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Identification and Economic Evaluation of Differentiated Thyroid Cancer Care Consumption Patterns Using Sequence Analysis

Authors :
Romain Demeulemeester
Pascale Grosclaude
Solange Grunenwald
Philippe Saint-Pierre
Nicolas Savy
Nadège Costa
Source :
International Journal of Public Health, Vol 69 (2024)
Publication Year :
2024
Publisher :
Frontiers Media S.A., 2024.

Abstract

Objectives: This study aims to assess the impact of care consumption patterns and individual characteristics on the cost of treating differentiated thyroid carcinoma (DTC), in France, with a specific emphasis on socioeconomic position.Methods: The methodology involved a net cost approach utilising cases from the EVATHYR cohort and controls from the French National Health Insurance database. Care consumption patterns were created using Optimal Matching and clustering techniques. The individual characteristics influence on patterns was assessed using multinomial logistic regression. The individual characteristics and patterns influence on care costs was assessed using generalised estimating equations.Results: The findings revealed an average cost of €13,753 per patient during the initial 3 years. Regression models suggested the main predictors of high DTC specific care consumption tended to include having a high risk of cancer recurrence (OR = 4.97), being a woman (OR = 2.00), and experiencing socio-economic deprivation (OR = 1.26), though not reaching statistical significance. Finally, high DTC-specific care consumers also incurred higher general care costs (RR = 1.35).Conclusion: The study underscores the increased costs of managing DTC, shaped by consumption habits and socioeconomic position, emphasising the need for more nuanced DTC management strategies.

Details

Language :
English
ISSN :
16618564
Volume :
69
Database :
Directory of Open Access Journals
Journal :
International Journal of Public Health
Publication Type :
Academic Journal
Accession number :
edsdoj.733d8ea017ce4e3db5f69d0d646fcbf2
Document Type :
article
Full Text :
https://doi.org/10.3389/ijph.2024.1606664