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Trends in health care spending on kidney cancer in the United States, 1996-2016.
Takemura, Kosuke; Ahmed, Newaz Shubidito; Stukalin, Igor; Gupta, Mehul; Ma, Christopher; Heng, Daniel Y C.
Afiliação
  • Takemura K; Department of Oncology, Tom Baker Cancer Centre, University of Calgary, Calgary, Alberta, Canada.
  • Ahmed NS; Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
  • Stukalin I; Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
  • Gupta M; Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
  • Ma C; Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada.
  • Heng DYC; Department of Oncology, Tom Baker Cancer Centre, University of Calgary, Calgary, Alberta, Canada.
Cancer ; 129(14): 2161-2168, 2023 07 15.
Article em En | MEDLINE | ID: mdl-37005866
BACKGROUND: Paradigm shifts in kidney cancer management have led to higher health care spending. Here, total and per capita health care spending and primary drivers of change in health expenditures for kidney cancer in the United States between 1996 and 2016 are estimated. METHODS: Public databases developed by the Institute for Health Metrics and Evaluation for the Disease Expenditure Project were used. The prevalence of kidney cancer was estimated from the Global Burden of Disease Study. Changes in health care spending on kidney cancer were assessed by joinpoint regression and expressed as annual percent changes (APCs). RESULTS: In 2016, total health care spending on kidney cancer was $3.42 billion (95% CI, $2.91 billion to $3.89 billion) compared with $1.18 billion (95% CI, $1.07 billion to $1.31 billion) in 1996. Per capita spending had two inflection points in 2005 and 2008, close to the approval years of targeted therapies, which corresponded to APCs of +2.9% (95% CI, +2.3% to +3.6%; p < .001) per year, 1996-2005; +9.2% (95% CI, +3.4% to +15.2%; p = .004) per year, 2005-2008; and +3.1% (95% CI, +2.2% to +3.9%; p < .001) per year, 2008-2016. Inpatient care was the largest contributor to health expenditures, which accounted for $1.56 billion (95% CI, $1.19 billion to $1.95 billion) in 2016. Price and intensity of care was the primary driver of increased health expenditures, whereas service utilization was the primary driver of reduced health expenditures. CONCLUSIONS: Prevalence-adjusted health care spending on kidney cancer continues to rise in the United States, which is primarily attributable to inpatient care and driven by the price and intensity of care over time.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Gastos em Saúde / Neoplasias Renais Tipo de estudo: Prevalence_studies / Risk_factors_studies Limite: Humans País como assunto: America do norte Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Gastos em Saúde / Neoplasias Renais Tipo de estudo: Prevalence_studies / Risk_factors_studies Limite: Humans País como assunto: America do norte Idioma: En Ano de publicação: 2023 Tipo de documento: Article