Medical expenditure for lung cancer in China: a multicenter, hospital-based retrospective survey View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2021-08-17

AUTHORS

Xin Zhang, Ju-Fang Shi, Guo-Xiang Liu, Jian-Song Ren, Lan-Wei Guo, Wei-Dong Huang, Lin-Mei Shi, Yi Ma, Hui-Yao Huang, Ya-Na Bai, Xian-Zhen Liao, A-Yan Mao, Xiao-Jie Sun, Xin-Yu Zhu, Qi Zhou, Ji-Yong Gong, Jin-Yi Zhou, Yu-Qin Liu, Ling Mai, Bing-Bing Song, Lin Zhu, Xiao-Jing Xing, Ling-Bin Du, Xiao Qi, Xiao-Hua Sun, Shou-Ling Wu, Ying Ren, Rong Cao, Li Lan, Pei-An Lou, Kai Zhang, Jie He, Min Dai

ABSTRACT

BACKGROUND: Lung cancer is the most prevalent cancer, and the leading cause of cancer-related deaths in China. The aim of this study was to estimate the direct medical expenditure incurred for lung cancer care and analyze the trend therein for the period 2002-2011 using nationally representative data in China METHODS: This study was based on 10-year, multicenter retrospective expenditure data collected from hospital records, covering 15,437 lung cancer patients from 13 provinces diagnosed during the period 2002-2011. All expenditure data were adjusted to 2011 to eliminate the effects of inflation using China's annual consumer price index. RESULTS: The direct medical expenditure for lung cancer care (in 2011) was 39,015 CNY (US$6,041) per case, with an annual growth rate of 7.55% from 2002 to 2011. Drug costs were the highest proportionally in the total medical expenditure (54.27%), followed by treatment expenditure (14.32%) and surgical expenditure (8.10%). Medical expenditures for the disease varied based on region, hospital level, type, and stage. CONCLUSION: The medical expenditure for lung cancer care is substantial in China. Drug costs and laboratory test are the main factors increasing medical costs. More... »

PAGES

53

Journal

Author Affiliations

  • School of Health Management, Harbin Medical University, 194 Xuefu Road, Nangang District, Harbin, 150081 China
  • Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 17 Panjiayuan South Lane, Chaoyang District, Beijing, 100021 China
  • Department of Cancer Epidemiology, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, 450008 China
  • Institute of Epidemiology and Health Statistics, Lanzhou University, Lanzhou, 730000 China
  • Hunan Office for Cancer Control and Research, Hunan Provincial Cancer Hospital, Changsha, 410006 China
  • Public Health Information Research Office, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing, 100020 China
  • Center for Health Management and Policy, Key Lab of Health Economics and Policy, Shandong University, Jinan, 250012 China
  • Chongqing Office for Cancer Control and Research, Chongqing Cancer Hospital, Chongqing, 400030 China
  • Science and Education Department of Public Health Division, Shandong Tumor Hospital, Jinan, 250117 China
  • Jiangsu Provincial Center for Disease Control and Prevention, Institute of Chronic Non-Communicable Diseases Prevention and Control, Nanjing, 210009 China
  • Cancer Epidemiology Research Center, Gansu Provincial Cancer Hospital, Lanzhou, 730050 China
  • Department of Institute of Tumor Research, The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, 450008 China
  • Heilongjiang Office for Cancer Control and Research, Affiliated Cancer Hospital of Harbin Medical University, Harbin, 150081 China
  • Teaching and Research Department, Affiliated Cancer Hospital of Xinjiang Medical University, Urumqi, 830011 China
  • Liaoning Office for Cancer Control and Research, Liaoning Cancer Hospital & Institute, Shenyang, 110042 China
  • Zhejiang Office for Cancer Control and Research, Zhejiang Cancer Hospital, Hangzhou, 310022 China
  • Department of Occupational Medicine, Tangshan People’s Hospital, Tangshan, 063001 China
  • Ningbo Clinical Cancer Prevention Guidance Center, Ningbo NO.2 Hospital, Ningbo, 315010 China
  • Health Department of Kailuan Group, Kailuan General Hospital, Tangshan, 063000 China
  • Urban Office of Cancer Early Detection and Treatment, Tieling Central Hospital, Tieling, 112000 China
  • Department of Health Policy and Economic Research, Guangdong Provincial Institute of Public Health, Guangzhou, 511430 China
  • Institute of Chronic Disease Prevention and Control, Harbin Center for Disease Control and Prevention, Harbin, 150056 China
  • Department of Control and Prevention of Chronic Non-Communicable Diseases, Xuzhou Center for Disease Control and Prevention, Xuzhou, 221006 China
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1186/s12962-021-00306-3

    DOI

    http://dx.doi.org/10.1186/s12962-021-00306-3

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1140475873

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/34404418


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