Aims: The objective of this study was to quantify the current and to project future patient and insurer costs for the care of patients with non-small cell lung cancer in the US.
Materials and methods: An analysis of administrative claims data among patients diagnosed with non-small cell lung cancer from 2007–2015 was conducted. Future costs were projected through 2040 based on these data using autoregressive models.
Results: Analysis of claims data found the average total cost of care during first- and second-line therapy was $1,161.70 and $561.80 for patients, and $45,175.70 and $26,201.40 for insurers, respectively. By 2040, the average total patient out-of-pocket costs are projected to reach $3,047.67 for first-line and $2,211.33 for second-line therapy, and insurance will pay an average of $131,262.39 for first-line and $75,062.23 for second-line therapy.
Limitations: Claims data are not collected for research purposes; therefore, there may be errors in entry and coding. Additionally, claims data do not contain important clinical factors, such as stage of disease at diagnosis, tumor histology, or data on disease progression, which may have important implications on the cost of care.
Conclusions: The trajectory of the cost of lung cancer care is growing. This study estimates that the cost of care may double by 2040, with the greatest proportion of increase in patient out-of-pocket costs. Despite the average cost projections, these results suggest that a small sub-set of patients with very high costs could be at even greater risk in the future. 相似文献
As China tries to catch up from a semi-peripheral status in the hierarchy of a capitalist world-system, three decades of fast economic growth have recently shown serious signs of capital glut, overproduction and decreasing returns to capital, indicating the beginning of a phase of contraction and stagnation in the long-cycles of capitalist accumulation. The combination of “capital logic” and “territorial logic” in Giovanni Arrighi’s framework gives both the Chinese state and Chinese capital strong incentives and pressure to actively engage in a “spatial fix” by reconfiguring its geographic vision in order to further capital accumulation and expansion on a larger spatial dimension, culminating in the “One Belt, One Road” Initiative, including the Maritime Silk Road Initiative (MSRI). The official promotion of the MSRI hopes to revitalise the historical precedents of the “Silk Road” so that the modern-day hyper-connectivity across Asia, Africa and Europe will facilitate the formation of a China-led reorganised world economy, operating under open and equal participation, possibly leading to common development for all countries involved. However, the nature and impact of such a grandiose initiative, especially its core mission of “connectivity”, is still highly contingent on the hybrid nature of Chinese capitalism in the world-system and how China engages capitalism at the global scale. 相似文献
