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首页> 外文期刊>Journal of Bone Oncology >Discharge status and post-discharge healthcare costs after skeletal-related event hospitalizations among medicare patients with bone metastatic solid tumors or multiple myeloma
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Discharge status and post-discharge healthcare costs after skeletal-related event hospitalizations among medicare patients with bone metastatic solid tumors or multiple myeloma

机译：骨髓转移性实体肿瘤或多发性骨髓瘤的骨科相关活动住院后，出院现状和出院后医疗费用

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Background Previous studies have quantified direct inpatient costs of skeletal-related events (SREs); however, costs associated with subsequent post-SRE care have not been examined. Methods We identified two study cohorts using 2011–2015 Medicare 20% sample data: patients diagnosed with 1) bone metastases from solid tumors or 2) multiple myeloma (MM), both with SRE-related hospitalization discharge dates January 1, 2011-September 30, 2015. We assessed discharge status and costs from discharge to the earliest of death, end of Medicare enrollment, or December 31, 2015. Discharge status was defined as: skilled nursing facility (SNF), rehabilitation facility, hospice, home health agency (HHA), long-term care (LTC) nursing home, LTC hospital, or rehospitalization within or after 30?days. Percentage, stay duration, and Medicare costs were calculated for each setting. All analyses were descriptive. Results We identified 7988 bone metastases patients and 4277 MM patients discharged from index SRE-related hospitalizations; corresponding mean ages were 76.9 and 76.6?years. The largest proportion of bone metastases patients were discharged to SNF (32.9%), then HHA (13.7%), hospice (13.5%), and LTC (11.3%); the pattern was similar for MM patients (SNF, 35.9%; HHA, 18.2%; hospice, 7.2%; LTC, 1.5%). Almost 10% of patients in both cohorts were re-hospitalized within 30?days. Mean Medicare cost per patient per facility stay was 75%) require healthcare facility support after SRE-related hospitalization, with substantial associated costs. Post-discharge management is clinically and economically important.
机译：背景技术以前的研究已经量化了骨骼相关事件（SRES）的直接居住费用;然而，尚未检查与后续女士护理相关的成本。方法采用2011-2015 Medicare 20％样本数据确定了两项研究队列：患有1）款患有1）种来自实体肿瘤的骨转移的患者或2）多种骨髓瘤（mm），既有与Sre相关的住院放电日期为2011年1月1日 - 9月30日，2015年，我们评估了退出状态和降低到最早的死亡，医疗保险入学率或2015年12月31日。排放状态被定义为：熟练的护理设施（SNF），康复设施，临终关怀，家庭健康机构（ HHA），长期护理（LTC）养老院，LTC医院或30岁或之后的再生活。为每个设置计算百分比，保持持续时间和医疗保险费用。所有分析都是描述性的。结果我们鉴定了7988名骨转移患者，4277毫米患者从指数相关的住院治疗中排出;相应的平均年龄为76.9和76.6？年。最大比例的骨转移患者被排出至SNF（32.9％），然后是HHA（13.7％），临终关怀（13.5％）和LTC（11.3％）;该模式对于MM患者（SNF，35.9％; HHA，18.2％; HHA，7.2％; LTC，1.5％）。两位队列中的近10％的患者在30日内重新住院治疗。平均每位患者的Medicare费用为75％）在与相关的住院治疗后，需要医疗保健设施支持，具有实质性相关的成本。放电后管理是临床和经济上的重要性。

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