암환자에서 암발생부위와 생존기간에 따른 사망전 1년간의 의료비용

김소윤; 유원곤; 이지전; 김광기; 이상욱

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자료유형: 학술저널

저자정보: 김소윤 유원곤 이지전 김광기 이상욱

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제38권 제1호

발행연도: 2005.1

수록면: 9 - 15 (7page)

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연구방법

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연구결과

초록· 키워드

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To analyze medical expenses by cancer site and survival time among cancer patients in their last year of life. Method : The study subjects were 45,394 people that had died of cancers in 2002, were registered by the Korea Central Cancer Registry and received National Health Insurance benefit in the last year (360 days) of life. Personal identification data, general characteristics, dates of death and cancer incidence, and site of cancer were collected from the National Statistical Office and the Korea Central Cancer Registry, and merged with the data of the individual medical expenses of the Health Insurance Review Agency. Results : Average monthly cost curves were U-shaped with high costs near the time of diagnosis and death, and lower costs in between. Medical expenses in the last year of life were around 30.3, 16.7, 13.0, and 12.1 million won among leukemia, lymphoma, ovarian cancer, and breast cancer patients, respectively. Digestive organ cancers including stomach, esophagus, liver, pancreas, and colorectal cancers had relatively low medical expenses. Medical expenses in the last year of life were inverse Ushaped with high expenses near one year of survival. Average monthly cost in the 12 months before death among the patients who had survived 10~15 years were more than two-fold greater than the cost before diagnosis among those who had survived for less than one year. Conclusions : Leukemia was the most expensive cancer. It is possible that once diagnosed as cancer, medical expenses do not return to the level before diagnosis. Further research will be needed to understand the magnitude and change of the medical expenses among cancer patients with long term follow up data.

#Cancer #Healthcare cost #Survival #Death

참고문헌 (12)

참고문헌 신청

Berndt ER / 1998 / National Bureau of Economic Research

Brown ML / 2001 / The burdenof illness of cancer:economic cost and qualityof life 22 : 91 ~ 113

Brown ML / 2002 / Estimating health care costs related to cancertreatment from SEER-Medicare data 40 (8) : 104 ~ 117

Capocaccia R / 1997 / Estimating thecompleteness of prevalence based on cancerregistry data 16 : 425 ~ 240

Coldman AJ / Med1992 / Calculating the prevalence of cancer 11 : 1579 ~ 1589

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