Spending and Hospital Stay for Melanoma in Hunan, China

Abstract

ObjectiveThis study aimed to describe the economic burden of Chinese patients with melanoma in Hunan province of China, and to investigate the factors for hospitalization spending and length of stay (LOS) in patients undergoing melanoma surgery.MethodsData was extracted from the Chinese National Health Statistics Network Reporting System database in Hunan province during 2017–2019. Population and individual statistics were presented, and nonparametric tests and quantile regression were used to analyze the factors for spending and LOS.ResultA total of 2,644 hospitalized patients with melanoma in Hunan were identified. During 2017–2019, the total hospitalization spending was $5,247,972, and out-of-pocket payment (OOP) was $1,817,869, accounting for 34.6% of the total expenditure. The median spending was $1,123 [interquartile range (IQR): $555–2,411] per capita, and the median LOS was 10 days (IQR: 5–18). A total of 1,104 patients who underwent surgery were further analyzed. The non-parametric tests and quantile regression showed that women were associated with less spending and LOS than men. In general, patients aged 46–65 and those with lesions on the limbs had higher hospitalization costs and LOS than other subgroups.ConclusionMelanoma causes heavy economic burdens on patients in Hunan, such that the median spending is close to 60% of the averagely annual disposable income. Middle-aged men patients with melanoma on the limbs present the highest financial burden of melanoma.

Two‐year impact of COVID‐19 pandemic on hospitalized patients with skin diseases in China

“…All skin diseases were classified according to ICD-10 codes, defining 11 categories of skin diseases, and those not included were classified as "other skin diseases" (Supporting Information: Table S1). Based on a previous report, 8 hospital costs were adjusted by the 2018-2022 Hunan Consumer Price Index of medical care, which was derived from the annual report of the Hunan Provincial Bureau of Statistics (Supporting Information: Table S2).…”

Hospital Spending for Cancers in Hunan, China during 2017 and 2019

“…4,7 Various studies have indicated that hospitalization expenditures may be influenced by factors such as healthcare insurance systems, length of hospital stay, and hospital classification. 7,8,9 While several investigations have explored the duration of stay and hospitalization expenses, the majority of attention has been directed toward major cancer types such as lung, breast, and colorectal cancer. 7,10,11 Few studies have described the characteristics of hospitalization costs for all types of cancer.…”