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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
Plakhotnik O.S.
Center for Expertise and Quality Control of Medical Care
Vakhrusheva T.S.
Center for Expertise and Quality Control of Medical Care
Samsonova E.S.
Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education
Mikhailov I.A.
Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Semashko National Research Institute of Public Health
Gromova E.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.
Saint Petersburg City Oncology Dispensary;
Pavlov First St. Petersburg State Medical University
Nosov D.A.
Central Clinical Hospital with Polyclinic of the Presidential Administration
Orlova R.V.
Saint Petersburg City Oncology Dispensary;
Saint Petersburg State University
Petkau V.V.
Sverdlovsk Regional Oncology Dispensary;
Ural State Medical University
Omelyanovskiy V.V.
Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Semashko National Research Institute of Public Health;
Research Financial Institute
Cost of supportive cancer care in the Russian Federation. Part 2
Journal: Medical Technologies. Assessment and Choice. 2024;46(4): 63‑73
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To cite this article:
Zheleznyakova IA, Rumyantseva EI, Plakhotnik OS, et al. . Cost of supportive cancer care in the Russian Federation. Part 2. Medical Technologies. Assessment and Choice.
2024;46(4):63‑73. (In Russ.)
https://doi.org/10.17116/medtech20244604163
To assess the cost of supportive drug therapy for 10 complications of malignant neoplasms according to the recommendations of the Russian Public Organization «Russian Society of Clinical Oncology» (RUSSCO).
Considering the RUSSCO recommendations, we estimated drug therapy regimens for the following complications: anemia, hepatotoxicity, dermatological reactions, cardiovascular toxicity, neurological complications, nephrotoxicity, effects of extravasation, febrile neutropenia, nausea and vomiting, central venous access. To estimate the population requiring supportive therapy, we used data from registers of medical care bills for 2022. These reports contain information on the number of completed cases of antitumor drug therapy and the number of patients who received treatment. Literature data on the incidence of the above-mentioned complications were also used.
The largest financial costs (63.8% of all complications) were observed for the treatment of anemia (4 721 896 721.06 rubbles), hepatotoxicity (3 545 843 422.82 rubbles) and consequences of extravasation (2 388 137 692.57 rubbles). The oncology profile accounts for 66% of the estimated funding within this model. In the current model, 34% of the need is for preferential drug provision, 37% is additional need for compulsory medical insurance to finance the added cost of hospital-stay in a day hospital and 31% in a 24-hour hospital.
These findings complement the previously published results for other complications presented in the RUSSCO recommendations. Calculation methodology and appropriate data can underlie further improvement of financing of supportive cancer therapy.
Keywords:
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
Plakhotnik O.S.
Center for Expertise and Quality Control of Medical Care
Vakhrusheva T.S.
Center for Expertise and Quality Control of Medical Care
Samsonova E.S.
Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education
Mikhailov I.A.
Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Semashko National Research Institute of Public Health
Gromova E.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.
Saint Petersburg City Oncology Dispensary;
Pavlov First St. Petersburg State Medical University
Nosov D.A.
Central Clinical Hospital with Polyclinic of the Presidential Administration
Orlova R.V.
Saint Petersburg City Oncology Dispensary;
Saint Petersburg State University
Petkau V.V.
Sverdlovsk Regional Oncology Dispensary;
Ural State Medical University
Omelyanovskiy V.V.
Center for Expertise and Quality Control of Medical Care;
Russian Medical Academy of Continuous Professional Education;
Semashko National Research Institute of Public Health;
Research Financial Institute
Received:
27.08.2024
Accepted:
24.09.2024
List of references:
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