万
依托单位：
Nihon University, School of Medicine
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1995
资助国家：
日本
起止时间：
1995 至 1997
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-07672445/
关键词：
head and neck cancer medical assessment hospital cost 頭頸部腫瘍頭頚部腫瘍入院費

项目摘要

As the medical costs of treating head and neck cancer increases, it is necessary to evaluate the costs of treatment so that resources may be better allocated. We present our 12 year experience in the treatment of hypopharyngeal cancer at Nihon University Itabashi Hospital with respect to clinical outcomes and hospital costs.Medical records of 44 patients diagnosed with hypopharyngeal cancer between 1986 and 1997 were reviewed. Clinical outcome parameters as well as treatment cost parameters were analyzed. Mean hospital costs was ・4,323,300 with a median of, 830, 710 (913, 490-15, 284, 080). Total hospitalization days averaged 128.8 days with a median of 126.5 days (31-400).The major components of hospitalization consisted of admission costs (32%), oral or 1V medication (25%), surgical costs (17%), examination costs(9%), imaging and diagnostic studies (7%). Depending on the treatment modality provided, surgical costs played a key role in determining the total hospital cost differences between patients. The major component of medication was for parenteral nutrition.Addition of chemotherapy to the treatment did not significantly impact on total cost. In spite of an initial increase of surgical costs, free jejunum reconstruction of the hypopharynx resulted in overall reduction of hospitalization, total hospital costs, and improved quality of life for the patients.

随着治疗头颈癌的医疗费用增加，有必要评估治疗费用，以便更好地分配资源。我们介绍日本大学板桥医院 12 年治疗下咽癌的临床结果和住院费用的经验。回顾了 1986 年至 1997 年间诊断为下咽癌的 44 名患者的医疗记录。分析了临床结果参数以及治疗成本参数。平均住院费用为・4,323,300，中位数为 830, 710 (913, 490-15, 284, 080)。住院总天数平均为 128.8 天，中位数为 126.5 天（31-400 天）。住院费用的主要组成部分包括入院费用（32%）、口服或 1V 药物（25%）、手术费用（17%）、检查费用（9%）、影像和诊断研究（7%）。根据所提供的治疗方式，手术费用在确定患者之间的总住院费用差异方面发挥着关键作用。药物治疗的主要部分是肠外营养。治疗中添加化疗对总成本没有显着影响。尽管最初的手术费用有所增加，但免费空肠下咽重建术总体上减少了住院时间、住院总费用，并提高了患者的生活质量。