An economic study of neuro-oncological patients in a large developing country: a cost analysis
Abstract Background Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in developing countries are currently lacking. These data are relevant for international cooperation. Objective The present study aimed to estimate the...
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| Published in | Arquivos de neuro-psiquiatria Vol. 80; no. 11; pp. 1149 - 1158 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | English Portuguese |
| Published |
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
Thieme Revinter Publicações Ltda
01.11.2022
Arquivos de Neuro-Psiquiatria Academia Brasileira de Neurologia - ABNEURO Academia Brasileira de Neurologia (ABNEURO) |
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| Abstract | Abstract
Background
Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in developing countries are currently lacking. These data are relevant for international cooperation.
Objective
The present study aimed to estimate the direct cost of specialized care for an adult neuro-oncological patient with meningioma or glioma during hospitalization in the largest philanthropic hospital in Latin America.
Methods
The present observational economic analysis describes the direct cost of care of neuro-oncological patients in Santa Casa de São Paulo, Brazil. Only adult patients with a common primary brain tumor were included.
Results
Due to differences in the system records, the period analyzed for cost estimation was between December 2016 and December 2019. A group of patients with meningiomas and gliomas was analyzed. The estimated mean cost of neurosurgical hospitalization was US$4,166. The cost of the operating room and intensive care unit represented the largest proportion of the total cost. A total of 17.5% of patients had some type of infection, and 66.67% of these occurred in nonelective procedures. The mortality rate was 12.7% and 92.3% of all deaths occurred in emergency procedures.
Conclusions
Emergency surgeries were associated with an increased rate of infections and mortality. The findings of the present study could be used by policymakers for resource allocation and to perform economic analyses to establish the value of neurosurgery in achieving global health goals. |
|---|---|
| AbstractList | Background Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in developing countries are currently lacking. These data are relevant for international cooperation. Objective The present study aimed to estimate the direct cost of specialized care for an adult neuro-oncological patient with meningioma or glioma during hospitalization in the largest philanthropic hospital in Latin America. Methods The present observational economic analysis describes the direct cost of care of neuro-oncological patients in Santa Casa de São Paulo, Brazil. Only adult patients with a common primary brain tumor were included. Results Due to differences in the system records, the period analyzed for cost estimation was between December 2016 and December 2019. A group of patients with meningiomas and gliomas was analyzed. The estimated mean cost of neurosurgical hospitalization was US$4,166. The cost of the operating room and intensive care unit represented the largest proportion of the total cost. A total of 17.5% of patients had some type of infection, and 66.67% of these occurred in nonelective procedures. The mortality rate was 12.7% and 92.3% of all deaths occurred in emergency procedures. Conclusions Emergency surgeries were associated with an increased rate of infections and mortality. The findings of the present study could be used by policymakers for resource allocation and to perform economic analyses to establish the value of neurosurgery in achieving global health goals. Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in developing countries are currently lacking. These data are relevant for international cooperation. The present study aimed to estimate the direct cost of specialized care for an adult neuro-oncological patient with meningioma or glioma during hospitalization in the largest philanthropic hospital in Latin America. The present observational economic analysis describes the direct cost of care of neuro-oncological patients in Santa Casa de São Paulo, Brazil. Only adult patients with a common primary brain tumor were included. Due to differences in the system records, the period analyzed for cost estimation was between December 2016 and December 2019. A group of patients with meningiomas and gliomas was analyzed. The estimated mean cost of neurosurgical hospitalization was US$4,166. The cost of the operating room and intensive care unit represented the largest proportion of the total cost. A total of 17.5% of patients had some type of infection, and 66.67% of these occurred in nonelective procedures. The mortality rate was 12.7% and 92.3% of all deaths occurred in emergency procedures. Emergency surgeries were associated with an increased rate of infections and mortality. The findings of the present study could be used by policymakers for resource allocation and to perform economic analyses to establish the value of neurosurgery in achieving global health goals. Abstract Background Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in developing countries are currently lacking. These data are relevant for international cooperation. Objective The present study aimed to estimate the direct cost of specialized care for an adult neuro-oncological patient with meningioma or glioma during hospitalization in the largest philanthropic hospital in Latin America. Methods The present observational economic analysis describes the direct cost of care of neuro-oncological patients in Santa Casa de São Paulo, Brazil. Only adult patients with a common primary brain tumor were included. Results Due to differences in the system records, the period analyzed for cost estimation was between December 2016 and December 2019. A group of patients with meningiomas and gliomas was analyzed. The estimated mean cost of neurosurgical hospitalization was US$4,166. The cost of the operating room and intensive care unit represented the largest proportion of the total cost. A total of 17.5% of patients had some type of infection, and 66.67% of these occurred in nonelective procedures. The mortality rate was 12.7% and 92.3% of all deaths occurred in emergency procedures. Conclusions Emergency surgeries were associated with an increased rate of infections and mortality. The findings of the present study could be used by policymakers for resource allocation and to perform economic analyses to establish the value of neurosurgery in achieving global health goals. Background Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in developing countries are currently lacking. These data are relevant for international cooperation. Objective The present study aimed to estimate the direct cost of specialized care for an adult neuro-oncological patient with meningioma or glioma during hospitalization in the largest philanthropic hospital in Latin America. Methods The present observational economic analysis describes the direct cost of care of neuro-oncological patients in Santa Casa de São Paulo, Brazil. Only adult patients with a common primary brain tumor were included. Results Due to differences in the system records, the period analyzed for cost estimation was between December 2016 and December 2019. A group of patients with meningiomas and gliomas was analyzed. The estimated mean cost of neurosurgical hospitalization was US$4,166. The cost of the operating room and intensive care unit represented the largest proportion of the total cost. A total of 17.5% of patients had some type of infection, and 66.67% of these occurred in nonelective procedures. The mortality rate was 12.7% and 92.3% of all deaths occurred in emergency procedures. Conclusions Emergency surgeries were associated with an increased rate of infections and mortality. The findings of the present study could be used by policymakers for resource allocation and to perform economic analyses to establish the value of neurosurgery in achieving global health goals. BACKGROUNDNeuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in developing countries are currently lacking. These data are relevant for international cooperation. OBJECTIVEThe present study aimed to estimate the direct cost of specialized care for an adult neuro-oncological patient with meningioma or glioma during hospitalization in the largest philanthropic hospital in Latin America. METHODSThe present observational economic analysis describes the direct cost of care of neuro-oncological patients in Santa Casa de São Paulo, Brazil. Only adult patients with a common primary brain tumor were included. RESULTSDue to differences in the system records, the period analyzed for cost estimation was between December 2016 and December 2019. A group of patients with meningiomas and gliomas was analyzed. The estimated mean cost of neurosurgical hospitalization was US$4,166. The cost of the operating room and intensive care unit represented the largest proportion of the total cost. A total of 17.5% of patients had some type of infection, and 66.67% of these occurred in nonelective procedures. The mortality rate was 12.7% and 92.3% of all deaths occurred in emergency procedures. CONCLUSIONSEmergency surgeries were associated with an increased rate of infections and mortality. The findings of the present study could be used by policymakers for resource allocation and to perform economic analyses to establish the value of neurosurgery in achieving global health goals. Abstract Background Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in developing countries are currently lacking. These data are relevant for international cooperation. Objective The present study aimed to estimate the direct cost of specialized care for an adult neuro-oncological patient with meningioma or glioma during hospitalization in the largest philanthropic hospital in Latin America. Methods The present observational economic analysis describes the direct cost of care of neuro-oncological patients in Santa Casa de São Paulo, Brazil. Only adult patients with a common primary brain tumor were included. Results Due to differences in the system records, the period analyzed for cost estimation was between December 2016 and December 2019. A group of patients with meningiomas and gliomas was analyzed. The estimated mean cost of neurosurgical hospitalization was US$4,166. The cost of the operating room and intensive care unit represented the largest proportion of the total cost. A total of 17.5% of patients had some type of infection, and 66.67% of these occurred in nonelective procedures. The mortality rate was 12.7% and 92.3% of all deaths occurred in emergency procedures. Conclusions Emergency surgeries were associated with an increased rate of infections and mortality. The findings of the present study could be used by policymakers for resource allocation and to perform economic analyses to establish the value of neurosurgery in achieving global health goals. Abstract Background Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in developing countries are currently lacking. These data are relevant for international cooperation. Objective The present study aimed to estimate the direct cost of specialized care for an adult neuro-oncological patient with meningioma or glioma during hospitalization in the largest philanthropic hospital in Latin America. Methods The present observational economic analysis describes the direct cost of care of neuro-oncological patients in Santa Casa de São Paulo, Brazil. Only adult patients with a common primary brain tumor were included. Results Due to differences in the system records, the period analyzed for cost estimation was between December 2016 and December 2019. A group of patients with meningiomas and gliomas was analyzed. The estimated mean cost of neurosurgical hospitalization was US$4,166. The cost of the operating room and intensive care unit represented the largest proportion of the total cost. A total of 17.5% of patients had some type of infection, and 66.67% of these occurred in nonelective procedures. The mortality rate was 12.7% and 92.3% of all deaths occurred in emergency procedures. Conclusions Emergency surgeries were associated with an increased rate of infections and mortality. The findings of the present study could be used by policymakers for resource allocation and to perform economic analyses to establish the value of neurosurgery in achieving global health goals. |
| Abstract_FL | Resumo
Antecedentes
Pacientes neuro-oncológicos demandam tratamento médico especializado. Em países em desenvolvimento, há falta de dados sobre custos em neurocirurgia. Estes dados são relevantes para ajudar na cooperação internacional.
Objetivo
O presente estudo objetiva estimar o custo direto de um paciente neuro-oncológico adulto com meningioma ou glioma durante sua internação no maior hospital filantrópico da América Latina.
Métodos
A presente análise econômica observacional descreve os custos diretos de um paciente neuro-oncológico da Santa Casa de São Paulo. Apenas pacientes adultos e com os dois tumores cerebrais primários mais comuns foram considerados.
Resultados
Devido a uma mudança no sistema de prontuários, para análise de custos o período analisado foi de dezembro de 2016 a dezembro de 2019. Uma amostra significativa de pacientes com gliomas e meningiomas foi analisada. O custo médio da hospitalização foi de U$ 4.166. O tempo de sala cirúrgica e os cuidados em terapia intensiva representaram a maior proporção dentro do custo total. Um total de 17.5% dos pacientes teve algum tipo de infecção e 66.67% delas ocorreram em procedimentos não eletivos. A taxa de mortalidade foi de 12.5% e 92.3% dos óbitos ocorreram em procedimentos de urgência.
Conclusões
Cirurgias de urgência foram mais associadas a taxas de infecção e mortalidade. Os achados do presente estudo podem ser usados por planejadores em política pública de saúde para alocação de recursos e para análise econômica para estabelecer o valor dos procedimentos neurocirúrgicos para atingir metas mundiais. |
| Author | Vitorino-Araujo, João Luiz Paiva, Aline Lariessy Campos Costa, Guilherme Henrique Ferreira da Veiga, José Carlos Esteves Lovato, Renan Maximilian |
| AuthorAffiliation | 2 Hospital do Coração, São Paulo SP, Brazil 3 Hospital Sírio-Libanês, Neurosurgery Department, São Paulo SP, Brazil 1 Santa Casa de São Paulo, Departamento de Cirurgia, São Paulo SP, Brazil |
| AuthorAffiliation_xml | – name: 1 Santa Casa de São Paulo, Departamento de Cirurgia, São Paulo SP, Brazil – name: 2 Hospital do Coração, São Paulo SP, Brazil – name: 3 Hospital Sírio-Libanês, Neurosurgery Department, São Paulo SP, Brazil – name: Hospital do Coração – name: Departamento de Cirurgia – name: Hospital Sírio-Libanês |
| Author_xml | – sequence: 1 givenname: Aline Lariessy Campos orcidid: 0000-0002-1228-531X surname: Paiva fullname: Paiva, Aline Lariessy Campos organization: Hospital Sírio-Libanês, Neurosurgery Department, São Paulo SP, Brazil – sequence: 2 givenname: João Luiz orcidid: 0000-0002-6539-6718 surname: Vitorino-Araujo fullname: Vitorino-Araujo, João Luiz organization: Hospital Sírio-Libanês, Neurosurgery Department, São Paulo SP, Brazil – sequence: 3 givenname: Renan Maximilian orcidid: 0000-0002-9239-008X surname: Lovato fullname: Lovato, Renan Maximilian organization: Hospital Sírio-Libanês, Neurosurgery Department, São Paulo SP, Brazil – sequence: 4 givenname: Guilherme Henrique Ferreira da orcidid: 0000-0001-7659-7104 surname: Costa fullname: Costa, Guilherme Henrique Ferreira da organization: Santa Casa de São Paulo, Departamento de Cirurgia, São Paulo SP, Brazil – sequence: 5 givenname: José Carlos Esteves orcidid: 0000-0002-7723-4396 surname: Veiga fullname: Veiga, José Carlos Esteves organization: Hospital Sírio-Libanês, Neurosurgery Department, São Paulo SP, Brazil |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36577414$$D View this record in MEDLINE/PubMed |
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| Copyright | Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/). Copyright Arquivos de Neuro-Psiquiatria Nov 2022 Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( ) 2022 Academia Brasileira de Neurologia. This work is licensed under a Creative Commons Attribution 4.0 International License. |
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| Keywords | Neoplasias Encefálicas Health Care Costs Glioma Custos de Cuidados de Saúde Meningioma Brain Neoplasms |
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| References | D A Donoho (ref20) 2018; 136 I A Buchanan (ref26) 2018; 120 S Jiang (ref36) 2017; 20 A E Helal (ref10) 2018; 45 J A Osorio (ref19) 2018; 44 J G Meara (ref1) 2015; 386 S Schipmann (ref25) 2019; 161 S Ray (ref32) 2014; 7 J C Reese (ref12) 2019; 126 D N Louis (ref2) 2020; 30 A D Norden (ref34) 2019; 25 A M Henaine (ref35) 2016; 41 B E Zacharia (ref27) 2014; 74 C Fang (ref30) 2017; 45 H H Dasenbrock (ref16) 2015; 39 S A Haider (ref40) 2020; 95 I S Neville (ref7) 2020; 20 K Bekelis (ref29) 2016; 94 C M Panje (ref33) 2019; 149 K Tuohy (ref39) 2021; 152 B Wu (ref5) 2012; 7 N J Goel (ref14) 2021; 24 H H Viken (ref18) 2018; 112 M E de Swart (ref37) 2021; 8 V M Ravindra (ref3) 2015; 84 A L Campos Paiva (ref22) 2021; 146 C C Zygourakis (ref8) 2016; 96 C I Eseonu (ref23) 2017; 81 W HA Ryu (ref6) 2018; 44 J Abdelgadir (ref4) 2017; 101 A V Pendharkar (ref24) 2020; 137 S Missios (ref21) 2015; 15 D N Louis (ref9) 2016; 131 R M Lovato (ref13) 2017; 104 M Hasan (ref15) 2020; 67 A M Richardson (ref17) 2019; 126 S Abu Hamdeh (ref28) 2014; 28 C C Zygourakis (ref11) 2017; 81 O Y Tang (ref38) 2020; 3 S Esteves (ref31) 2015; 76 A H Zamanipoor Najafabadi (ref41) 2020; 88 Donoho, DA; Wen, T; Babadjouni, RM 2018; 136 Ray, S; Bonafede, MM; Mohile, NA 2014; 7 Jiang, S; Hill, K; Patel, D 2017; 20 Zygourakis, CC; Liu, CY; Yoon, S 2017; 81 Lovato, RM; Vitorino Araujo, JL; Esteves Veiga, JC 2017; 104 Henaine, AM; Paubel, N; Ducray, F 2016; 41 Campos Paiva, AL; Vitorino Araujo, JL; Lovato, RM; Esteves Veiga, JC 2021; 146 Pendharkar, AV; Rezaii, PG; Ho, AL; Sussman, ES; Li, G; Desai, AM 2020; 137 Zamanipoor Najafabadi, AH; van der Meer, PB; Boele, FW 2020; 88 Eseonu, CI; Rincon-Torroella, J; ReFaey, K; Quiñones-Hinojosa, A 2017; 81 Bekelis, K; Coy, S; Simmons, N 2016; 94 Wu, B; Miao, Y; Bai, Y 2012; 7 Schipmann, S; Brix, T; Varghese, J 2019; 161 Hasan, M; Diep, D; Manoranjan, B 2020; 67 Reese, JC; Twitchell, S; Wilde, H 2019; 126 Viken, HH; Iversen, IA; Jakola, A; Sagberg, LM; Solheim, O 2018; 112 Esteves, S; Alves, M; Castel-Branco, M; Stummer, W 2015; 76 Ravindra, VM; Kraus, KL; Riva-Cambrin, JK; Kestle, JR 2015; 84 Abdelgadir, J; Tran, T; Muhindo, A 2017; 101 Ryu, WHA; Yang, MMH; Muram, S; Jacobs, WB; Casha, S; Riva-Cambrin, J 2018; 44 Tang, OY; Rivera Perla, KM; Lim, RK; Weil, RJ; Toms, SA 2020; 3 Louis, DN; Wesseling, P; Aldape, K 2020; 30 Neville, IS; Ureña, FM; Quadros, DG 2020; 20 Dasenbrock, HH; Liu, KX; Devine, CA 2015; 39 Helal, AE; Abouzahra, H; Fayed, AA; Rayan, T; Abbassy, M 2018; 45 Haider, SA; Asmaro, K; Kalkanis, SN 2020; 95 Fang, C; Zhu, T; Zhang, P; Xia, L; Sun, C 2017; 45 Abu Hamdeh, S; Lytsy, B; Ronne-Engström, E 2014; 28 de Swart, ME; Kouwenhoven, MCM; Hellingman, T 2021; 8 Louis, DN; Perry, A; Reifenberger, G 2016; 131 Goel, NJ; Bird, CE; Hicks, WH; Abdullah, KG 2021; 24 Panje, CM; Putora, PM; Hundsberger, T 2019; 149 Meara, JG; Leather, AJ; Hagander, L 2015; 386 Missios, S; Bekelis, K 2015; 15 Buchanan, IA; Donoho, DA; Patel, A 2018; 120 Zacharia, BE; Deibert, C; Gupta, G 2014; 74 Richardson, AM; McCarthy, DJ; Sandhu, J 2019; 126 Norden, AD; Korytowsky, B; You, M 2019; 25 Tuohy, K; Fernandez, A; Hamidi, N; Padmanaban, V; Mansouri, A 2021; 152 Zygourakis, CC; Valencia, V; Boscardin, C 2016; 96 Osorio, JA; Safaee, MM; Viner, J 2018; 44 |
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glioblastoma in a health resource-limited setting publication-title: PLoS One contributor: fullname: Wu, B; Miao, Y; Bai, Y – volume: 152 start-page: 189.e1 year: 2021 end-page: 197.e1 article-title: Current State of Health Economic Analyses for Low-Grade Glioma Management: A Systematic Review publication-title: World Neurosurg contributor: fullname: Tuohy, K; Fernandez, A; Hamidi, N; Padmanaban, V; Mansouri, A – volume: 161 start-page: 287 issue: 02 year: 2019 end-page: 306 article-title: Adverse events in brain tumor surgery: incidence, type, and impact on current quality metrics publication-title: Acta Neurochir (Wien) contributor: fullname: Schipmann, S; Brix, T; Varghese, J – volume: 74 start-page: 638 issue: 06 year: 2014 end-page: 647 article-title: Incidence, cost, and mortality associated with hospital-acquired conditions after resection of cranial neoplasms publication-title: Neurosurgery contributor: fullname: Zacharia, BE; Deibert, C; Gupta, G – volume: 95 start-page: e1575 issue: 11 year: 2020 end-page: e1581 article-title: The economic impact of glioma survivorship: The cost of care from a patient perspective publication-title: Neurology contributor: fullname: Haider, SA; Asmaro, K; Kalkanis, SN – volume: 24 start-page: 1018 issue: 01 year: 2021 end-page: 1024 article-title: Economic implications of the modern treatment paradigm of glioblastoma: an analysis of global cost estimates and their utility for cost assessment publication-title: J Med Econ contributor: fullname: Goel, NJ; Bird, CE; Hicks, WH; Abdullah, KG – volume: 67 issue: 01 year: 2020 article-title: Analysis of factors that influence neurosurgical length of hospital stay among newly diagnosed pediatric brain tumor patients publication-title: Pediatr Blood Cancer contributor: fullname: Hasan, M; Diep, D; Manoranjan, B – volume: 120 start-page: e440 year: 2018 end-page: e452 article-title: Predictors of Surgical Site Infection After Nonemergent Craniotomy: A Nationwide Readmission Database Analysis publication-title: World Neurosurg contributor: fullname: Buchanan, IA; Donoho, DA; Patel, A – volume: 76 start-page: 552 issue: 05 year: 2015 end-page: 562 article-title: A pilot cost-effectiveness analysis of treatments in newly diagnosed high-grade gliomas: the example of 5-aminolevulinic Acid compared with white-light surgery publication-title: Neurosurgery contributor: fullname: Esteves, S; Alves, M; Castel-Branco, M; Stummer, W – volume: 7 start-page: 140 issue: 03 year: 2014 end-page: 149 article-title: Treatment Patterns, Survival, and Healthcare Costs of Patients with Malignant Gliomas in a Large US Commercially Insured Population publication-title: Am Health Drug Benefits contributor: fullname: Ray, S; Bonafede, MM; Mohile, NA – volume: 30 start-page: 844 issue: 04 year: 2020 end-page: 856 article-title: cIMPACT-NOW update 6: new entity and diagnostic principle recommendations of the cIMPACT-Utrecht meeting on future CNS tumor classification and grading publication-title: Brain Pathol contributor: fullname: Louis, DN; Wesseling, P; Aldape, K – volume: 94 start-page: 551.e6 year: 2016 end-page: 555.e6 article-title: Operative Duration and Risk of Surgical Site Infection in Neurosurgery publication-title: World Neurosurg contributor: fullname: Bekelis, K; Coy, S; Simmons, N – volume: 45 start-page: e123 issue: 11 year: 2017 end-page: e134 article-title: Risk factors of neurosurgical site infection after craniotomy: A systematic review and meta-analysis publication-title: Am J Infect Control contributor: fullname: Fang, C; Zhu, T; Zhang, P; Xia, L; Sun, C – volume: 88 start-page: 155 issue: 01 year: 2020 end-page: 164 article-title: Dutch Meningioma Consortium. Long-Term Disease Burden and Survivorship Issues After Surgery and Radiotherapy of Intracranial Meningioma Patients publication-title: Neurosurgery contributor: fullname: Zamanipoor Najafabadi, AH; van der Meer, PB; Boele, FW – volume: 84 start-page: 1458 issue: 05 year: 2015 end-page: 1461 article-title: The Need for Cost-Effective Neurosurgical Innovation–A Global Surgery Initiative publication-title: World Neurosurg contributor: fullname: Ravindra, VM; Kraus, KL; Riva-Cambrin, JK; Kestle, JR – volume: 41 start-page: 47 issue: 01 year: 2016 end-page: 53 article-title: Current trends in the management of glioblastoma in a French University Hospital and associated direct costs publication-title: J Clin Pharm Ther contributor: fullname: Henaine, AM; Paubel, N; Ducray, F – volume: 136 start-page: 87 issue: 01 year: 2018 end-page: 94 article-title: Predictors of 30- and 90-day readmission following craniotomy for malignant brain tumors: analysis of nationwide data publication-title: J Neurooncol contributor: fullname: Donoho, DA; Wen, T; Babadjouni, RM – volume: 386 start-page: 569 issue: 9993 year: 2015 end-page: 624 article-title: Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development publication-title: Lancet contributor: fullname: Meara, JG; Leather, AJ; Hagander, L – volume: 20 start-page: 1237 issue: 12 year: 2017 end-page: 1243 article-title: Direct medical costs of treatment in newly-diagnosed high-grade glioma among commercially insured US patients publication-title: J Med Econ contributor: fullname: Jiang, S; Hill, K; Patel, D – volume: 81 start-page: 307 issue: 02 year: 2017 end-page: 314 article-title: The Cost of Brain Surgery: Awake vs Asleep Craniotomy for Perirolandic Region Tumors publication-title: Neurosurgery contributor: fullname: Eseonu, CI; Rincon-Torroella, J; ReFaey, K; Quiñones-Hinojosa, A – volume: 28 start-page: 270 issue: 02 year: 2014 end-page: 275 article-title: Surgical site infections in standard neurosurgery procedures- a study of incidence, impact and potential risk factors publication-title: Br J Neurosurg contributor: fullname: Abu Hamdeh, S; Lytsy, B; Ronne-Engström, E – volume: 131 start-page: 803 issue: 06 year: 2016 end-page: 820 article-title: The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary publication-title: Acta Neuropathol contributor: fullname: Louis, DN; Perry, A; Reifenberger, G – volume: 96 start-page: 177 year: 2016 end-page: 183 article-title: Predictors of Variation in Neurosurgical Supply Costs and Outcomes Across 4904 Surgeries at a Single Institution publication-title: World Neurosurg contributor: fullname: Zygourakis, CC; Valencia, V; Boscardin, C – volume: 137 start-page: e328 year: 2020 end-page: e335 article-title: Functional Mapping for Glioma Surgery: A Propensity-Matched Analysis of Outcomes and Cost publication-title: World Neurosurg contributor: fullname: Pendharkar, AV; Rezaii, PG; Ho, AL; Sussman, ES; Li, G; Desai, AM – volume: 126 start-page: e914 year: 2019 end-page: e920 article-title: Analysis of treatment cost variation among multiple neurosurgical procedures using the Value-Driven Outcomes database publication-title: World Neurosurg contributor: fullname: Reese, JC; Twitchell, S; Wilde, H |
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| Snippet | Abstract
Background
Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in... Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in developing countries are... Abstract Background Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in... Background Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in developing... BACKGROUNDNeuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in developing... Background Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in developing... Abstract Background Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in... Background Neuro-oncological patients require specialized medical care. However, the data on the costs incurred for such specialized care in developing... |
| SourceID | doaj scielo pubmedcentral proquest crossref pubmed thieme |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database Publisher |
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| SubjectTerms | Adult Brain cancer brain neoplasms Brain tumors Brazil Costs and Cost Analysis Developing Countries Economic analysis Glioma health care costs Hospitalization Humans International cooperation LDCs Meningioma Mortality NEUROSCIENCES Neurosurgery Neurosurgical Procedures Original Original Article Patients PSYCHIATRY Public health Resource allocation |
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| Title | An economic study of neuro-oncological patients in a large developing country: a cost analysis |
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