Laryngeal cancer treatment cost-effectiveness

Obtaining progress in medicine is a costly thing, especially In oncology where it seems to be the most expensive. Laryngeal cancer is the second most common cancer of the respiratory system after lung cancer. Treatment is extremely difficult medically, psychologically and economically. The aim of th...

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Main Authors: Magdalena Ściesińska, Anna Sinkiewicz, Mirosława Kowalkowska, Grzegorz Grześk
Format: Article
Language:Polish
Published: Polish Pharmaceutical Society 2022-06-01
Series:Farmacja Polska
Subjects:
Online Access:https://www.ptfarm.pl/download/?file=File%2FFarmacja+Polska%2F2022%2F4%2F01_OG_Koszty_leczenia_nowotworu_krtani_n.pdf
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author Magdalena Ściesińska
Anna Sinkiewicz
Mirosława Kowalkowska
Grzegorz Grześk
author_facet Magdalena Ściesińska
Anna Sinkiewicz
Mirosława Kowalkowska
Grzegorz Grześk
author_sort Magdalena Ściesińska
collection DOAJ
description Obtaining progress in medicine is a costly thing, especially In oncology where it seems to be the most expensive. Laryngeal cancer is the second most common cancer of the respiratory system after lung cancer. Treatment is extremely difficult medically, psychologically and economically. The aim of the study was a pharmacoeconomic analysis of selected medical procedures for the treatment of laryngeal cancer, as well as a comparison of health care costs between the years with different approaches to therapy.. The benefits of implementing such economic analyzes for health technology assessment will bring benefits not only to service providers and payers, but also to patients and the health care system, mainly through an increase in rational resource management. In a pharmacoeconomic cost - effectiveness analysis CEA, the medical and economic data of patients with laryngeal cancer, treated in Otolaryngology Department, Oncological Laryngology and Maxillo-Facial Surgery of Jan Biziel University Hospital no 2 in Bydgoszcz in years 2014 and 2019 were taken into account. In the interpretation of the results concerning costs and benefits the following ratios were used: ˗ Cost - Benefit Ratio (CBR) ˗ Net Present Value (NPV) ˗ Return on Investment (ROI). To carry out the effectiveness analysis there were used some data concerning the costs of medical care, costs of implementation of analysed medical technology as well as the benefits from its usage. To do that, some estimations of direct costs of medical care reported to the National Health Fund were made. All the values of the indicators used in the cost-effectiveness analysis for all types of costs indicated no financial benefit in treating patients with laryngeal cancer in the studied periods. In addition, when performing profitability analyzes, cost analyzes are performed that allow for the estimation of other significant cost values for the tested process. With regard to the analysis of oncological diseases, especially laryngeal cancer, a reduced cost analysis was adopted, limiting itself only to the estimation of direct treatment costs. Cost - effectiveness analysis has shown that the procedures connected with the cancer of larynx are unprofitable and underestimated by the National Health Fund. Improvement of effectiveness would by possible if there was an increase in procedures valuation. Due to the necessity of treatment complexity of such patients, it would be worth to introduce a model of integrated care.
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spelling doaj.art-f8b8d815f1ee44ac980ff70e6193327b2022-12-22T03:19:39ZpolPolish Pharmaceutical SocietyFarmacja Polska0014-82612022-06-0178417518310.32383/farmpol/151592151592Laryngeal cancer treatment cost-effectivenessMagdalena Ściesińska0https://orcid.org/0000-0003-0192-7409Anna Sinkiewicz1https://orcid.org/0000-0002-3391-1594Mirosława Kowalkowska2https://orcid.org/0000-0003-4805-6567Grzegorz Grześk3https://orcid.org/0000-0001-6669-5931Klinika Kardiologii, Szpital Uniwersytecki nr 2 im. dr. Jana Biziela w Bydgoszczy, PolskaKatedra Otolaryngologii, Foniatrii i Audiologii, Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu, PolskaKlinika Kardiologii, Szpital Uniwersytecki nr 2 im. dr. Jana Biziela w Bydgoszczy, PolskaKatedra Kardiologii i Farmakologii Klinicznej, Collegium Medicum im. Ludwika Rydygiera w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu, PolskaObtaining progress in medicine is a costly thing, especially In oncology where it seems to be the most expensive. Laryngeal cancer is the second most common cancer of the respiratory system after lung cancer. Treatment is extremely difficult medically, psychologically and economically. The aim of the study was a pharmacoeconomic analysis of selected medical procedures for the treatment of laryngeal cancer, as well as a comparison of health care costs between the years with different approaches to therapy.. The benefits of implementing such economic analyzes for health technology assessment will bring benefits not only to service providers and payers, but also to patients and the health care system, mainly through an increase in rational resource management. In a pharmacoeconomic cost - effectiveness analysis CEA, the medical and economic data of patients with laryngeal cancer, treated in Otolaryngology Department, Oncological Laryngology and Maxillo-Facial Surgery of Jan Biziel University Hospital no 2 in Bydgoszcz in years 2014 and 2019 were taken into account. In the interpretation of the results concerning costs and benefits the following ratios were used: ˗ Cost - Benefit Ratio (CBR) ˗ Net Present Value (NPV) ˗ Return on Investment (ROI). To carry out the effectiveness analysis there were used some data concerning the costs of medical care, costs of implementation of analysed medical technology as well as the benefits from its usage. To do that, some estimations of direct costs of medical care reported to the National Health Fund were made. All the values of the indicators used in the cost-effectiveness analysis for all types of costs indicated no financial benefit in treating patients with laryngeal cancer in the studied periods. In addition, when performing profitability analyzes, cost analyzes are performed that allow for the estimation of other significant cost values for the tested process. With regard to the analysis of oncological diseases, especially laryngeal cancer, a reduced cost analysis was adopted, limiting itself only to the estimation of direct treatment costs. Cost - effectiveness analysis has shown that the procedures connected with the cancer of larynx are unprofitable and underestimated by the National Health Fund. Improvement of effectiveness would by possible if there was an increase in procedures valuation. Due to the necessity of treatment complexity of such patients, it would be worth to introduce a model of integrated care.https://www.ptfarm.pl/download/?file=File%2FFarmacja+Polska%2F2022%2F4%2F01_OG_Koszty_leczenia_nowotworu_krtani_n.pdflaryngeal cancerpharmacoeconomicsmedical proceduresclinical pharmacology
spellingShingle Magdalena Ściesińska
Anna Sinkiewicz
Mirosława Kowalkowska
Grzegorz Grześk
Laryngeal cancer treatment cost-effectiveness
Farmacja Polska
laryngeal cancer
pharmacoeconomics
medical procedures
clinical pharmacology
title Laryngeal cancer treatment cost-effectiveness
title_full Laryngeal cancer treatment cost-effectiveness
title_fullStr Laryngeal cancer treatment cost-effectiveness
title_full_unstemmed Laryngeal cancer treatment cost-effectiveness
title_short Laryngeal cancer treatment cost-effectiveness
title_sort laryngeal cancer treatment cost effectiveness
topic laryngeal cancer
pharmacoeconomics
medical procedures
clinical pharmacology
url https://www.ptfarm.pl/download/?file=File%2FFarmacja+Polska%2F2022%2F4%2F01_OG_Koszty_leczenia_nowotworu_krtani_n.pdf
work_keys_str_mv AT magdalenasciesinska laryngealcancertreatmentcosteffectiveness
AT annasinkiewicz laryngealcancertreatmentcosteffectiveness
AT mirosławakowalkowska laryngealcancertreatmentcosteffectiveness
AT grzegorzgrzesk laryngealcancertreatmentcosteffectiveness