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Annual cost of illness of stomach and esophageal cancer patients in urban and rural areas in China: A multi-center study

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文摘 Objective: Stomach and esophageal cancer are imposing huge threats to the health of Chinese people whereas there were few studies on the financial burden of the two cancers. Methods: Costs per hospitalization of all patients with stomach or esophageal cancer discharged between September 2015 and August 2016 in seven cities/counties in China were collected, together with their demographic information and clinical details. Former patients in the same hospitals were sampled to collect information on annual direct non-medical cost, indirect costs and annual number of hospitalization. Annual direct medical cost was obtained by multiplying cost per hospitalization by annual number of hospitalization. Annual cost of illness (ACI) was obtained by adding the average value of annual direct medical cost, direct non-medical cost and indirect cost, stratified by sex, age, clinical stage, therapy and pathologic type in urban and rural areas. Costs per hospitalization were itemized into eight parts to calculate the proportion of each part. All costs were converted to 2016 US dollars (1 USD=6.6423 RMB). Results: Totally 19,986 cases were included, predominately male. Mean ages of stomach cancer and urban patients were lower than that of esophageal cancer and rural patients. ACI of stomach and esophageal cancer patients were $10,449 and $13,029 in urban areas, and $2,927 and $3,504 in rural areas, respectively. Greater ACI was associated with male, non-elderly patients as well as those who were in stage I and underwent surgeries. Western medicine fee took the largest proportion of cost per hospitalization. Conclusions: The ACI of stomach and esophageal cancer was tremendous and varied substantially among the population in China. Preferential policies of medical insurance should be designed to tackle with this burden and further reduce the health care inequalities.
来源 Chinese Journal of Cancer Research ,2018,30(4):439-448 【核心库】
DOI 10.21147/j.issn.1000-9604.2018.04.07
关键词 Cost of illness ; stomach neoplasms ; esophageal neoplasms ; China
地址

1. Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College,National Cancer Center, National Clinical Research Center for Cancer, Beijing, 100021  

2. School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an, 710061  

3. Henan Office for Cancer Control and Research, the Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, 450008  

4. Gansu Wuwei Tumor Hospital, Wuwei, 733000  

5. Cancer Epidemiology Research Center, Gansu Provincial Cancer Hospital, Lanzhou, 730050  

6. Linzhou Cancer Hospital, Linzhou, 456500  

7. Cixian Cancer Institute, Handan, 056500  

8. Luoshan Center for Disease Control and Prevention, Xinyang, 464299  

9. Center for Disease Control and Prevention of Sheyang County, Sheyang, 224300  

10. Heilongjiang Office for Cancer Control and Research, Harbin Medical University Cancer Hospital, Harbin, 150081  

11. Hunan Office for Cancer Control and Research, Hunan Cancer Hospital, Changsha, 410006  

12. Yueyang Lou District Center for Disease Prevention and Control, Yueyang, 414021

语种 英文
文献类型 研究性论文
ISSN 1000-9604
学科 肿瘤学
基金 supported by the Special Fund for Health Research in the Public Interest
文献收藏号 CSCD:6345433

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