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Title:The cost of systemic therapy for metastatic colorectal carcinoma in Slovenia : discrepancy analysis between cost and reimbursement
Authors:ID Mesti, Tanja (Author)
ID Boshkoska, Biljana Mileva (Author)
ID Kos, Mitja (Author)
ID Tekavčič, Metka (Author)
ID Ocvirk, Janja (Author)
Files:.pdf PDF - Presentation file, download (730,95 KB)
MD5: F35C495EE17B3FC3C1A95173F50F3C82
 
Language:English
Typology:1.01 - Original Scientific Article
Organization:Logo OI - Institute of Oncology
Abstract:The aim of the study was to estimate the direct medical costs of metastatic colorectal cancer (mCRC) treated at the Institute of Oncology Ljubljana and to question the healthcare payment system in Slovenia. Methods. Using an internal patient database, the costs of mCRC patients were estimated in 2009 by examining (1) mCRC direct medical related costs, and (2) the cost difference between payment received by Slovenian health insurance and actual mCRC costs. Costs were analysed in the treatment phase of the disease by assessing the direct medical costs of hospital treatment with systemic therapy together with hospital treatment of side effects, without assessing radiotherapy or surgical treatment. Follow-up costs, indirect medical costs, and nonmedical costs were not included. Results. A total of 209 mCRC patients met all eligibility criteria. The direct medical costs of mCRC hospitalization with systemic therapy in Slovenia for 2009 were estimated as the cost of medications (cost of systemic therapy + cost of drugs for premedication) + labor cost (the cost of carrying out systemic treatment) + cost of lab tests + cost of imaging tests + KRAS testing cost + cost of hospital treatment due to side effects of mCRC treatment, and amounted to %3,914,697. The difference between the cost paid by health insurance and actual costs, estimated as direct medical costs of hospitalization of mCRC patients treated with systemic therapy at the Institute of Oncology Ljubljana in 2009, was %1,900,757.80. Conclusions. The costs paid to the Institute of Oncology Ljubljana by health insurance for treating mCRC with systemic therapy do not match the actual cost of treatment. In fact, the difference between the payment and the actual cost estimated as direct medical costs of hospitalization of mCRC patients treated with systemic therapy at the Institute of Oncology Ljubljana in 2009 was %1,900,757.80. The model Australian Refined Diagnosis Related Groups (AR-DRG) for cost assessment in oncology being currently used is probably one of the reasons for the discrepancy between pay-outs and actual costs. We propose new method for more precise cost assessment in oncology.
Keywords:cost of treatment, metastatic colorectal cancer, cost of targeted therapy, monitoring costs
Publication status:Published
Publication version:Version of Record
Publication date:01.06.2015
Publisher:Association of Radiology and Oncology
Year of publishing:2015
Number of pages:str. 200-208, IX
Numbering:Vol. 49, no. 2
Source:Ljubljana
PID:20.500.12556/DiRROS-18725 New window
UDC:616.34/.35-006-08:336.5
ISSN on article:1318-2099
DOI:10.2478/raon-2014-0046 New window
COBISS.SI-ID:1944187 New window
Copyright:by Authors
Note:Soavtorji: Biljana Mileva-Boshkoska, Mitja Kos, Metka Tekavčič, Janja Ocvirk;
Publication date in DiRROS:17.04.2024
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Downloads:206
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Record is a part of a journal

Title:Radiology and oncology
Shortened title:Radiol. oncol.
Publisher:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 New window

Secondary language

Language:Slovenian
Keywords:stroški zdravljenja, danka, debelo črevo, rak (medicina), metastaze, zdravljenje


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