Hospital costs incurred by the Italian National Health Service for invasive cervical cancer

Gynecologic Oncology
Gabriella FerrandinaGiovanni Scambia

Abstract

A longitudinal, retrospective, cohort study was designed to assess the mean treatment cost of invasive cervical cancer, cross-linking clinical and administrative databases. The study was performed from the Italian NHS perspective. Costs were estimated using DRG charges. All patients with histological diagnosis of invasive cervical cancer admitted to Gynecologic Oncology centres of the Catholic University of the Sacred Heart between 2000 and 2007 were enrolled. Overall, 351 patients (212 with LACC and 139 with ECC) were eligible for analysis. The mean direct medical cost by patient was € 22,200 ± 21,600 with a significantly higher burden for LACC compared with ECC patients (€ 28,696 ± 24,874 versus € 12,329 ± 8,726). Radical surgery accounted for € 6,851 ± 1,406, and € 7,709 ± 3,710 in ECC and LACC group, respectively; the resulting difference achieved a statistical significance. The extent of disease, disease progression/recurrence, and length of hospitalization confirmed their independent role as cost predictive factors. The combined use of administrative and clinical databases allowed a feasible assessment of the mean cost induced by the invasive cervical cancer. Management of LACC patients was associated with higher costs du...Continue Reading

References

Aug 16, 1997·BMJ : British Medical Journal·N Black
Mar 3, 2004·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Patricia J EifelDavid G Mutch
May 3, 2005·Gynecologic Oncology·Rodney P RocconiJ Michael Straughn
Oct 11, 2005·Gynecologic Oncology·Gilles HouvenaeghelMichel Resbeut
May 3, 2006·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Gabriella FerrandinaGiovanni Scambia
May 10, 2006·Nature Clinical Practice. Oncology·Patricia J Eifel
May 11, 2006·Current Medical Research and Opinion·R E BrownS Bénard
Jul 10, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Bradley J MonkWui-Jin Koh
Jul 10, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Harry J Long
Feb 22, 2008·CA: a Cancer Journal for Clinicians·Ahmedin JemalMichael J Thun
Mar 13, 2008·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·J A LachanceA A Jazaeri

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Citations

Sep 9, 2015·Critical Reviews in Oncology/hematology·Riccardo A AudisioGian Vincenzo Zuccotti
Dec 22, 2015·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Katrin HaeusslerGianluca Baio
Jul 17, 2015·International Journal of Technology Assessment in Health Care·Betsy J LahueMonika Parisi
Jun 26, 2013·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Kathy L SchulmanAlex Shteynshlyuger
Jan 18, 2015·European Journal of Epidemiology·Taulant MukaOscar H Franco
Nov 28, 2012·PloS One·Gianluca BaioGiampiero Favato
Nov 11, 2017·Health Care for Women International·Anh Duy NguyenChuong Canh Nguyen
Mar 30, 2019·Journal of Comparative Effectiveness Research·Kristiina PynnäPirjo Räsänen
Jan 30, 2013·Medical Care·Livio Garattini, Katelijne van de Vooren
Mar 23, 2019·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·F S MenniniA Marcellusi
Oct 1, 2017·Population Health Metrics·Andrea Marcellusi

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