2000～2009年肺癌患者临床特征变化和直接医疗费用分析  

Trends of Clinical Features and Direct Medical Costs in Patients With Lung Cancer from 2000 to 2009

作　　者：彭红[1] 黄艾弥[1] 陶路宁[1] 钟华[1] 

机构地区：[1]上海交通大学附属胸科医院,上海200030

出　　处：《中国肿瘤》2013年第8期666-670,共5页China Cancer

基　　金：国家自然科学基金青年基金(81101722);上海市慈善癌症研究中心慈善慢跑基金

摘　　要：[目的]分析2000～2009年上海市7827例新发肺癌患者的临床特征变化以及2009年肺癌患者的直接医疗费用状况,为肺癌综合防治和疾病负担研究提供信息。[方法]采用病历查阅、随访调查和提取收费记录相结合的方法,应用Excel软件建立数据库对数据进行分析。[结果]2000～2009年7827例肺癌患者平均年龄61.5岁。男、女性别比由2000年的2.7∶1下降至2009年的2.0∶1。病理类型以腺癌为主,占57.0%,且所占比例逐年上升。肺癌Ⅲ～Ⅳ期患者占总病例数的64.2%。2009年新发肺癌患者年人均直接医疗费用57952.5元,自付费用占41.6%。[结论]应加强对肺癌高危人群的定期筛查、降低疾病经济负担。[Purpose] To analyze the change of clinical features of 7 827 patients with lung cancer in Shanghai Chest Hospital from 2000 to 2009, to investigate the patients’ direct medical costs in 2009,and to provide basic information for prevention and treatment in patients with lung cancer.[Methods] Chart review,follow-up and extracting records were used,the data were analyzed by Excel software. [Results] The average age of 7 827 cases was 61.5 with the ratio（male female vs from 2.7∶1 in 2000 to 2.0∶1 in 2009. Adenocarcinoma was the main pathological type accounted for 57% and this proportion increased with year. Patients with stage Ⅲ～Ⅳ accounted for 64.2% of all. Annual direct medical costs/per case was 57 952.5 yuan in 2009. Self-pay costs accounted for 41.6%.[Conclusion] Routine medical screening should be adopted for high-risk group,and to reduce the economic burden of disease.

关 键 词：肺癌 临床特征 医疗费用 

分 类 号：R734.2[医药卫生—肿瘤]