Palliative treatment of colorectal cancer in Germany: cost of care and quality of life

Beitrag in einer Fachzeitschrift
(Originalarbeit)


Details zur Publikation

Autor(en): Emmert M, Pohl-Dernick K, Wein A, Dörje F, Merkel S, Boxberger F, Männlein G, Joost R, Harich HD, Lamberti C, Neurath M, Hohenberger W, Thiemann R, Schöffski O
Zeitschrift: European Journal of Health Economics
Verlag: Springer Verlag (Germany)
Jahr der Veröffentlichung: 2012
Band: 14
Heftnummer: 4
Seitenbereich: 629 - 638
ISSN: 1618-7598
Sprache: Englisch


Abstract



Introduction



To estimate the costs of palliative care for colorectal cancer (CRC) from the perspective of German statutory health insurance and to measure the patients’ quality of life (QoL) for a 2-year time period.





Methods



A prospective observational multicentre study was carried out to estimate the direct costs of care over a 2-year period. Case report forms, medical records, and claims data were all applied to document medical and resource usage data in real-world settings. QoL was measured by using the Short Form-12 Health Survey.





Results



In total 101 patients (mean age 67.09 ± 11.13 years, 68 % male) from 12 different settings were included. The mean costs per patient during the 1st and 2nd years were calculated to be 42,361€ and 32,023€, respectively. Highest mean costs were calculated for the second quarter, which reached an amount of 12,900€ (95 % CI: 11,127€–14,673€). Mean physical summary scores and mean mental summary scores were 41.8 and 49.7, respectively.





Discussion



This is the first study assessing the costs of palliative care and the quality of life of patients with CRC in real-world health-care delivery in Germany. It could be shown that CRC treatment represents an enormous economic burden to the German health-care system. Increased efforts in promoting effective and efficient treatment options, or performance-based medication reimbursement schemes, might be helpful in reducing the costs.




 



FAU-Autoren / FAU-Herausgeber

Dörje, Frank Prof. Dr.
Professur für Molekulare und Klinische Pharmazie
Emmert, Martin PD Dr.
Juniorprofessur für Versorgungsmanagement
Hohenberger, Werner Prof. Dr.
Chirurgische Klinik
Joost, Robert
Apotheke des Universitätsklinikums
Merkel, Susanne Prof. Dr.
Chirurgische Klinik
Neurath, Markus Prof. Dr.
Lehrstuhl für Innere Medizin I
Pohl-Dernick, Katharina
Lehrstuhl für Betriebswirtschaftslehre, insbesondere Gesundheitsmanagement
Schöffski, Oliver Prof. Dr.
Lehrstuhl für Betriebswirtschaftslehre, insbesondere Gesundheitsmanagement
Wein, Axel Prof. Dr.
Medizinische Fakultät


Autor(en) der externen Einrichtung(en)
Hämatologie Gemeinschaftspraxis Forchheim
Medizinisches Versorgungszentrum Klinikum Coburg
Onkologie Hof - Medizinisches Versorgungszentrum GmbH


Zitierweisen

APA:
Emmert, M., Pohl-Dernick, K., Wein, A., Dörje, F., Merkel, S., Boxberger, F.,... Schöffski, O. (2012). Palliative treatment of colorectal cancer in Germany: cost of care and quality of life. European Journal of Health Economics, 14(4), 629 - 638. https://dx.doi.org/10.1007/s10198-012-0408-5

MLA:
Emmert, Martin, et al. "Palliative treatment of colorectal cancer in Germany: cost of care and quality of life." European Journal of Health Economics 14.4 (2012): 629 - 638.

BibTeX: 

Zuletzt aktualisiert 2018-09-08 um 18:23