Identification and Economic Evaluation of Differentiated Thyroid Cancer Care Consumption Patterns Using Sequence Analysis - Archive ouverte HAL
Article Dans Une Revue International Journal of Public Health Année : 2024

Identification and Economic Evaluation of Differentiated Thyroid Cancer Care Consumption Patterns Using Sequence Analysis

Romain Demeulemeester
Pascale Grosclaude
  • Fonction : Auteur
Solange Grunenwald
  • Fonction : Auteur
Philippe Saint-Pierre
  • Fonction : Auteur
Nadège Costa

Résumé

Objectives: This study aims to assess the impact of care consumption patterns and individual characteristics on the cost of treating differentiated thyroid carcinoma (DTC), in France, with a specific emphasis on socioeconomic position. Methods: The methodology involved a net cost approach utilising cases from the EVATHYR cohort and controls from the French National Health Insurance database. Care consumption patterns were created using Optimal Matching and clustering techniques. The individual characteristics influence on patterns was assessed using multinomial logistic regression. The individual characteristics and patterns influence on care costs was assessed using generalised estimating equations. Results: The findings revealed an average cost of €13,753 per patient during the initial 3 years. Regression models suggested the main predictors of high DTC specific care consumption tended to include having a high risk of cancer recurrence (OR = 4.97), being a woman (OR = 2.00), and experiencing socio-economic deprivation (OR = 1.26), though not reaching statistical significance. Finally, high DTC-specific care consumers also incurred higher general care costs (RR = 1.35). Conclusion: The study underscores the increased costs of managing DTC, shaped by consumption habits and socioeconomic position, emphasising the need for more nuanced DTC management strategies.

Dates et versions

hal-04844005 , version 1 (17-12-2024)

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Citer

Romain Demeulemeester, Pascale Grosclaude, Solange Grunenwald, Philippe Saint-Pierre, Nicolas Savy, et al.. Identification and Economic Evaluation of Differentiated Thyroid Cancer Care Consumption Patterns Using Sequence Analysis. International Journal of Public Health, 2024, 69, pp.1606664. ⟨10.3389/ijph.2024.1606664⟩. ⟨hal-04844005⟩
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