期刊
COMPLEMENTARY THERAPIES IN MEDICINE
卷 44, 期 -, 页码 210-217出版社
CHURCHILL LIVINGSTONE
DOI: 10.1016/j.ctim.2019.04.013
关键词
Breast cancer; Drug-related side effects and adverse reactions; Cost of illness; Complementary medicine; Survey; Productivity
资金
- Traditional Korean Medicine R&D Program - Ministry of Health and Welfare through the Korea Health Industry Development Institute (KHIDI) [HB16C0072]
Objectives: Population-based information on the costs of complementary medicine for treatment-related side effects in patients with breast cancer is scarce. We aimed to investigate the prevalence and expenditure on complementary medicine in patients with breast cancer who experienced treatment-related side effects. Design and setting: Two datasets were analyzed: 1) a 2017 survey on direct and indirect costs for treatment-related side effects, which was completed by 100 patients with stage 0-IV breast cancer, and 2) a Korean representative cross-sectional survey (Patient Survey 2014) that examined the prevalence of integrative medicine in 41 patients with breast cancer. Main outcome measures: The direct and indirect costs for treatment-related side effects. Results: In the first dataset, the mean total direct medical cost for complementary medicine was US$1,584 and the mean indirect cost was US$6,988 per patient per year. Some patients (6%) visited non-medical institutions to utilize complementary medicine and additionally spent US$460 per patient per year. Approximately one-third of participants reported a substantial-to-heavy financial burden for using complementary medicine. However, only 17% of patients got information about complementary medicine through their physician. In the second dataset, 49% of patients with breast cancer who were discharged from Korean Medicine hospitals in Patient Survey 2014 data indicated that integrative medicine had been used. Conclusions: Despite some complementary medicine could be reimbursed by National Health Insurance in Korea, a considerable number of patients reported an economic burden associated with their use of complementary medicine. Strategies for guiding patients to receive evidence-based and cost-effective complementary medicine are needed.
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