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Factors associated with the costs of hospitalization after esophagectomy: a retrospective observational study at a three-tertiary cancer hospital in China

BACKGROUND: Esophageal cancer represents a major health threat in China. Esophagectomy is the standard treatment for respectable esophageal cancer. This study aimed to investigate the costs of hospitalization in esophageal cancer patients undergoing esophagectomy, and to analyze the factors influenc...

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Detalles Bibliográficos
Autores principales: Liu, Qi, Yu, Yong-Kui, Wang, Deng-Yun, Xing, Wen-Qun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7656344/
https://www.ncbi.nlm.nih.gov/pubmed/33209429
http://dx.doi.org/10.21037/jtd-20-2770
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author Liu, Qi
Yu, Yong-Kui
Wang, Deng-Yun
Xing, Wen-Qun
author_facet Liu, Qi
Yu, Yong-Kui
Wang, Deng-Yun
Xing, Wen-Qun
author_sort Liu, Qi
collection PubMed
description BACKGROUND: Esophageal cancer represents a major health threat in China. Esophagectomy is the standard treatment for respectable esophageal cancer. This study aimed to investigate the costs of hospitalization in esophageal cancer patients undergoing esophagectomy, and to analyze the factors influencing these costs. METHODS: A retrospective observational study which enrolled 196 patients who underwent esophagectomy from September, 2018, to April, 2019, in the Affiliated Cancer Hospital of Zhengzhou University were conducted RESULTS: The median inpatient cost was ¥72,772 (range, ¥49,796–128,771). Materials accounted for 39.7% of the direct medical costs, which was the highest proportion for any of the cost components. Minimally invasive esophagectomy (MIE, OR: 0.031; 95% CI: 0.005–0.209), cardiopathy comorbidity (OR: 0.344; 95% CI: 0.136–0.872), and anastomotic leak (OR: 0.012; 95% CI: 0.001–0.131) were risk factors for higher cost, while early oral feeding (OR: 3.979; 95% CI: 1.430–11.067) was a protective factor. CONCLUSIONS: Understanding the factors associated with high hospitalization costs will help to reduce healthcare expenditure. By controlling complications and promoting early oral feeding, the economic burden on esophagectomy patients can be relieved. Further research based on a longitudinal design is needed to investigate the full costs of hospitalization associated with esophageal cancer.
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spelling pubmed-76563442020-11-17 Factors associated with the costs of hospitalization after esophagectomy: a retrospective observational study at a three-tertiary cancer hospital in China Liu, Qi Yu, Yong-Kui Wang, Deng-Yun Xing, Wen-Qun J Thorac Dis Original Article BACKGROUND: Esophageal cancer represents a major health threat in China. Esophagectomy is the standard treatment for respectable esophageal cancer. This study aimed to investigate the costs of hospitalization in esophageal cancer patients undergoing esophagectomy, and to analyze the factors influencing these costs. METHODS: A retrospective observational study which enrolled 196 patients who underwent esophagectomy from September, 2018, to April, 2019, in the Affiliated Cancer Hospital of Zhengzhou University were conducted RESULTS: The median inpatient cost was ¥72,772 (range, ¥49,796–128,771). Materials accounted for 39.7% of the direct medical costs, which was the highest proportion for any of the cost components. Minimally invasive esophagectomy (MIE, OR: 0.031; 95% CI: 0.005–0.209), cardiopathy comorbidity (OR: 0.344; 95% CI: 0.136–0.872), and anastomotic leak (OR: 0.012; 95% CI: 0.001–0.131) were risk factors for higher cost, while early oral feeding (OR: 3.979; 95% CI: 1.430–11.067) was a protective factor. CONCLUSIONS: Understanding the factors associated with high hospitalization costs will help to reduce healthcare expenditure. By controlling complications and promoting early oral feeding, the economic burden on esophagectomy patients can be relieved. Further research based on a longitudinal design is needed to investigate the full costs of hospitalization associated with esophageal cancer. AME Publishing Company 2020-10 /pmc/articles/PMC7656344/ /pubmed/33209429 http://dx.doi.org/10.21037/jtd-20-2770 Text en 2020 Journal of Thoracic Disease. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Liu, Qi
Yu, Yong-Kui
Wang, Deng-Yun
Xing, Wen-Qun
Factors associated with the costs of hospitalization after esophagectomy: a retrospective observational study at a three-tertiary cancer hospital in China
title Factors associated with the costs of hospitalization after esophagectomy: a retrospective observational study at a three-tertiary cancer hospital in China
title_full Factors associated with the costs of hospitalization after esophagectomy: a retrospective observational study at a three-tertiary cancer hospital in China
title_fullStr Factors associated with the costs of hospitalization after esophagectomy: a retrospective observational study at a three-tertiary cancer hospital in China
title_full_unstemmed Factors associated with the costs of hospitalization after esophagectomy: a retrospective observational study at a three-tertiary cancer hospital in China
title_short Factors associated with the costs of hospitalization after esophagectomy: a retrospective observational study at a three-tertiary cancer hospital in China
title_sort factors associated with the costs of hospitalization after esophagectomy: a retrospective observational study at a three-tertiary cancer hospital in china
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7656344/
https://www.ncbi.nlm.nih.gov/pubmed/33209429
http://dx.doi.org/10.21037/jtd-20-2770
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