Cost trend analysis of initial cancer treatment in Taiwan.

<h4>Background</h4>Despite the high cost of initial cancer care, that is, care in the first year after diagnosis, limited information is available for specific categories of cancer-related costs, especially costs for specific services. This study purposed to identify causes of change in...

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Autores principales:	Tsai-Yun Li, Jan-Sing Hsieh, King-Teh Lee, Ming-Feng Hou, Chia-Ling Wu, Hao-Yun Kao, Hon-Yi Shi
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d74f8f3a774d4df3a0db48aefafc3aa5
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spelling	oai:doaj.org-article:d74f8f3a774d4df3a0db48aefafc3aa52021-11-25T05:58:04ZCost trend analysis of initial cancer treatment in Taiwan.1932-620310.1371/journal.pone.0108432https://doaj.org/article/d74f8f3a774d4df3a0db48aefafc3aa52014-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0108432https://doaj.org/toc/1932-6203<h4>Background</h4>Despite the high cost of initial cancer care, that is, care in the first year after diagnosis, limited information is available for specific categories of cancer-related costs, especially costs for specific services. This study purposed to identify causes of change in cancer treatment costs over time and to perform trend analyses of the percentage of cancer patients who had received a specific treatment type and the mean cost of care for patients who had received that treatment.<h4>Methodology/principal findings</h4>The analysis of trends in initial treatment costs focused on cancer-related surgery, chemotherapy, radiation therapy, and treatments other than active treatments. For each cancer-specific trend, slopes were calculated for regression models with 95% confidence intervals. Analyses of patients diagnosed in 2007 showed that the National Health Insurance (NHI) system paid, on average, $10,780 for initial care of a gastric cancer patient and $10,681 for initial care of a lung cancer patient, which were inflation-adjusted increases of $6,234 and $5,522, respectively, over the 1996 care costs. During the same interval, the mean NHI payment for initial care for the five specific cancers increased significantly (p<0.05). Hospitalization costs comprised the largest portion of payments for all cancers. During 1996-2007, the use of chemotherapy and radiation therapy significantly increased in all cancer types (p<0.05). In 2007, NHI payments for initial care for these five cancers exceeded $12 billion, and gastric and lung cancers accounted for the largest share.<h4>Conclusions/significance</h4>In addition to the growing number of NHI beneficiaries with cancer, treatment costs and the percentage of patients who undergo treatment are growing. Therefore, the NHI must accurately predict the economic burden of new chemotherapy agents and radiation therapies and may need to develop programs for stratifying patients according to their potential benefit from these expensive treatments.Tsai-Yun LiJan-Sing HsiehKing-Teh LeeMing-Feng HouChia-Ling WuHao-Yun KaoHon-Yi ShiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 10, p e108432 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tsai-Yun Li Jan-Sing Hsieh King-Teh Lee Ming-Feng Hou Chia-Ling Wu Hao-Yun Kao Hon-Yi Shi Cost trend analysis of initial cancer treatment in Taiwan.
description	<h4>Background</h4>Despite the high cost of initial cancer care, that is, care in the first year after diagnosis, limited information is available for specific categories of cancer-related costs, especially costs for specific services. This study purposed to identify causes of change in cancer treatment costs over time and to perform trend analyses of the percentage of cancer patients who had received a specific treatment type and the mean cost of care for patients who had received that treatment.<h4>Methodology/principal findings</h4>The analysis of trends in initial treatment costs focused on cancer-related surgery, chemotherapy, radiation therapy, and treatments other than active treatments. For each cancer-specific trend, slopes were calculated for regression models with 95% confidence intervals. Analyses of patients diagnosed in 2007 showed that the National Health Insurance (NHI) system paid, on average, $10,780 for initial care of a gastric cancer patient and $10,681 for initial care of a lung cancer patient, which were inflation-adjusted increases of $6,234 and $5,522, respectively, over the 1996 care costs. During the same interval, the mean NHI payment for initial care for the five specific cancers increased significantly (p<0.05). Hospitalization costs comprised the largest portion of payments for all cancers. During 1996-2007, the use of chemotherapy and radiation therapy significantly increased in all cancer types (p<0.05). In 2007, NHI payments for initial care for these five cancers exceeded $12 billion, and gastric and lung cancers accounted for the largest share.<h4>Conclusions/significance</h4>In addition to the growing number of NHI beneficiaries with cancer, treatment costs and the percentage of patients who undergo treatment are growing. Therefore, the NHI must accurately predict the economic burden of new chemotherapy agents and radiation therapies and may need to develop programs for stratifying patients according to their potential benefit from these expensive treatments.
format	article
author	Tsai-Yun Li Jan-Sing Hsieh King-Teh Lee Ming-Feng Hou Chia-Ling Wu Hao-Yun Kao Hon-Yi Shi
author_facet	Tsai-Yun Li Jan-Sing Hsieh King-Teh Lee Ming-Feng Hou Chia-Ling Wu Hao-Yun Kao Hon-Yi Shi
author_sort	Tsai-Yun Li
title	Cost trend analysis of initial cancer treatment in Taiwan.
title_short	Cost trend analysis of initial cancer treatment in Taiwan.
title_full	Cost trend analysis of initial cancer treatment in Taiwan.
title_fullStr	Cost trend analysis of initial cancer treatment in Taiwan.
title_full_unstemmed	Cost trend analysis of initial cancer treatment in Taiwan.
title_sort	cost trend analysis of initial cancer treatment in taiwan.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/d74f8f3a774d4df3a0db48aefafc3aa5
work_keys_str_mv	AT tsaiyunli costtrendanalysisofinitialcancertreatmentintaiwan AT jansinghsieh costtrendanalysisofinitialcancertreatmentintaiwan AT kingtehlee costtrendanalysisofinitialcancertreatmentintaiwan AT mingfenghou costtrendanalysisofinitialcancertreatmentintaiwan AT chialingwu costtrendanalysisofinitialcancertreatmentintaiwan AT haoyunkao costtrendanalysisofinitialcancertreatmentintaiwan AT honyishi costtrendanalysisofinitialcancertreatmentintaiwan
_version_	1718414370742992896

Cost trend analysis of initial cancer treatment in Taiwan.

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