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Revista Colombiana de Cancerología
Print version ISSN 0123-9015
Abstract
PRADA, Sergio I. and CONTRERAS, Juan F.. Last-year-of-life expenditure of patients diagnosed with cancer. rev.colomb.cancerol. [online]. 2018, vol.22, n.1, pp.3-7. ISSN 0123-9015. https://doi.org/10.1016/j.rccan.2018.01.002.
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 20112013, 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.
Keywords : Health services; Terminal care; Death.