Last-year-of-life expenditure of patients diagnosed with cancer
DOI:
https://doi.org/10.35509/01239015.169Keywords:
Health services, Terminal care, DeathAbstract
Objective: To estimate last-year-of-life expenditure for patients diagnosed with cancer in Colombia.
Methods: This is a descriptive retrospective study. Using claims data for two HMO for years 2011- 2013, last-year-of-life expenditure was estimated for all persons dying in 2012-2013. Cancer diagnoses were identified using ICD-10 codes. Last-year-of-life expenditure was defined as allservices provided between the date of death and the 360 days previous.
Results: A cancer diagnosis was recorded in 30.4% of the deceased and accounted for 43.6% of total last-year-of-life expenditure in 2012, and 40% in 2013. The mean per deceased expenditure was between 72% and 76% higher for patients with cancer as compared to patients without cancer. Last-year-of-life expenditure increases with the proximity to death.
Conclusion: The use of resources for people dying with cancer diagnosis could be reduced with palliative care programs that give patients a quality of life.
Author Biographies
Sergio I. Prada, Universidad Icesi
Centro PROESA, Universidad Icesi, Cali, Colombia
Juan F. Contreras, Universidad Icesi
Centro PROESA, Universidad Icesi, Cali, Colombia
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