Table 4.
Costs of hospital stay | Costs of diagnostic procedures | Costs of therapeutic interventionsa | Costs of chemotherapy | Total hospital care costs | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Exp (B) | 95% CI | p‐Value | Exp (B) | 95% CI | p‐Value | Exp (B) | 95% CI | p‐Value | Exp (B) | 95% CI | p‐Value | Exp (B) | 95% CI | p‐Value | |
PCT consultation | .34 | .21 | .89 | .67 | .48 | ||||||||||
Yes | 1.09 | 0.92–1.29 | 1.18 | 0.91–1.52 | 0.98 | 0.72–1.33 | 0.85 | 0.41–1.78 | 1.06 | 0.90–1.26 | |||||
No | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||||
Gender | .58 | .26 | <.01 | <.01 | .12 | ||||||||||
Female | 1.04 | 0.90–1.21 | 0.88 | 0.70–1.10 | 1.65 | 1.25–2.18 | 1.51 | 1.20–1.90 | 1.12 | 0.97–1.31 | |||||
Male | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||||
Estimated prognosis according to the physician | .18 | .08 | <0.01 | .69 | .02 | ||||||||||
<1 month | 0.79 | 0.62–1.02 | 0.63 | 0.43–0.91 | 0.35 | 0.22–0.56 | 0.74 | 0.43–1.26 | 0.68 | 0.53–0.87 | |||||
3–1 months | 1.03 | 0.84–1.26 | 0.91 | 0.67–1.23 | 0.49 | 0.33–0.72 | 0.83 | 0.49–1.40 | 0.92 | 0.75–1.12 | |||||
6–3 months | 1.00 | 0.84–1.19 | 0.97 | 0.75–1.25 | 0.60 | 0.43–0.84 | 0.93 | 0.69–1.23 | 0.95 | 0.80–1.13 | |||||
6–12 months | 1.00 | 1.00 | 1.00 | 1.00 | 1 | ||||||||||
WHO Performance Status | .08 | .37 | .06 | .34 | .24 | ||||||||||
4‐Bedbound | 1.47 | 1.04–2.07 | 0.72 | 0.42–1.21 | 1.50 | 0.82–2.76 | 2.01 | 0.85–4.71 | 1.38 | 0.98–1.94 | |||||
3‐Symptomatic. >50% in bed. but not bedbound | 1.41 | 1.09–1.81 | 0.77 | 0.54–1.11 | 1.34 | 0.82–2.18 | 1.22 | 0.75–1.96 | 1.25 | 0.97–1.61 | |||||
2‐Symptomatic. <50% in bed during the day | 1.34 | 1.05–1.69 | 0.82 | 0.57–1.16 | 0.83 | 0.52–1.32 | 1.45 | 0.95–2.21 | 1.13 | 0.89–1.44 | |||||
1‐Symptomatic but completely ambulatory | 1.20 | 0.96–1.51 | 0.71 | 0.51–0.99 | 0.86 | 0.56–1.33 | 1.34 | 0.93–1.93 | 1.04 | 0.83–1.30 | |||||
0‐Asymptomatic | 1.00 | 1.00 | 1.00 | 1.00 | 1 | ||||||||||
Hospital admission was | .54 | .77 | <.00 | <.01 | .02 | ||||||||||
Unplanned | 1.06 | 0.88–1.27 | 1.04 | 0.80–1.36 | 0.32 | 0.23–0.46 | 0.64 | 0.47–0.88 | 0.81 | 0.67–0.97 | |||||
Planned | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||||
Treatment status at time the time of admission: | .04 | .02 | .03 | .93 | .02 | ||||||||||
Other | 1.18 | 0.96–1.44 | 1.52 | 1.12–2.06 | 1.03 | 0.71–1.51 | 1.10 | 0.40–2.99 | 1.18 | 0.97–1.45 | |||||
No further options for anti‐tumour therapy | 0.89 | 0.74–1.06 | 1.28 | 0.97–1.67 | 0.67 | 0.48–0.93 | 1.17 | 0.52–2.60 | 0.86 | 0.72–1.03 | |||||
Patient received anti‐tumour therapy | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||||
Diagnosis | .15 | .54 | .92 | .11 | .66 | ||||||||||
Other cancer | 1.28 | 1.06–1.55 | 1.10 | 0.83–1.48 | 0.93 | 0.65–1.31 | 0.61 | 0.40–0.93 | 1.14 | 0.95–1.38 | |||||
Lung cancer | 1.07 | 0.81–1.41 | 1.06 | 0.70–1.60 | 0.93 | 0.56–1.56 | 1.05 | 0.69–1.61 | 0.97 | 0.74–1.28 | |||||
Breast cancer | 1.10 | 0.87–1.41 | 1.36 | 0.94–1.96 | 0.81 | 0.51–1.27 | 0.68 | 0.32–1.42 | 0.98 | 0.77–1.25 | |||||
Urogenital cancer | 1.08 | 0.88–1.32 | 1.02 | 0.74–1.41 | 0.96 | 0.66–1.40 | 0.97 | 0.70–1.34 | 1.02 | 0.83–1.25 | |||||
Gastrointestinal cancer | 1.00 | 1.00 | 1.00 | 1.00 | |||||||||||
Co‐morbidity | .69 | .14 | .83 | .10 | .66 | ||||||||||
>1 co‐morbidity | 1.04 | 0.87–1.25 | 1.07 | 0.82–1.40 | 0.96 | 0.68–1.34 | 1.37 | 0.99–1.88 | 1.05 | 0.88–1.26 | |||||
1 co‐morbidity | 1.07 | 0.91–1.26 | 1.27 | 1.00–1.61 | 0.91 | 0.68–1.23 | 0.97 | 0.76–1.24 | 1.07 | 0.92–1.26 | |||||
No co‐morbidity | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||||
Type of hospital | .22 | .22 | .99 | .02 | .57 | ||||||||||
Academic hospital | 1.12 | 0.94–1.34 | 0.85 | 0.65–1.10 | 1.00 | 0.70–1.41 | 1.41 | 1.05–1.89 | 1.05 | 0.88–1.26 | |||||
General hospital | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||||
Age | 0.99 | 0.99–1.00 | .09 | 1.00 | 0.99–1.01 | .88 | 1.01 | 0.99‐1.02 | .35 | 0.99 | 0.98–1.00 | .17 | 0.99 | 0.99–1.00 | .13 |
Number of hospital admissions due to current disease | 1.01 | 0.99 ‐1.03 | .39 | 1.00 | 0.97–1.03 | .91 | 1.02 | 0.98–1.06 | .30 | 1.01 | 0.96–1.05 | .75 | 1.01 | 0.99–1.03 | .37 |
Time since primary diagnosis | 1.00 | 0.99–1.01 | .91 | 0.99 | 0.97–1.01 | .30 | 1.02 | 1.00–1.05 | .09 | 1.00 | 0.97–1.03 | .91 | 1.00 | 0.99–1.01 | .88 |
Costs of therapeutic interventions include costs of PCT consultation, costs of therapeutic procedures and medication costs. The average medication costs per day were estimated based on a random sample of 43 patients in both groups to be €15 per day for regular medication and €143 per day for expensive medication. We did not find a difference in costs between patients with and without PCT consultation.