Palliative cancer care: costs in a Brazilian quaternary hospital.

Autor:	Rozman LM; Departamento de Medicina Preventiva, Universidade de Sao Paulo Faculdade de Medicina, Sao Paulo, Brazil lm.rozman@uol.com.br., Campolina AG; Universidade de Sao Paulo Faculdade de Medicina Hospital das Clinicas Instituto do Cancer, Sao Paulo, Brazil., Lopez RM; Universidade de Sao Paulo Faculdade de Medicina Hospital das Clinicas Instituto do Cancer, Sao Paulo, Brazil., Chiba T; Universidade de Sao Paulo Faculdade de Medicina Hospital das Clinicas Instituto do Cancer, Sao Paulo, Brazil., De Soárez PC; Departamento de Medicina Preventiva, Universidade de Sao Paulo Faculdade de Medicina, Sao Paulo, Brazil.
Jazyk:	angličtina
Zdroj:	BMJ supportive & palliative care [BMJ Support Palliat Care] 2022 Jul; Vol. 12 (e2), pp. e211-e218. Date of Electronic Publication: 2019 Oct 15.
DOI:	10.1136/bmjspcare-2019-001809
Abstrakt:	Palliative care (PC) improves the quality of life of patients with diseases such as cancer, and several studies have shown a reduction in costs among patients who use PC services when compared with those receiving standard oncological treatments. Most studies on PC costs are carried out in high-income countries. There is a lack of these types of studies in middle-income and low-income countries and of better evidence about this intervention. Objective: To describe resource utilisation and costs among patients with cancer in a Brazilian quaternary hospital by cancer localisation and per month of treatment before death. Methods: This study is a description of retrospective costs to estimate the costs of formal healthcare sector associated with PCs, from the perspective of a public quaternary cancer hospital. Unit costs were estimated using microcosting and macrocosting approaches. Setting/participants: Patients older than 18 years old who died from 2010 to 2013 and who had at least two visits in PC and/or made use of hospice care. Results: Among the 2985 patients included in the study, the average cost per patient was US$12 335, ranging from US$8269 for patients with pancreatic cancer to US$19 395 for patients with brain cancer. The main costing item was hospital admission (47.6% of the total cost), followed by hospice care (29.5%) and medical and other supplies (11.1%). Conclusions: The study clarified the direct medical costs and the profile and use of resources of patients with cancer who need PC, and can help in the planning and allocation of resources in cancer care. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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