Cost of treating patients with smoking history in a specialized cancer hospital
Main Author: | |
---|---|
Publication Date: | 2011 |
Other Authors: | |
Format: | Article |
Language: | por eng |
Source: | Revista de Saúde Pública |
Download full: | https://www.revistas.usp.br/rsp/article/view/32990 |
Summary: | OBJECTIVE: To describe the costs of treating lung, laryngeal and esophageal cancer among patients with histories of smoking. METHODS: A longitudinal non-concurrent study on three cohorts with histories of smoking at a specialized hospital was carried out in the city of Rio de Janeiro, Southeastern Brazil, between 2000 and 2006. The sample was composed of 127 cases of lung cancer, 80 of laryngeal cancer and 35 of esophageal cancer. These cancers were selected through analyzing the frequencies and monetary values of the hospital admissions, weighted according to the fraction attributable to smoking among the population. Data were gathered from the medical files. Patients were classified according to their smoking profile, primary diagnosis, stage and comorbidities. The statistical analysis included the log-normal distribution to adjust for cost values and the Spearman correlation. RESULTS: The patients were heavy smokers and were diagnosed at advanced stages. The burden from smoking was high, and 92%, 72% and 94% of lung, laryngeal and esophageal cancer patients, respectively, were diagnosed at advanced stages. The most frequent comorbidities were heart diseases and respiratory diseases. The mean costs of lung, laryngeal and esophageal cancers were R$ 28,901, R$ 37,529 and R$ 33,164, respectively. The main cost drivers were radiotherapy and hospitalization. There was an association between advanced stage and lower cost for lung and esophageal cancer. CONCLUSIONS: Since radiotherapy and hospitalization were the main total cost drivers, patients at more severe stages presented lower costs, probably because of the reduction in the number of therapeutic options. |
id |
USP-23_23bb172d3e43341d7217537e9e56b517 |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/32990 |
network_acronym_str |
USP-23 |
network_name_str |
Revista de Saúde Pública |
repository_id_str |
|
spelling |
Cost of treating patients with smoking history in a specialized cancer hospital Costo del tratamiento de pacientes con historia de tabaquismo en hospital especializado en cáncer Custo do tratamento de pacientes com histórico de tabagismo em hospital especializado em câncer TabagismoNeoplasiasCustos de Cuidados de SaúdeEstudos de CoortesTabaquismoNeoplasiasCostos de la Atención en SaludEstudios de CohortesSmokingNeoplasmsHealth Care CostsCohort Studies OBJECTIVE: To describe the costs of treating lung, laryngeal and esophageal cancer among patients with histories of smoking. METHODS: A longitudinal non-concurrent study on three cohorts with histories of smoking at a specialized hospital was carried out in the city of Rio de Janeiro, Southeastern Brazil, between 2000 and 2006. The sample was composed of 127 cases of lung cancer, 80 of laryngeal cancer and 35 of esophageal cancer. These cancers were selected through analyzing the frequencies and monetary values of the hospital admissions, weighted according to the fraction attributable to smoking among the population. Data were gathered from the medical files. Patients were classified according to their smoking profile, primary diagnosis, stage and comorbidities. The statistical analysis included the log-normal distribution to adjust for cost values and the Spearman correlation. RESULTS: The patients were heavy smokers and were diagnosed at advanced stages. The burden from smoking was high, and 92%, 72% and 94% of lung, laryngeal and esophageal cancer patients, respectively, were diagnosed at advanced stages. The most frequent comorbidities were heart diseases and respiratory diseases. The mean costs of lung, laryngeal and esophageal cancers were R$ 28,901, R$ 37,529 and R$ 33,164, respectively. The main cost drivers were radiotherapy and hospitalization. There was an association between advanced stage and lower cost for lung and esophageal cancer. CONCLUSIONS: Since radiotherapy and hospitalization were the main total cost drivers, patients at more severe stages presented lower costs, probably because of the reduction in the number of therapeutic options. OBJETIVO: Describir el costo del tratamiento de los cánceres de pulmón, laringe y esófago de pacientes con historia de tabaquismo. MÉTODOS: Estudio longitudinal no concurrente de tres cohortes con historia de tabaquismo en un hospital especializado en la ciudad de Rio de Janeiro, Sureste de Brasil, entre 2000 y 2006. La muestra fue compuesta por 127 casos de cáncer de pulmón, 80 de cáncer de laringe y 35 de cáncer de esófago. La selección de los cánceres fue realizada por medio del análisis de la frecuencia y del valor monetario de las hospitalizaciones, ponderados por la fracción atribuible al tabaco en la población. Los datos fueron colectados de los prontuarios. Los pacientes fueron clasificados conforme el perfil de tabaquismo, el diagnóstico principal, la fase y las comorbilidades. El análisis estadístico incluyó la distribución log-normal para ajustar los valores del costo y la correlación de Spearman. RESULTADOS: Los pacientes eran fumadores pesados y fueron diagnosticados en fases avanzadas. La carga tabáquica fue elevada y 92% de los pacientes con cáncer de pulmón, 72% con cáncer de laringe y 94% con cáncer de esófago fueron diagnosticados en fases avanzadas. Las comorbilidades más frecuentes fueron las enfermedades cardíacas y las respiratorias. El costo promedio fue de R$ 28.901, R$ 37.529 y R$ 33.164 para cáncer de pulmón, laringe y esófago, respectivamente. Los principales responsables por el costo fueron la radioterapia y la hospitalización. Se observó asociación entre fases avanzadas y menor costo para cáncer de pulmón y de esófago. CONCLUSIONES: Siendo la radioterapia y hospitalización los principales responsables por el costo total, los pacientes en fases más graves presentaron costos menores probablemente por la reducción de las opciones terapéuticas. OBJETIVO: Descrever o custo do tratamento dos cânceres de pulmão, laringe e esôfago de pacientes com histórico de tabagismo. MÉTODOS: Estudo longitudinal não-concorrente de três coortes com histórico de tabagismo em um hospital especializado na cidade do Rio de Janeiro, RJ, entre 2000 e 2006. A amostra foi composta por 127 casos de câncer de pulmão, 80 de câncer de laringe e 35 de câncer de esôfago. A seleção dos cânceres foi realizada por meio da análise da freqüência e do valor monetário das hospitalizações, ponderados pela fração atribuível ao fumo na população. Os dados foram coletados dos prontuários. Os pacientes foram classificados conforme o perfil de tabagismo, o diagnóstico principal, o estádio e as comorbidades. A análise estatística incluiu a distribuição log-normal para ajustar os valores do custo e a correlação de Spearman. RESULTADOS: Os pacientes eram fumantes pesados e foram diagnosticados em estádios avançados. A carga tabágica foi elevada e 92% dos pacientes com câncer de pulmão, 72% com câncer de laringe e 94% com câncer de esôfago foram diagnosticados em estádios avançados. As comorbidades mais freqüentes foram as doenças cardíacas e as respiratórias. O custo médio foi de R$ 28.901, R$ 37.529 e R$ 33.164 para câncer de pulmão, laringe e esôfago, respectivamente. Os principais direcionadores do custo foram a radioterapia e a hospitalização. Observou-se associação entre estádios avançados e menor custo para câncer de pulmão e de esôfago. CONCLUSÕES: Sendo radioterapia e hospitalização os principais direcionadores do custo total, pacientes em estádios mais graves apresentaram custos menores provavelmente pela redução das opções terapêuticas. Universidade de São Paulo. Faculdade de Saúde Pública2011-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3299010.1590/S0034-89102011005000026Revista de Saúde Pública; Vol. 45 No. 3 (2011); 575-582 Revista de Saúde Pública; Vol. 45 Núm. 3 (2011); 575-582 Revista de Saúde Pública; v. 45 n. 3 (2011); 575-582 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32990/35616https://www.revistas.usp.br/rsp/article/view/32990/35617Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessPinto, MárciaUgá, Maria Alicia Domínguez2012-07-11T22:42:41Zoai:revistas.usp.br:article/32990Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-11T22:42:41Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Cost of treating patients with smoking history in a specialized cancer hospital Costo del tratamiento de pacientes con historia de tabaquismo en hospital especializado en cáncer Custo do tratamento de pacientes com histórico de tabagismo em hospital especializado em câncer |
title |
Cost of treating patients with smoking history in a specialized cancer hospital |
spellingShingle |
Cost of treating patients with smoking history in a specialized cancer hospital Pinto, Márcia Tabagismo Neoplasias Custos de Cuidados de Saúde Estudos de Coortes Tabaquismo Neoplasias Costos de la Atención en Salud Estudios de Cohortes Smoking Neoplasms Health Care Costs Cohort Studies |
title_short |
Cost of treating patients with smoking history in a specialized cancer hospital |
title_full |
Cost of treating patients with smoking history in a specialized cancer hospital |
title_fullStr |
Cost of treating patients with smoking history in a specialized cancer hospital |
title_full_unstemmed |
Cost of treating patients with smoking history in a specialized cancer hospital |
title_sort |
Cost of treating patients with smoking history in a specialized cancer hospital |
author |
Pinto, Márcia |
author_facet |
Pinto, Márcia Ugá, Maria Alicia Domínguez |
author_role |
author |
author2 |
Ugá, Maria Alicia Domínguez |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Pinto, Márcia Ugá, Maria Alicia Domínguez |
dc.subject.por.fl_str_mv |
Tabagismo Neoplasias Custos de Cuidados de Saúde Estudos de Coortes Tabaquismo Neoplasias Costos de la Atención en Salud Estudios de Cohortes Smoking Neoplasms Health Care Costs Cohort Studies |
topic |
Tabagismo Neoplasias Custos de Cuidados de Saúde Estudos de Coortes Tabaquismo Neoplasias Costos de la Atención en Salud Estudios de Cohortes Smoking Neoplasms Health Care Costs Cohort Studies |
description |
OBJECTIVE: To describe the costs of treating lung, laryngeal and esophageal cancer among patients with histories of smoking. METHODS: A longitudinal non-concurrent study on three cohorts with histories of smoking at a specialized hospital was carried out in the city of Rio de Janeiro, Southeastern Brazil, between 2000 and 2006. The sample was composed of 127 cases of lung cancer, 80 of laryngeal cancer and 35 of esophageal cancer. These cancers were selected through analyzing the frequencies and monetary values of the hospital admissions, weighted according to the fraction attributable to smoking among the population. Data were gathered from the medical files. Patients were classified according to their smoking profile, primary diagnosis, stage and comorbidities. The statistical analysis included the log-normal distribution to adjust for cost values and the Spearman correlation. RESULTS: The patients were heavy smokers and were diagnosed at advanced stages. The burden from smoking was high, and 92%, 72% and 94% of lung, laryngeal and esophageal cancer patients, respectively, were diagnosed at advanced stages. The most frequent comorbidities were heart diseases and respiratory diseases. The mean costs of lung, laryngeal and esophageal cancers were R$ 28,901, R$ 37,529 and R$ 33,164, respectively. The main cost drivers were radiotherapy and hospitalization. There was an association between advanced stage and lower cost for lung and esophageal cancer. CONCLUSIONS: Since radiotherapy and hospitalization were the main total cost drivers, patients at more severe stages presented lower costs, probably because of the reduction in the number of therapeutic options. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/32990 10.1590/S0034-89102011005000026 |
url |
https://www.revistas.usp.br/rsp/article/view/32990 |
identifier_str_mv |
10.1590/S0034-89102011005000026 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/32990/35616 https://www.revistas.usp.br/rsp/article/view/32990/35617 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 45 No. 3 (2011); 575-582 Revista de Saúde Pública; Vol. 45 Núm. 3 (2011); 575-582 Revista de Saúde Pública; v. 45 n. 3 (2011); 575-582 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221791916916736 |