The Direct Medical Care Costs Associated with Gastric Cancer in a Third-level Hospital in Iran

S. Mohammadpur, M. Yousefi, H. Ebrahimipur, Touraj Harati-Khalilabad, H. Haghighi, M. Kiani, S. Shahidsales, A. Taghipour
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Abstract

Background: Approximately 20 million individuals are afflicted with cancer worldwide. Gastric cancer is the fourth leading cause of death in the world today. The aim of this study was to evaluate the direct medical care costs of gastric cancer patients in a tertiary teaching hospital in Iran. Methods: The present study is descriptive-analytical, carried out in two main stages. In the first stage we designed a form based on valid international guidelines. The second step identified the costs of diagnosis and treatment of gastric cancer. To analyze the cost data, descriptive statistics such as mean and standard deviation were utilized. We used nonparametric statistical tests such as Mann-Whitney, Wilcoxon in SPSS 16 software for data analysis. Results: In this study, the records of 449 gastric cancer patients who had referred to Omid tertiary teaching hospital of Mashhad between the years 2005 and 2015 were studied. According to the results, the highest average costs were related to patient hospitalization costs. Based on the significance level of the Mann Whitney test, no remarkable difference could be seen in the total costs of metastatic and non-metastatic patients (P-value: P> 0.05). Conclusion: Organizations such as: insurance agencies, charities and financial institutions need to adopt new policies to reduce patients’ expenditures, remove financial barriers and prevent patients from facing catastrophic costs.
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伊朗某三级医院胃癌直接医疗费用分析
背景:全世界大约有2000万人患有癌症。胃癌是当今世界上第四大死因。本研究旨在评估伊朗某三级教学医院胃癌患者的直接医疗费用。方法:本研究采用描述性分析方法,分两个主要阶段进行。在第一阶段,我们根据有效的国际准则设计了一个表格。第二步确定胃癌的诊断和治疗费用。为了分析成本数据,使用了均值和标准差等描述性统计。我们使用SPSS 16软件中的Mann-Whitney、Wilcoxon等非参数统计检验进行数据分析。结果:本研究对2005 - 2015年在马什哈德奥米德三级教学医院转诊的449例胃癌患者的病历进行了分析。结果显示,最高的平均费用与患者住院费用有关。根据Mann Whitney检验的显著性水平,转移性和非转移性患者的总成本无显著差异(P值:P> 0.05)。结论:保险机构、慈善机构和金融机构等组织需要采取新的政策来减少患者的支出,消除财务障碍,防止患者面临灾难性的成本。
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12 weeks
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