Pediatric renal malignancy diagnosis is associated with significant burden of care for families
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND AND OBJECTIVES: New childhood cancer diagnoses require timely, complex care coordination and cause considerable logistic burden for families. We used renal tumors as a model to examine healthcare utilization and cost following new solid tumor diagnosis. METHODS: Children (ages 0-21) with International Classification of Disease (ICD) codes for renal malignancy and subsequent nephrectomy were identified from North Carolina Medicaid claims data (2014-2020). We stratified patients by duration of follow-up, then quantified healthcare utilization and billing totals. RESULTS: Eighty-one children met study criteria. Median age at diagnosis was 3 years (interquartile range [IQR]: 1-5). Median family monthly earned income was $0. One month following diagnosis, children cumulatively spent a median of 16 days receiving medical care (IQR: 10-20), 28 days at 3 months (IQR: 21-43), and 50.5 days at 1 year (IQR: 35-94.5). Children cumulatively spent a median 12 days as inpatients during the first 3 months (IQR: 7-17) and 13.5 days at 1 year (IQR: 8.5-37). Children cumulatively completed a median 12 outpatient encounters at 3 months (IQR: 7-17) and 26 at 1 year (IQR: 12-36). At 1 year, median Medicaid claim reimbursements for children with renal malignancy was $50,041 (IQR: $36,670-$80,734). CONCLUSION: In examining healthcare utilization in children with renal tumor diagnoses, the substantial number of days spent in medical facilities greatly impacts the burden of care on families, especially for those with limited financial resources. Awareness of this logistic strain on families and careful planning to consolidate patient visits may improve the navigability of pediatric cancer regimens for families, particularly those with limited resources.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Pediatric renal malignancy diagnosis is associated with significant burden of care for families
- Date Crossref
- 19/06/2023
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Duke University Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
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NC Department of Health and Human Services pays non établi dans la noticeOrganisme public
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Wake Forest University Department of Pediatrics pays non établi dans la noticeUniversité ou école supérieure
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Duke Medical Center pays non établi dans la noticeÉtablissement de santé
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Duke University Hospital pays non établi dans la noticeÉtablissement de santé
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Seattle Children's Hospital Department of Surgery pays non établi dans la noticeÉtablissement de santé
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University of Michigan Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
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Yale University Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
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North Carolina Department of Health and Human Services Raleigh North Carolina USA pays non établi dans la noticeInstitution
Department of Surgery — Duke University, NC Department of Health and Human Services et Department of Pediatrics — Wake Forest University, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.