炎症性肠病患者临终医疗费用和住院负担：一项基于人群的研究

数据集获取（Figshare）

• 源站标题：High end of life health care costs and hospitalization burden in inflammatory bowel disease patients: A population-based study
• DOI：10.1371/journal.pone.0177211
• 发布日期：2017-05-12
• 文件数：3 个
• 文件总体积：45.08 KB
• 源站页面：https://plos.figshare.com/articles/dataset/High_end_of_life_health_care_costs_and_hospitalization_burden_in_inflammatory_bowel_disease_patients_A_population-based_study/5003114

命令行下载

curl -L -o "S1 Table.docx" "https://ndownloader.figshare.com/files/8431727"
curl -L -o "S2 Table.docx" "https://ndownloader.figshare.com/files/8431730"
curl -L -o "S3 Table.docx" "https://ndownloader.figshare.com/files/8431736"

文件清单

• S1 Table.docx（15.88 KB）
• S2 Table.docx（15.65 KB）
• S3 Table.docx（13.55 KB）

文件总体积 45.08 KB（源站 API 实测）。

数据说明

Background
End of life (EOL) care is associated with greater costs, particularly for acute care services. In patients with inflammatory bowel disease (IBD), EOL costs may be accentuated due to reliance on hospital-based services and expensive diagnostic tests and treatments. We aimed to compare EOL health care use and costs between IBD and non-IBD decedents.
Methods
We conducted a retrospective cohort study of all decedents of Ontario, Canada between 2010 and 2013 using linked health administrative data. IBD (N = 2,214) and non-IBD (N = 262,540) decedents were compared on total direct health care costs in the last year of life and hospitalization time during the last 90 days of life.
Results
During the last 90 days of life, IBD patients spent an average of 16 days in hospital, equal to 2.1 greater adjusted hospital days (95% confidence interval [CI] 1.5–2.8 days) than non-IBD patients. IBD diagnosis was associated with $7,210 CAD (95% CI $5,005 - $9,464) higher adjusted per-patient cost in the last year of life, of which 76% was due to excess hospitalization costs. EOL cost of IBD care was higher than 15 of 16 studied chronic conditions. Health care costs rose sharply in the last 90 days of life, primarily due to escalating hospitalization costs.
Conclusions
IBD patients spend more time in hospital and incur substantially greater health care costs than other decedents as they approach the EOL. These excess costs could be curtailed through avoidance of unnecessary hospitalizations and expensive treatments in the setting of irreversible deterioration.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0177211（source: https://plos.figshare.com/articles/dataset/High_end_of_life_health_care_costs_and_hospitalization_burden_in_inflammatory_bowel_disease_patients_A_population-based_study/5003114）。