دورية أكاديمية
Economic and patient-reported outcomes of outpatient home-based versus inpatient hospital-based chemotherapy for patients with colorectal cancer
| العنوان: | Economic and patient-reported outcomes of outpatient home-based versus inpatient hospital-based chemotherapy for patients with colorectal cancer |
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| المساهمون: | Eun-Hye Joo, Sun-Young Rha, Joong Bae Ahn, Hye-Young Kang, Rha, Sun Young, Ahn, Joong Bae |
| سنة النشر: | 2011 |
| مصطلحات موضوعية: | Aged, Antineoplastic Agents/economics, Antineoplastic Agents/therapeutic use, Antineoplastic Combined Chemotherapy Protocols/economics, Antineoplastic Combined Chemotherapy Protocols/therapeutic use, Colorectal Neoplasms/drug therapy, Colorectal Neoplasms/economics, Cost-Benefit Analysis, Female, Fluorouracil/economics, Fluorouracil/therapeutic use, Focus Groups, Health Surveys, Home Care Services/economics, Home Care Services/statistics & numerical data, Humans, Inpatients/statistics & numerical data, Leucovorin/economics, Leucovorin/therapeutic use, Male, Middle Aged, Multivariate Analysis, Organoplatinum Compounds/economics, Organoplatinum Compounds/therapeutic use, Outpatients/statistics & numerical data, Patient Satisfaction/statistics & numerical data, Regression Analysis, Republic of Korea, Self Report/economics, Statistics as Topic |
| الوصف: | PURPOSE: This study aims to compare the economic- and patient-reported outcomes between outpatient home-based and inpatient hospital-based chemotherapy in advanced colorectal cancer patients. METHODS: A total of 80 patients from Severance Hospital in Seoul, Korea, who had stage III colorectal cancer and underwent home-based (n = 40) or hospital-based chemotherapy (n = 40) with a FOLFOX regimen between January 2007 and April 2008 were enrolled. Patient satisfaction data were collected by a self-administered questionnaire survey. Based on hospital charge records, average cost (in 2008 Korean won (KW)) per chemotherapy session was estimated and compared between home- and hospital-based chemotherapy from a societal perspective. RESULTS: Patients receiving chemotherapy at home showed higher satisfaction with their treatment (mean satisfaction score 3.58 짹 0.15, 5-point Likert-type scale, with a higher score indicating higher satisfaction) than did those treated at the hospital (3.23 짹 0.21; p < 0.01). After adjusting for differences in baseline characteristics between the two groups using multivariate analysis, those receiving home-based chemotherapy still showed significantly higher satisfaction than those undergoing hospital-based therapy (棺 = 0.271, p < 0.001). Additionally, home-based therapy reduced the cost per chemotherapy session by 16.6%, compared with hospital-based treatment (1,694,216 versus 2,030,383 KW, 1,200 KW �뎵 1 US dollar). The largest cost reduction was attributable to medical costs (-201,122 KW), followed by caregiver's opportunity costs (-135,000 KW). CONCLUSIONS: Higher satisfaction and lower economic cost for home-based chemotherapy suggests that home-based chemotherapy could be a popular and cost-effective treatment option for colorectal cancer patients who are eligible for home-based chemotherapy ; open |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | 971~978 |
| اللغة: | unknown |
| تدمد: | 0941-4355 1433-7339 |
| العلاقة: | SUPPORTIVE CARE IN CANCER; J02697; OAK-2011-01016; https://ir.ymlib.yonsei.ac.kr/handle/22282913/93542Test; http://link.springer.com/article/10.1007%2Fs00520-010-0917-7Test; T201102511; SUPPORTIVE CARE IN CANCER, Vol.19(7) : 971-978, 2011 |
| DOI: | 10.1007/s00520-010-0917-7 |
| الإتاحة: | https://doi.org/10.1007/s00520-010-0917-7Test https://ir.ymlib.yonsei.ac.kr/handle/22282913/93542Test |
| حقوق: | CC BY-NC-ND 2.0 KR ; https://creativecommons.org/licenses/by-nc-nd/2.0/krTest/ ; not free |
| رقم الانضمام: | edsbas.5685B327 |
| قاعدة البيانات: | BASE |
| تدمد: | 09414355 14337339 |
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| DOI: | 10.1007/s00520-010-0917-7 |