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Health Care Cost Analysis Essay

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Costs included insured direct medical costs of inpatient, outpatient, laboratory and pharmacy in health insurance claims data. To assess the costs, patients diagnosed with lung cancer (C34) using the Korean Standard Classification of Diseases version 6 (KCD-6) codes were selected. To select patients with NSCLC IIIb and IV, an operational definition of all the cases excluding the patients who had have surgery of patients having received chemotherapy was used. The main assumption in the cost assessment was that costs only depended on the treatment regimen regardless of first-line or second-line, or regardless of EGFR mutation status. Total 378 patients were analyzed for the cost assessment. According to the descriptive analysis, men were 224 (59.3%), the average age was 64 years, and the majority (64.2%) was in their seventies. Excluding outliers, the total average annual cost for NSCLC treatment was $ 17,785, and the average inpatient cost was $ 9,584. The treatment costs in each Markov state are listed in Table 1. The cost for BSR was …show more content…

[23] and Doyle et al. [53]. We applied the results of the former study to the model, because it was more relevant in terms of health states. The study derived utilities in health states of NSCLC IIIb and IV and disutilities in grade III-IV toxicities under the situation where metastatic NSCLC patients received second-line chemotherapy. Only, we recited disutility in anemia from Westwood et al. [14]. We assumed that adverse events occurred during the first cycle, and adverse event rates relied on the type of treatment regimen regardless of the first-line or the second-line treatment. Finally, in case of an oral medication, 0.02 obtained from Tabberer et al. [24] was added to the utilities investigated by Nafees et al., because the study was carried out under the situation on intravenous treatments such as pemetrexed or

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