德国非晚期与晚期肺癌患者诊断前医疗资源利用比较：一项涉及72,851例病例的研究
Comparison of Healthcare Utilization Before Diagnosis Between Non-Advanced and Advanced Lung Cancer Patients: A Study Among 72,851 Cases in Germany.
作者
作者单位
- Department of Clinical Epidemiology, Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.
摘要
中文
目前还没有德国关于肺癌（LC）分期与患者特征之间关系的研究。我们旨在比较晚期与非晚期LC病例在医疗资源利用指标上的差异。利用覆盖20%德国人口的索赔数据，我们纳入了2013年至2019年间确诊的LC患者。按分期（晚期与非晚期）分层，我们评估了LC诊断前的合并症、住院情况、门诊医生接触和预防措施的利用情况。在72,851例LC患者中，29%（女性）和28%（男性）被归类为非晚期。对于所有考虑的合并症和大多数其他指标，观察到与分期的负相关。例如，在非晚期与晚期LC男性患者中，慢性阻塞性肺疾病的比例分别为37%和27%（女性：38% vs. 29%），在LC诊断前3年内≥1次住院的比例分别为70%和58%（女性：69% vs. 55%）。总之，LC诊断前医疗资源利用更频繁的患者更有可能在非晚期阶段被诊断。关于未来的LC筛查，这些发现强调了制定实施策略的重要性，以确保覆盖那些较少使用健康服务的人，因为如果这些人患上LC，他们更有可能在晚期阶段被诊断。
English
There is no study from Germany on the association between stage of lung cancer (LC) and patient characteristics. We aimed to compare advanced versus non-advanced LC cases regarding indicators of healthcare utilization. Using claims data covering 20% of the German population, we included LC patients diagnosed between 2013 and 2019. Stratified by stage (advanced vs. non-advanced), we assessed comorbidities, hospitalizations, outpatient physician contacts and utilization of preventive measures before LC diagnosis. Among 72,851 included LC patients, 29% (females) and 28% (males) were classified as non-advanced. For all comorbidities considered and for most other indicators, an inverse association with stage was observed. For example, in males with non-advanced versus advanced LC, the proportions with chronic obstructive pulmonary disease were 37% and 27% (females: 38% vs. 29%), and the proportions with ≥ 1 hospitalization in the 3 years prior LC diagnosis were 70% versus 58% (females: 69% vs. 55%). In conclusion, LC patients with more frequent healthcare utilization before LC diagnosis were more likely to be diagnosed at a non-advanced stage. Regarding future LC screening, the findings underline the importance of developing implementation strategies that ensure the reach of those who use health services less frequently, as these individuals are at higher risk of being diagnosed at an advanced stage if they develop LC.
分类与指标
- 研究类型
- 临床研究
- 病种
- 肺癌
- JCR 分区
- Q2
- 影响因子
- 4.9
- 新锐分区
- 2区