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

• 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

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.

随着治疗癌症的医疗费用增加，有必要评估治疗的成本，以便我们在Nihon University Itabashi Hosspital在临床成本和医院成本方面呈现我们的12年治疗方法。 1986年至1997年间诊断出患有假性的患者的病历。药物（25％），手术成本（17％），检查成本（9％），成像和诊断研究（7％），具体取决于治疗方式药物的主要组成部分是对治疗的化学疗法的营养，并没有显着影响总成本，而自由的空肠疾病重新构造可导致医院的总体降低，并改善了患者的生活质量。

项目成果

遠藤壮平、他: "下咽頭癌の総入院医療費の検討" 日本耳鼻咽喉科学会雑誌. 99(10). 1485-1485 (1996)

Sohei Endo 等：“下咽癌住院总医疗费用的研究”日本耳鼻喉科学会杂志 99(10) 1485-1485 (1996)。