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Epidemiology and cost analysis for patients with oral cancer in a university hospital in China.

Han S, Chen Y, Ge X, Zhang M, Wang J, Zhao Q, He J, Wang Z - BMC Public Health (2010)

Bottom Line: Medical hospitalization days (MHD) and cost per patient (CPP) of the samples have been calculated for different patient groups, and the results have been compared using statistical methods.Rural patients were significantly younger than urban patients.Lack of medicare, smoking habit, late clinical stage and SCC are the high economic factors for patient medical cost.

View Article: PubMed Central - HTML - PubMed

Affiliation: Administration of Clinical Research and Teaching, School of Stomatology, the Fourth Military Medical University, Xi'an PR China.

ABSTRACT

Background: Although several studies have reported the direct cost of oral cancer (OC), little research has invested the factors that could influence the costs of OC patient. This study analyzes the epidemiological characteristics and the direct cost of OC. More specifically, the study examines the relationship between patients' medical costs and influencing factors of epidemiology.

Methods: All patients encountered from January 2007 to December 2007 at the School of Stomatology of the Fourth Military Medical University (FMMU) in China with diagnosis of oral cancer have been selected. Medical hospitalization days (MHD) and cost per patient (CPP) of the samples have been calculated for different patient groups, and the results have been compared using statistical methods.

Results: A total of 456 oral cancer patients have been selected in this study. The epidemical characteristics are as follows: female/male 176/280; squamous cell carcinoma (SCC)/adenocarcinoma/sarcoma/lymphoma/other types 246/127/40/27/16; stage I/II/III/IV 90/148/103/115; smoker/non-smoker 136/320; rural/urban patients 82/374. Of all the patients, 82.24% were over 40 years of age. Rural patients were significantly younger than urban patients. SCC was the majority histology in older patients, while sarcoma was more common in younger patients. 372 of the patients received treatment and 84 gave up any treatment after diagnosis. Treatment cost accounted for majority of the payment. The CPP and MHD of patients in late clinical stage were higher than that of patient in early stage.

Conclusion: Gender, smoking habit and age older than 40 years are the epidemiological risk factors for oral cancer. Lack of medicare, smoking habit, late clinical stage and SCC are the high economic factors for patient medical cost.

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Diagnose, treatment and hospitalization cost associated with gender, censue register, medicare and smoking habit.
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Figure 5: Diagnose, treatment and hospitalization cost associated with gender, censue register, medicare and smoking habit.

Mentions: The total cost for oral cancer treatment is comprised of three parts: diagnosis, treatment and hospitalization. Figure 5 indicates that treatment accounts for the major cost. In terms of overall cost, there was no difference between rural patients and urban patients (Figure 5B and Table 7). Table 7 also indicates that the cost for diagnosis and hospitalization in both gender groups had no significant difference (p > 0.05), however, the treatment cost of the male patients was significantly higher than the female patients (p = 0.015) (Figure 5A, Table 7). Although, there was no evident difference between patients with medicare and without medicare in hospitalization, it is noticeable that the diagnosing and treatment cost for patients with medicare was significantly lower than those without medicare (Figure 5C, Table 7). Comparing the cost of smokers with non-smokers, there was no difference in the cost diagnosing between these two groups, however, the smokers had significantly higher cost for treatment and hospitalization than those non-smokers, (Figure 5D, Table 7).


Epidemiology and cost analysis for patients with oral cancer in a university hospital in China.

Han S, Chen Y, Ge X, Zhang M, Wang J, Zhao Q, He J, Wang Z - BMC Public Health (2010)

Diagnose, treatment and hospitalization cost associated with gender, censue register, medicare and smoking habit.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2864212&req=5

Figure 5: Diagnose, treatment and hospitalization cost associated with gender, censue register, medicare and smoking habit.
Mentions: The total cost for oral cancer treatment is comprised of three parts: diagnosis, treatment and hospitalization. Figure 5 indicates that treatment accounts for the major cost. In terms of overall cost, there was no difference between rural patients and urban patients (Figure 5B and Table 7). Table 7 also indicates that the cost for diagnosis and hospitalization in both gender groups had no significant difference (p > 0.05), however, the treatment cost of the male patients was significantly higher than the female patients (p = 0.015) (Figure 5A, Table 7). Although, there was no evident difference between patients with medicare and without medicare in hospitalization, it is noticeable that the diagnosing and treatment cost for patients with medicare was significantly lower than those without medicare (Figure 5C, Table 7). Comparing the cost of smokers with non-smokers, there was no difference in the cost diagnosing between these two groups, however, the smokers had significantly higher cost for treatment and hospitalization than those non-smokers, (Figure 5D, Table 7).

Bottom Line: Medical hospitalization days (MHD) and cost per patient (CPP) of the samples have been calculated for different patient groups, and the results have been compared using statistical methods.Rural patients were significantly younger than urban patients.Lack of medicare, smoking habit, late clinical stage and SCC are the high economic factors for patient medical cost.

View Article: PubMed Central - HTML - PubMed

Affiliation: Administration of Clinical Research and Teaching, School of Stomatology, the Fourth Military Medical University, Xi'an PR China.

ABSTRACT

Background: Although several studies have reported the direct cost of oral cancer (OC), little research has invested the factors that could influence the costs of OC patient. This study analyzes the epidemiological characteristics and the direct cost of OC. More specifically, the study examines the relationship between patients' medical costs and influencing factors of epidemiology.

Methods: All patients encountered from January 2007 to December 2007 at the School of Stomatology of the Fourth Military Medical University (FMMU) in China with diagnosis of oral cancer have been selected. Medical hospitalization days (MHD) and cost per patient (CPP) of the samples have been calculated for different patient groups, and the results have been compared using statistical methods.

Results: A total of 456 oral cancer patients have been selected in this study. The epidemical characteristics are as follows: female/male 176/280; squamous cell carcinoma (SCC)/adenocarcinoma/sarcoma/lymphoma/other types 246/127/40/27/16; stage I/II/III/IV 90/148/103/115; smoker/non-smoker 136/320; rural/urban patients 82/374. Of all the patients, 82.24% were over 40 years of age. Rural patients were significantly younger than urban patients. SCC was the majority histology in older patients, while sarcoma was more common in younger patients. 372 of the patients received treatment and 84 gave up any treatment after diagnosis. Treatment cost accounted for majority of the payment. The CPP and MHD of patients in late clinical stage were higher than that of patient in early stage.

Conclusion: Gender, smoking habit and age older than 40 years are the epidemiological risk factors for oral cancer. Lack of medicare, smoking habit, late clinical stage and SCC are the high economic factors for patient medical cost.

Show MeSH
Related in: MedlinePlus