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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Indonesia,multiple myeloma,HRQOL,cross-sectional,Bone metastases
- چکیده:
- چکیده انگلیسی: Objective: Multiple myeloma (MM) with bone metastases causes a skeletal-related event (SRE), and decreases health-related quality of life (HRQoL). HRQoL needs to be evaluated for health technology assessment (HTA). Furthermore, HRQoL is calculated as a health state utility and is used in the Markov Model for HTA. Therefore, this study aimed to describe the HRQoL of MM patients with bone metastases, using The EuroQol five-dimension five levels (EQ -5D-5L) in Indonesia. Methods: a cross-sectional, multicenter study for MM patients with bone metastases (aged over 18 years old) that consulted a physician between November 2018 - May 2019 was conducted. The calculated HRQoL illustrated the health state utility, which was assessed using the EQ-5D-5L questionnaire, with the Indonesian value set. In addition, Mann-Whitney analyses were performed to determine the difference in utility scores at different points within the Durie-Salmon staging system and skeletal condition. Results: in 93 patients who completed the questioner, pain was their major concern with prevalence of over 60% (all levels inclusive). Moreover, the mean utility of patients in stage II and III were 0.735 (SD = 0.205) and 0.383 (SD = 0.555), and those without SRE was 0.753 (SD = 0.213) while patients with SRE was 0.302 (SD = 0.562). Therefore, the lessened values were observed at stage III and SRE condition (p<0.05). Conclusion: MM patients with bone metastases have poor HRQoL, with pain as the most frequently reported challenge, which is associated with an advanced stage of MM and SRE event.
- انتشار مقاله: 23-05-1398
- نویسندگان: Nutrisia Aquariushinta Sayuti,Tri Murti Andayani,Dwi Endarti,Kartika Widayati Taroeno-Hariadi
- مشاهده
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: cancer,chemotherapy,real cost,INA-CBG’s,Hospital
- چکیده:
- چکیده انگلیسی: Background: The national health insurance of Indonesia has implemented the Indonesian Case Base Groups
(INA-CBGs) tariff rates for healthcare payment. However, there is still problem of difference between the real cost of
healthcare and the INA-CBGs tariff rates. This study aimed to evaluate the real cost of healthcare in comparison with
the INA-CBG’s tariff rates and to analyze factors associating with the real cost. The study focus on healthcare cost of
non-chemotherapy expenditure among patients of high-incidence cancers having chemotherapy covered by the national
health insurance. Methods: The study was conducted from the perspective of healthcare provider. Costs data was
obtained from hospital billing of Sanglah hospital, a referral hospital in Bali Provincein the period of January – July
2014. The data involved 383, 161, and 152 of in-patient breast cancer cases, cervical cancer cases, and nasopharyngeal
cancer cases, respectively. Descriptive statistic was used to analyze patients characteristics, one sample t-test was used
to analyze the mean difference of healthcare cost based on real cost and INA-CBG’s tariff rates, and finally, bivariate
analysis was used to examine relationship between patients’ characteristics and the real cost. Results: The study shows
there were significant differences of non-chemotherapy expenditures based on the real cost and INA-CBG’s tariff rates,
in which the costs were lower for the real cost. Factors which significantly associated with the real cost were number of
procedure, type of hospitalized room, and length of stay. Conclusions: The study supports the necessary of evaluation
of the INA-CBG’s tariff rates to adjust to the real healthcare expenditure. On the other hand, the hospital needs to
evaluate the service quality of patient treatment by optimizing budget allocated by the health insurance.- انتشار مقاله: 04-02-1397
- نویسندگان: Satibi Satibi,Tri Murti Andayani,Dwi Endarti,I Putu Tangkas Suwantara,Ni Putu Wintariani,Ni Putu Dewi Agustini
- مشاهده