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Zheleznyakova I.A.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education

Rumyantseva E.I.

Center for Expertise and Quality Control of Medical Care

Volkova O.A.

Center for Expertise and Quality Control of Medical Care

Aviaeva T.S.

Center for Expertise and Quality Control of Medical Care

Sdvizhkova M.A.

Center for Expertise and Quality Control of Medical Care

Alexandrov I.A.

Center for Expertise and Quality Control of Medical Care

Vakhrusheva T.S.

Center for Expertise and Quality Control of Medical Care

Trifonova G.V.

Center for Expertise and Quality Control of Medical Care

Sidorova E.A.

Center for Expertise and Quality Control of Medical Care

Yakina A.S.

Center for Expertise and Quality Control of Medical Care

Azarova Ya.A.

Regional Clinical Oncology Dispensary

Bagrova S.G.

Blokhin National Cancer Research Center

Gladkov O.A.

Medical Oncology Center «EVIMED»

Dubovichenko D.M.

Arkhangelsk Regional Clinical Oncology Dispensary

Zamkova E.V.

Kryzhanovsky Krasnoyarsk Regional Clinical Oncology Dispensary

Zukov R.A.

Kryzhanovsky Krasnoyarsk Regional Clinical Oncology Dispensary;
Voino-Yasenetsky Krasnoyarsk State Medical University

Ivanova A.K.

St. Petersburg City Clinical Oncological Dispensary

Karabina E.V.

Tula Regional Oncology Dispensary

Karaseva V.V.

Pirogov Russian National Research Medical University

Kogoniya L.M.

Moscow Regional Research Clinical Institute («MONIKI»)

Kutukova S.I.

St. Petersburg City Clinical Oncological Dispensary;
Pavlov First St. Petersburg State Medical University

Laletina S.A.

Krasnoyarsk branch of SOGAZ-Med

Mishina A.V.

Sverdlovsk Regional Oncology Dispensary

Novik A.V.

Petrov National Medical Research Center of Oncology;
St. Petersburg State Pediatric Medical University

Novikova O.Yu.

Regional Clinical Oncology Center

Nosov D.A.

Central Clinical Hospital of the Presidential Administration

Ovchinnikova E.G.

Nizhny Novgorod Regional Clinical Oncology Dispensary

Orlova R.V.

St. Petersburg City Clinical Oncological Dispensary;
Saint Petersburg State University

Petkau V.V.

Sverdlovsk Regional Oncology Dispensary;
Ural State Medical University

Plykina A.A.

Russian Society of Clinical Oncology

Semiglazova T.Yu.

Petrov National Medical Research Center of Oncology;
Mechnikov North-West State Medical University

Somonova O.V.

Blokhin National Cancer Research Center;
Evdokimov Moscow State University of Medicine and Dentistry

Statsenko G.B.

Clinical Oncological Dispensary

Stenina M.B.

Blokhin National Cancer Research Center

Sytov A.V.

Blokhin National Cancer Research Center

Tkachenko E.V.

Petrov National Medical Research Center of Oncology

Tryakin A.A.

Blokhin National Cancer Research Center

Fateeva A.V.

Loginov Moscow Clinical Scientific Center

Feoktistova P.S.

Mechnikov North-West State Medical University

Khudorozhkova N.P.

Sverdlovsk Regional Oncology Dispensary

Tjulandin S.A.

Blokhin National Cancer Research Center

Omelyanovskiy V.V.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Research Financial Institute;
Semashko National Research Institute of Public Health

Cost of supportive cancer care in the Russian Federation. Part 1

Authors:

Zheleznyakova I.A., Rumyantseva E.I., Volkova O.A., Aviaeva T.S., Sdvizhkova M.A., Alexandrov I.A., Vakhrusheva T.S., Trifonova G.V., Sidorova E.A., Yakina A.S., Azarova Ya.A., Bagrova S.G., Gladkov O.A., Dubovichenko D.M., Zamkova E.V., Zukov R.A., Ivanova A.K., Karabina E.V., Karaseva V.V., Kogoniya L.M., Kutukova S.I., Laletina S.A., Mishina A.V., Novik A.V., Novikova O.Yu., Nosov D.A., Ovchinnikova E.G., Orlova R.V., Petkau V.V., Plykina A.A., Semiglazova T.Yu., Somonova O.V., Statsenko G.B., Stenina M.B., Sytov A.V., Tkachenko E.V., Tryakin A.A., Fateeva A.V., Feoktistova P.S., Khudorozhkova N.P., Tjulandin S.A., Omelyanovskiy V.V.

More about the authors

Journal: Medical Technologies. Assessment and Choice. 2024;46(3): 93‑103

DOI: 10.17116/medtech20244603193

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Table of contents

COST OF SUPPORTIVE CANCER CARE IN THE RUSSIAN FEDERATION. PART 1
COST OF SUPPORTIVE CANCER CARE IN THE RUSSIAN FEDERATION. PART 1

To cite this article:

Zheleznyakova IA, Rumyantseva EI, Volkova OA, et al. . Cost of supportive cancer care in the Russian Federation. Part 1. Medical Technologies. Assessment and Choice. 2024;46(3):93‑103. (In Russ.)
https://doi.org/10.17116/medtech20244603193

 
 
Подписка 2025-2 (Medical Technologies. Assessment and Choice)
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Recommended articles:
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OBJECTIVE

Modeling of annual cost of supportive therapy for malignant neoplasms in accordance with the guidelines of the All-Russian public organization “Russian Society of Clinical Oncology” (RUSSCO).

MATERIAL AND METHODS

The main material for modelling the cost of treatment were drug regimens presented in the RUSSCO guidelines for the following complications: chronic viral hepatitis B, hormone-mediated side effects, bone tissue pathology, immune-mediated side effects, mucositis, infusion reactions, thromboembolic complications, chronic pain syndrome, anorexia-cachexia syndrome, as well as enzyme replacement therapy for pancreatic cancer and nutritional support. To calculate population receiving anticancer drug therapy, we used data on medical billing registry database (2022). This database contains information on the number of completed cases of anticancer drug therapy and the number of appropriate patients. During the modeling, we hypothetically divided financing depending on the profiles of medical care and sources of funding.

RESULTS

The most expensive cases (87.2% of overall requirement) are treatment of bone lesions (5.532.288.615.94 rubles), thromboembolic complications (5.973.880.025.31 rubles), chronic pain syndrome (6.309.163.258.86 rubles) and nutritional support (7.009.301.585.00 rubles). Approximately 75% of the estimated funding is for «oncology» profile, i.e. treatment of complications will take place during chemotherapy period. In the current model, 47% of funding goes from the state programs of free drug supply, 28% from compulsory medical insurance to cover stay at the day and 24-hour hospitals, 23% from personal patients’ expenses.

CONCLUSION

Modeling of supportive cancer therapy cost can underlie changes in medical care payment system.

Keywords:

supportive cancer care
oncology
payment for medical care
anticancer drug treatment

Authors:

Zheleznyakova I.A.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education

Rumyantseva E.I.

Center for Expertise and Quality Control of Medical Care

Volkova O.A.

Center for Expertise and Quality Control of Medical Care

Aviaeva T.S.

Center for Expertise and Quality Control of Medical Care

Sdvizhkova M.A.

Center for Expertise and Quality Control of Medical Care

Alexandrov I.A.

Center for Expertise and Quality Control of Medical Care

Vakhrusheva T.S.

Center for Expertise and Quality Control of Medical Care

Trifonova G.V.

Center for Expertise and Quality Control of Medical Care

Sidorova E.A.

Center for Expertise and Quality Control of Medical Care

Yakina A.S.

Center for Expertise and Quality Control of Medical Care

Azarova Ya.A.

Regional Clinical Oncology Dispensary

Bagrova S.G.

Blokhin National Cancer Research Center

Gladkov O.A.

Medical Oncology Center «EVIMED»

Dubovichenko D.M.

Arkhangelsk Regional Clinical Oncology Dispensary

Zamkova E.V.

Kryzhanovsky Krasnoyarsk Regional Clinical Oncology Dispensary

Zukov R.A.

Kryzhanovsky Krasnoyarsk Regional Clinical Oncology Dispensary;
Voino-Yasenetsky Krasnoyarsk State Medical University

Ivanova A.K.

St. Petersburg City Clinical Oncological Dispensary

Karabina E.V.

Tula Regional Oncology Dispensary

Karaseva V.V.

Pirogov Russian National Research Medical University

Kogoniya L.M.

Moscow Regional Research Clinical Institute («MONIKI»)

Kutukova S.I.

St. Petersburg City Clinical Oncological Dispensary;
Pavlov First St. Petersburg State Medical University

Laletina S.A.

Krasnoyarsk branch of SOGAZ-Med

Mishina A.V.

Sverdlovsk Regional Oncology Dispensary

Novik A.V.

Petrov National Medical Research Center of Oncology;
St. Petersburg State Pediatric Medical University

Novikova O.Yu.

Regional Clinical Oncology Center

Nosov D.A.

Central Clinical Hospital of the Presidential Administration

Ovchinnikova E.G.

Nizhny Novgorod Regional Clinical Oncology Dispensary

Orlova R.V.

St. Petersburg City Clinical Oncological Dispensary;
Saint Petersburg State University

Petkau V.V.

Sverdlovsk Regional Oncology Dispensary;
Ural State Medical University

Plykina A.A.

Russian Society of Clinical Oncology

Semiglazova T.Yu.

Petrov National Medical Research Center of Oncology;
Mechnikov North-West State Medical University

Somonova O.V.

Blokhin National Cancer Research Center;
Evdokimov Moscow State University of Medicine and Dentistry

Statsenko G.B.

Clinical Oncological Dispensary

Stenina M.B.

Blokhin National Cancer Research Center

Sytov A.V.

Blokhin National Cancer Research Center

Tkachenko E.V.

Petrov National Medical Research Center of Oncology

Tryakin A.A.

Blokhin National Cancer Research Center

Fateeva A.V.

Loginov Moscow Clinical Scientific Center

Feoktistova P.S.

Mechnikov North-West State Medical University

Khudorozhkova N.P.

Sverdlovsk Regional Oncology Dispensary

Tjulandin S.A.

Blokhin National Cancer Research Center

Omelyanovskiy V.V.

Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Research Financial Institute;
Semashko National Research Institute of Public Health

Received:

16.05.2024

Accepted:

10.06.2024

List of references:

  1. Miranda-Filho A, Bray F, Charvat H, Rajaraman S, Soerjomataram I. The world cancer patient population (WCPP): An updated standard for international comparisons of population-based survival. Cancer Epidemiology. 2020;69:101802. https://doi.org/10.1016/j.canep.2020.101802
  2. Protokoly klinicheskikh rekomendacij podderzhivayushhej terapii v onkologii. 2023. Accessed June 20, 2024. (In Russ.). https://rassc.org/ru/recommendations
  3. Elting LS, Shih YC. The economic burden of supportive care of cancer patients. Supportive Care in Cancer. 2004;12(4):219-226.  https://doi.org/10.1007/s00520-003-0513-1
  4. Anaissie E, Mink T. The cancer supportive care model: a patient-partnered paradigm shift in health care delivery. Journal of Participatory Medicine. 2011;3:e26. 
  5. Gevorkov AR, Bojko AV, Bolotina LV, Shashkov SV. Supportive care is mandatory for successful radiotherapy and chemoradiotherapy in patients with head and neck tumors. P.A. Herzen Journal of Oncology. 2018;7(3):75-84. (In Russ.). https://doi.org/10.17116/onkolog20187375
  6. Starchenko AA. Failure of the oncologist from the accompanying and supportive therapy means the rendering of services not meeting the safety requirements of oncopatients. Menedzher zdravookhraneniya. 2019;(2):59-67. (In Russ.).
  7. Plakhotnik OS, Trifonova GV, Zheleznyakova IA, Mazurov AM, Volkova OA, Avyaeva TS, et al. Medical Technologies. Assessment and Choice. 2023;(2):8-22. (In Russ.). https://doi.org/10.17116/medtech2023450218
  8. Anemiya pri zlokachestvennykh novoobrazovaniyakh. Klinicheskie rekomendacii. 2020. Accessed June 20, 2024. (In Russ.). https://cr.minzdrav.gov.ru/recomend/624_1
  9. Prakticheskie rekomendacii po profilaktike i lecheniyu oslozhneniy zlokachestvennykh opukholey i protivoopuxolevoy lekarstvennoy terapii. Rossiyskoe obshhestvo klinicheskoy onkologii, 2023. Accessed June 20, 2024. (In Russ.). https://www.rospotrebnadzor.ru/documents/details.php?ELEMENT_ID=12053
  10. Sostoyanie onkologicheskoy pomoshhi naseleniyu v 2022 godu. 2023. Accessed June 20, 2024. (In Russ.). https://oncology-association.ru/wp-content/uploads/2023/08/sop-2022-el.versiya_compressed.pdf
  11. Brooks GA, Landrum MB, Kapadia NS, Wolf R, Parekh SJ, Keating NL. Impact of the Oncology Care Model on Use of Supportive Care Medications During Cancer Treatment. Journal of Clinical Oncology. 2022;40(16):1763-1771. https://doi.org/10.1200/JCO.21.02342
  12. O’Brien JA, Caro JJ. Direct medical cost of managing deep vein thrombosis according to the occurrence of complications. Pharmacoeconomics. 2002;20(9):603-615.  https://doi.org/10.2165/00019053-200220090-00004

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