Academic Journal
Cost-saving prediction model of transfer to palliative care for terminal cancer patients in a Japanese general hospital
| العنوان: | Cost-saving prediction model of transfer to palliative care for terminal cancer patients in a Japanese general hospital |
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| المؤلفون: | Yuki Hashimoto, Akitoshi Hayashi, Takashi Tonegawa, Lida Teng, Ataru Igarashi |
| المصدر: | Journal of Market Access & Health Policy, Vol 10, Iss 1 (2022) |
| بيانات النشر: | Taylor & Francis Group, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Public aspects of medicine LCC:Business |
| مصطلحات موضوعية: | cost-saving, palliative care, terminal cancer, prediction model, health economics, end-of-life, Public aspects of medicine, RA1-1270, Business, HF5001-6182 |
| الوصف: | Background Although medical costs need to be controlled, there are no easily applicable cost prediction models of transfer to palliative care (PC) for terminal cancer patients.Objective Construct a cost-saving prediction model based on terminal cancer patients’ data at hospital admission.Study design Retrospective cohort study.Setting A Japanese general hospital.Patients A total of 139 stage IV cancer patients transferred to PC, who died during hospitalization from April 2014 to March 2019.Main outcome measure Patients were divided into higher (59) and lower (80) total medical costs per day after transfer to PC. We compared demographics, cancer type, medical history, and laboratory results between the groups. Stepwise logistic regression analysis was used for model development and area under the curve (AUC) calculation.Results A cost-saving prediction model (AUC = 0.78, 95% CI: 0.70, 0.85) with a total score of 13 points was constructed as follows: 2 points each for age ≤ 74 years, creatinine ≥ 0.68 mg/dL, and lactate dehydrogenase ≤ 188 IU/L; 3 points for hemoglobin ≤ 8.8 g/dL; and 4 points for potassium ≤ 3.3 mEq/L.Conclusion Our model contains five predictors easily available in clinical settings and exhibited good predictive ability. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 20016689 2001-6689 |
| Relation: | https://doaj.org/toc/2001-6689 |
| DOI: | 10.1080/20016689.2022.2057651 |
| URL الوصول: | https://doaj.org/article/e62b2a07278d44cf8113373b04b80878 |
| رقم الانضمام: | edsdoj.62b2a07278d44cf8113373b04b80878 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20016689 |
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| DOI: | 10.1080/20016689.2022.2057651 |