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Current Trends and Healthcare Resource Usage in the Hospital Treatment of Primary Malignant Brain Tumor in Japan: A National Survey Using the Diagnostic Procedure Combination Database (J-ASPECT Study-Brain Tumor)
- Source :
- Neurologia medico-chirurgica
- Publication Year :
- 2016
- Publisher :
- Japan Neurosurgical Society, 2016.
-
Abstract
- We conducted this study to clarify the current trends and healthcare resource usage in the treatment of inpatients with primary malignant brain tumors. The Diagnostic Procedure Combination (DPC) data of all inpatients treated between 2013 and 2014 in the 370 core and branch hospitals enrolled in the Japanese Neurosurgical Society training program were collected. DPC is a discharge abstract and administrative claims database of inpatients. We assessed 6,142 primary, malignant brain tumor patients. Patient information, diagnostic information, treatment procedure, and healthcare resource usage were analyzed. Chemotherapy was the most frequent treatment (27% of cases), followed by surgery (13%) and surgery + chemo-radiotherapy (11%). Temozolomide (TMZ), the most frequently used chemotherapeutic drug, was administered to 1,236 patients. Concomitant TMZ and radiotherapy was administered to 816 patients, and was performed according to the Stupp regimen in many cases. The mean length of hospital stay (LOS) was 16 days, and the mean medical cost was 1,077,690 yen. The average medical cost of TMZ-only treatment was 1,138,620 yen whilst it was 4,424,300 yen in concomitant TMZ patients. The LOS was significantly shorter in high-volume than in low-volume hospitals, and the medical cost was higher in hospitals treating 21–50 patients compared to those treating 1–10 patients. However, the direct medical cost of TMZ treatment was the same across different volume hospitals. This is the first report of current trends and healthcare resource usage in the treatment of primary malignant brain tumor inpatients in the TMZ era in Japan.
- Subjects :
- Adult
Male
Adolescent
medical cost
medicine.medical_treatment
MEDLINE
Brain tumor
temozolomide
computer.software_genre
Young Adult
03 medical and health sciences
0302 clinical medicine
Japan
Surveys and Questionnaires
medicine
Humans
Young adult
Child
Aged
Chemotherapy
Temozolomide
Database
Brain Neoplasms
business.industry
Health Care Costs
DPC
Middle Aged
medicine.disease
malignant brain tumor
Hospitalization
Radiation therapy
Regimen
Databases as Topic
030220 oncology & carcinogenesis
Concomitant
Health Resources
Female
Original Article
Surgery
Neurology (clinical)
business
computer
030217 neurology & neurosurgery
medicine.drug
Subjects
Details
- ISSN :
- 13498029 and 04708105
- Volume :
- 56
- Database :
- OpenAIRE
- Journal :
- Neurologia medico-chirurgica
- Accession number :
- edsair.doi.dedup.....cc3fcbaf9e0d60a09446b6785a46d813