Costs from a healthcare and societal perspective among cancer patients after total laryngectomy: are they related to patient activation?
Support Care Cancer
; 26(4): 1221-1231, 2018 Apr.
Article
en En
| MEDLINE
| ID: mdl-29098402
ABSTRACT
PURPOSE:
The aim of this study is to investigate the associations between patient activation and total costs in cancer patients treated with total laryngectomy (TL).METHODS:
All members of the Dutch Patients' Association for Laryngectomees were asked to participate in this cross-sectional study. TL patients who wanted to participate were asked to complete a survey. Costs were measured using the medical consumption and productivity cost questionnaire and patient activation using the Patient Activation Measure (PAM). Sociodemographic and clinical characteristics were self-reported, and health status measured using the EQ-5D. The difference in total costs from a healthcare and societal perspective among four groups with different PAM levels were compared using (multiple) regression analyses (5000 bootstrap replications).RESULTS:
In total, 248 TL patients participated. Patients with a higher (better) PAM (levels 2, 3, and 4) had a probability of 70, 80, and 93% that total costs from a healthcare perspective were lower than in patients with the lowest PAM level (difference -375 to -936). From a societal perspective, this was 73, 87, and 82% (difference -468 to -719). After adjustment for time since TL, education, and sex, the probability that total costs were lower in patients with a higher PAM level compared to patients with the lowest PAM level changed to 62-91% (healthcare) and 63-92% (societal). After additional adjustment for health status, the probability to be less costly changed to 35-71% (healthcare) and 31-48% (societal).CONCLUSIONS:
A better patient activation is likely to be associated with lower total costs from a healthcare and societal perspective.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Neoplasias Laríngeas
/
Costos de la Atención en Salud
/
Costo de Enfermedad
/
Laringectomía
Tipo de estudio:
Health_economic_evaluation
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Aged
/
Female
/
Humans
/
Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
Support Care Cancer
Asunto de la revista:
NEOPLASIAS
/
SERVICOS DE SAUDE
Año:
2018
Tipo del documento:
Article
País de afiliación:
Países Bajos