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Hospitalization costs of treating colorectal cancer in China: A retrospective analysis.
Yuan, Gao-Le; Liang, Li-Zhong; Zhang, Zhong-Fang; Liang, Qi-Lian; Huang, Zhen-Yi; Zhang, Hui-Jie; Cheng, Shao-Ang; Peng, Xiao-Xia.
Afiliación
  • Yuan GL; Oncology Center.
  • Liang LZ; Medical Insurance Office, Affiliated Hospital of Guangdong Medical University, Zhanjiang.
  • Zhang ZF; School of Public Finance and Public Administration, Jiangxi University of Finance and Economics, Nanchang.
  • Liang QL; Oncology Center.
  • Huang ZY; Department of finance, Central Hospital of Guangdong Agriculture Reclamation, Zhanjiang, China.
  • Zhang HJ; Oncology Center.
  • Cheng SA; Oncology Center.
  • Peng XX; Oncology Center.
Medicine (Baltimore) ; 98(33): e16718, 2019 Aug.
Article en En | MEDLINE | ID: mdl-31415365
ABSTRACT

BACKGROUND:

The objective of this study was to explore the influence factors of hospitalization costs of treating colorectal cancer in China. And the study provides new estimates on hospitalization costs and length of hospital stay for patients with colorectal cancer in China.

METHODS:

Data for inpatient hospitalization associated with colorectal cancer were obtained from a 3-tier hospital in Guangdong Province and were analyzed post hoc. We conducted descriptive statistical methods, Wilcoxon rank-sum tests (for 2 groups) and the Kruskal-Wallis test (for more than 2 groups) to analyze the hospitalization costs of treating colorectal cancer.

RESULTS:

The analysis included 8021 patients (female 40.54%; mean age; 61.80 ±â€Š13.28 years; male 59.46%; mean age 61.80 ±â€Š13.28 years). The overall mean length of hospital stay was 11.35 days. Over the 5 years, the mean length of hospital stay showed a small decrease from 12.22 days in 2012 to 10.69 days in 2016, while per-day costs showed a trend of increase between 2012 and 2015 (increase from < 1190.94 to < 1382.50). The mean length of hospital stay was statistically significant difference was found for sexes (P = .039) and insurance status (P < .001). The mean hospitalization costs were < 16,279.58. Mean hospitalization costs were different among the UEBMI, the URBMI and the Unspecified (< 17,114.58, < 15,555.05, and < 17,735.30, respectively; P < .001).

CONCLUSION:

The study showed that hospitalization costs increase were associated with a small decreasing length of hospital stay and increasing per-day hospitalization costs. Moreover, the proportion of the hospitalization costs reimbursed by insurances increased. For inpatients with UEBMI, it possibly lead to over treatment and the medical expense rise which result in medical resources waste and significant society costs. The rising hospitalization costs may lead to a remarkably increased financial burden in the future in China.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Colorrectales / Costos de Hospital / Hospitalización / Pacientes Internos / Tiempo de Internación Tipo de estudio: Health_economic_evaluation / Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Medicine (Baltimore) Año: 2019 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Colorrectales / Costos de Hospital / Hospitalización / Pacientes Internos / Tiempo de Internación Tipo de estudio: Health_economic_evaluation / Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Medicine (Baltimore) Año: 2019 Tipo del documento: Article