某三甲医院2017—2022年住院头颈癌患者放疗效果及住院费用的相关因素分析

Analysis of factors associated with radiotherapy efficacy and hospitalization costs of hospitalized head and neck cancer patients in a tertiary hospital from 2017 to 2022

目的:调查分析2017—2022年住院头颈癌患者的放疗治疗效果及住院费用。方法:选取2017—2022年于某三甲医院治疗的900例头颈癌患者为研究对象。统计住院头颈癌患者的放疗治疗效果及住院费用,并分析住院头颈癌患者的放疗治疗效果及住院费用的相关因素。结果:900例头颈癌患者中完全缓解(complete remission,CR) 162例,部分缓解(partial remission,PR) 376例,疾病稳定(stable disease,SD) 253例,疾病进展(progressive disease,PD) 109例,选取其中的CR+PR和SD+PD的病例数做对比,分析放疗治疗效果的相关因素。头颈癌患者中位住院费用为5 330.13元,包括药费、护理费、化验费、检查费、治疗费、其他费,其中以药费为主,构成比为44.74%。以头颈癌患者住院费用为因变量,将可能影响头颈癌患者住院费用的变量进行分析,结果显示住院次数、总住院时间为影响头颈癌患者住院费用的主要因素(P<0.05)。以头颈癌患者放疗治疗效果为因变量(CR+PR=0,SD+PD=1),将可能影响头颈癌患者住院费用的变量进行分析,结果显示入院合并症、分期为影响头颈癌患者放疗效果的主要因素(P<0.05)。结论:住院次数、总住院时间为影响住院费用的因素,而入院合并症、分期为影响头颈癌患者放疗效果的因素。

Objective:Conduct a survey and analysis of the radiotherapy treatment effectiveness and hospitalization costs of hospitalized head and neck cancer patients from 2017 to 2022.Methods:900 head and neck cancer patients treated at a tertiary hospital from 2017 to 2022 were selected as the research subjects.Calculate the radiotherapy treatment effectiveness and hospitalization expenses of hospitalized head and neck cancer patients,and analyze the relevant factors of radiotherapy treatment effectiveness and hospitalization expenses of hospitalized head and neck cancer patients.Results:Among 900 patients with head and neck cancer,there were 162 cases with complete remission(CR),376 cases with partial remission(PR),253 cases with stable disease(SD),and 109 cases with progressive disease(PD).The number of cases with CR+PR and SD+PD was selected for comparison,and the relevant factors for the effectiveness of radiotherapy treatment were analyzed.The median hospitalization cost for head and neck cancer patients is 5,330.13 yuan,including medication,nursing,laboratory testing,examination,treatment,and other expenses,with medication as the main component,accounting for 44.74%.Taking the hospitalization expenses of head and neck cancer patients as the dependent variable,the variables that may affect the hospitalization expenses of head and neck cancer patients were analyzed.The results showed that the number of hospitalizations and total hospitalization days were the main factors affecting the hospitalization expenses of head and neck cancer patients(P<0.05).Taking the radiotherapy effect of head and neck cancer patients as the dependent variable(CR+PR=0,SD+PD=1),the variables that may affect the hospitalization cost of head and neck cancer patients were analyzed.The results showed that admission complications and staging were the main factors affecting the radiotherapy effect of head and neck cancer patients(P<0.05).Conclusion:The number of hospitalizations and total length of stay are factors that affect hospitalization costs.The admission complications and staging are factors that affect the effectiveness of radiation therapy for head and neck cancer patients.