4.4 Article

The Burden of Out-of-Pocket and Indirect Costs of Prostate Cancer

期刊

PROSTATE
卷 70, 期 11, 页码 1255-1264

出版社

WILEY
DOI: 10.1002/pros.21161

关键词

prostate cancer; cost of illness; indirect cost; external beam radiation therapy; radical prostatectomy; health related quality of life

资金

  1. DOD [DAMD17-02-1-0126, W81XWH-04-1-0257]
  2. Linda and Laddie Montague fund

向作者/读者索取更多资源

BACKGROUND. Out-of-pocket and indirect (OPT) costs play an important role in prostate cancer (PCa) outcomes research. We sought to analyze OPT costs of newly diagnosed PCa patients receiving either radical prostatectomy (RP) or external beam radiation therapy (EBRT). METHODS. Prospective cohort design was used to recruit 512 newly diagnosed PCa patients from urology clinics of an urban academic hospital and a Veterans Administration medical center. Participants provided demographic information and completed self-reported generic and prostate-specific Health Related Quality of Life (HRQoL) and indirect-cost surveys at baseline and at 3, 6, 12, and 24 months follow-up. Linear mixed models were applied to study the association between OPT costs, treatment and HRQoL outcomes. Propensity scores adjusted for potential confounders and Bonferroni correction was used to account for multiple testing. RESULTS. Total mean OPI costs varied between RP group and EBRT group at 3-month ($5576 vs. $2010), 6-month ($1776 vs. $2133), 12-month ($757 vs. $774), and at 24-month follow-up ($458 vs. $871). Linear mixed models indicated that RP was associated with lower medication costs (OR = 0.61, CI = 0.48-0.89) and total OPI costs (OR = 0.71, CI = 0.64-0.92). Total OPI costs were inversely related to most of the generic HRQoL items. Similarly, prostate-specific HRQoL items of urinary function (OR = 0.72; adjusted-CI = 0.58-0.84), bowel function (OR = 0.96; adjusted-CI = 0.78-0.98), sexual function (OR = 0.85; adjusted-CI = 0.72-0.92), urinary bother (OR = 0.79; adjusted-CI = 0.67-0.83), and sexual bother (OR = 0.88; adjusted-CI = 0.76-0.93) were inversely related to OPI costs. CONCLUSIONS. OPT costs of PCa care are substantial and vary across time and treatment. Prostate 70: 1255-1264, 2010. (C) 2010 Wiley-Liss, Inc.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.4
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据