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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
Vakhrusheva T.S.
Center for Expertise and Quality Control of Medical Care
Bagrova S.G.
Blokhin National Cancer Research Center
Zamkova E.V.
Kryzhanovsky Krasnoyarsk Regional Clinical Oncology Dispensary
Zukov R.A.
Kryzhanovsky Krasnoyarsk Regional Clinical Oncology Dispensary;
Voino-Yasenetsky Krasnoyarsk State Medical University
Kutukova S.I.
St. Petersburg City Clinical Oncological Dispensary;
Pavlov First St. Petersburg State Medical University
Novik A.V.
Petrov National Medical Research Center of Oncology;
St. Petersburg State Pediatric Medical University
Orlova R.V.
St. Petersburg City Clinical Oncological Dispensary;
Saint Petersburg State University
Petkau V.V.
Sverdlovsk Regional Oncology Dispensary;
Ural State Medical University
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
Tkachenko E.V.
Petrov National Medical Research Center of Oncology
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
Journal: Medical Technologies. Assessment and Choice. 2024;46(3): 93‑103
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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
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).
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.
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.
Modeling of supportive cancer therapy cost can underlie changes in medical care payment system.
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
Vakhrusheva T.S.
Center for Expertise and Quality Control of Medical Care
Bagrova S.G.
Blokhin National Cancer Research Center
Zamkova E.V.
Kryzhanovsky Krasnoyarsk Regional Clinical Oncology Dispensary
Zukov R.A.
Kryzhanovsky Krasnoyarsk Regional Clinical Oncology Dispensary;
Voino-Yasenetsky Krasnoyarsk State Medical University
Kutukova S.I.
St. Petersburg City Clinical Oncological Dispensary;
Pavlov First St. Petersburg State Medical University
Novik A.V.
Petrov National Medical Research Center of Oncology;
St. Petersburg State Pediatric Medical University
Orlova R.V.
St. Petersburg City Clinical Oncological Dispensary;
Saint Petersburg State University
Petkau V.V.
Sverdlovsk Regional Oncology Dispensary;
Ural State Medical University
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
Tkachenko E.V.
Petrov National Medical Research Center of Oncology
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:
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