Racial and ethnic variation in health resource use and cost for prostate cancer.

摘要: Study Type – Health economics (resource use) Level of Evidence 2b OBJECTIVE To analyse the racial and ethnic variation in health resource use (HRU) direct medical care (DMC) cost elderly men with prostate cancer. PATIENTS AND METHODS This was a retrospective case-control study using linked Surveillance, Epidemiology, End Results Medicare database. Patients cancer diagnosed between 1995 1998 (50 147 men) were identified followed retrospectively for 1 year before 5 years after diagnosis. Phase-specific HRU DMC costs compared groups parametric nonparametric analysis. To compute incremental cancer, matched non-cancer control group extracted from Poisson general linear models (log-link) used to identify association race ethnicity cost, controlling potentially influential clinical demographic covariates. RESULTS The African-American more likely have emergency-room visits (odds ratio 1.19, 95% confidence interval 1.12–1.28) less outpatient (0.96, 0.96–0.97) than whites. However, Hispanic inpatient 0.88, 0.83–0.91; 0.93, 0.91–0.95) Adjusted showed all phases except treatment terminal phases. Factors associated varied among groups. CONCLUSION The burden remains significant long term. Overall, higher white men. This indicates need further research on care-level factors comprehend disparity cost.