gms | German Medical Science

MAINZ//2011: 56. GMDS-Jahrestagung und 6. DGEpi-Jahrestagung

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie e. V.
Deutsche Gesellschaft für Epidemiologie e. V.

26. - 29.09.2011 in Mainz

Need for nursing care among cancer patients outside of hospitals – a record linkage study

Meeting Abstract

  • J. Spallek - AG3-Epidemiologie und International Public Health, Fakultät für Gesundheitswissenschaften Universität, Bielefeld
  • J. Breckenkamp - AG3-Epidemiologie und International Public Health, Fakultät für Gesundheitswissenschaften Universität, Bielefeld
  • O. Damm - AG5-Gesundheitsökonomie und Gesundheitsmanagement, Fakultät für Gesundheitswissenschaften, Bielefeld
  • K. Kraywinkel - Epidemiologisches Krebsregister NRW gGmbH, Münster; Zentrum für Krebsregisterdaten, Robert Koch-Institut, Berlin
  • V. Krieg - Epidemiologisches Krebsregister NRW gGmbH, Münster
  • W. Schwabe - MDK Westfalen-Lippe, Hauptverwaltung, Münster
  • H. W. Hense - Epidemiologisches Krebsregister NRW gGmbH, Klinische Epidemiologie, Institut für Epidemiologie und Sozialmedizin, Westfälische Wilhelms-Universität, Münster
  • W. Greiner - AG5-Gesundheitsökonomie und Gesundheitsmanagement, Fakultät für Gesundheitswissenschaften, Bielefeld
  • Oliver Razum - AG3-Epidemiologie und International Public Health, Fakultät für Gesundheitswissenschaften Universität, Bielefeld

Mainz//2011. 56. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (gmds), 6. Jahrestagung der Deutschen Gesellschaft für Epidemiologie (DGEpi). Mainz, 26.-29.09.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11gmds616

DOI: 10.3205/11gmds616, URN: urn:nbn:de:0183-11gmds6166

Veröffentlicht: 20. September 2011

© 2011 Spallek et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background: Improved early detection and medical care prolong survival times of cancer patients. Cancer patients will not only require medical treatment. During periods outside the hospital, they will also need nursing care, either long-term or during certain periods. Until now, very little is known about the needs for and the economic costs of nursing care of cancer patients. The aim of this study was to determine the needs for nursing care of non-hospitalized cancer patients for the district of Münster, Germany, 2004-2008 and, to estimate the direct disease-related costs (medical care costs and nursing care costs) of breast, prostate, and colorectal cancer.

Methods: Pseudonymized data of the Epidemiological Cancer Registry of the State of North Rhine-Westphalia (EKR-NRW) and of the regional Medical Service of the Health Insurances (MDK-WL) were linked by means of a semi-automatic probabilistic record linkage to analyse needs for nursing care. We used a control-group of randomly selected non-cancer patients to compare the need for nursing care between patients suffering from cancer and patients without cancer. The assessment of costs was based on claims data from a German sickness fund. Average costs of cancer patients were compared to non-cancer patients.

Results: From 102,349 patients in the MDK-WL data set 21,324 (20.8%) were identified as cancer patients based on the data from the EKR-NRW. In 47.6% of the 21,324 registered cancer patients, cancer was the main diagnosis leading to nursing care need. Among cancer patients 44.9% were males and 55.1% females (median age: 77 yrs.). The “control group” consisted of 21,429 non-cancer patients: 33.9% males and 66.1 % females (median age: 79 yrs.). A need of nursing care was more often not assessed in patients without cancer (22.2%) than in patients with cancer (16.5%). A slightly higher proportion of patients without cancer, however was classified into the highest care levels 3 and 3 + (hardship case) (10.6% vs. 8.4%). The mean annual cost was € 856 for breast cancer, € 807 for prostate cancer and € 1,123 for colorectal cancer. Costs associated with nursing care were slightly higher in breast cancer patients and lower in prostate and colorectal cancer patients compared with non-cancer patients.

Conclusion: The findings confirm a high proportion of persons with cancer in the data of the MDK-WL and the economic burden of cancer from a third-party payer perspective. Future studies should compare the results of different cost estimation methods (matched-control design vs. disease-attributable cost method).