Evaluating treatments and corresponding costs of prostate cancer patients treated within an inpatient or hospital-based outpatient setting

Future Oncol. 2015;11(3):439-47. doi: 10.2217/fon.14.242.

Abstract

Aim: To describe treatments and cost of care for prostate cancer (PCa) in hospital-based outpatient and inpatient settings.

Methods: Hospital encounters associated with PCa (ICD-9 codes 185, 233.4) and PCa-related treatment in a hospital claims database were included.

Results: There were 211,440 encounters for PCa between January 2006 and December 2010 (88,151 inpatient and 123,289 outpatient). Average cost per inpatient stay was US$12,286 versus US$4364 per outpatient visit. Most common treatment during an inpatient stay and outpatient visit was surgery (57%) and radiation (76%), respectively. A total of 80% of outpatient visits and 69.9% inpatient stays were associated with a single treatment; remaining encounters were associated with ≥2 treatments.

Conclusion: Costs are consistent with previous estimates; however, multimodal therapy is an emerging trend that may be related to greater costs in the future which may also be a challenge for hospital decision makers.

Keywords: healthcare costs/trends; hospitalization; prostatic neoplasms; retrospective studies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Databases, Factual
  • Health Care Costs*
  • Hospitalization / economics
  • Humans
  • Inpatients*
  • Male
  • Middle Aged
  • Outpatients*
  • Prostatic Neoplasms / epidemiology*
  • Prostatic Neoplasms / therapy
  • United States / epidemiology