title: [Estimation of hospital costs of colorectal cancer in Catalonia (Spain)].
abstract: OBJECTIVE
  To assess the hospital cost associated with colorectal cancer (CRC) treatment by stage at diagnosis, type of cost and disease phase in a public hospital.
  
  
  METHODS
  A retrospective analysis was conducted of the hospital costs associated with a cohort of 699 patients diagnosed with CRC and treated for this disease between 2000 and 2006 in a teaching hospital and who had a 5-year follow-up from the time of diagnosis. Data were collected from clinical-administrative databases. Mean costs per patient were analysed by stage at diagnosis, cost type and disease phase.
  
  
  RESULTS
  The mean cost per patient ranged from 6,573 Euros for patients with a diagnosis of CRC in situ to 36,894 € in those diagnosed in stage III. The main cost components were surgery-inpatient care (59.2%) and chemotherapy (19.4%). Advanced disease stages were associated with a decrease in the relative weight of surgical and inpatient care costs and an increase in chemotherapy costs.
  
  
  CONCLUSIONS
  This study provides the costs of CRC treatment based on clinical practice, with chemotherapy and surgery accounting for the major cost components. This cost analysis is a baseline study that will provide a useful source of information for future studies on cost-effectiveness and on the budget impact of different therapeutic innovations in Spain.
authors: Programa de Doctorado en Salud Pública, Departament de Pediatria, d'Obstetrícia i Ginecologia, Medicina Preventiva i Salut Pública, Universitat Autònoma de Barcelona, Bellaterra, Barcelona, España; Plan Director de Oncología, Departament de Salut, Generalitat de Catalunya, Barcelona, España; Departamento de Ciencias Clínicas, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Universitat de Barcelona, Barcelona, España. Electronic address: jcorral@iconcologia.net.
authors: Julieta
authors: J
authors: Corral
authors: Plan Director de Oncología, Departament de Salut, Generalitat de Catalunya, Barcelona, España; Departamento de Ciencias Clínicas, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), Universitat de Barcelona, Barcelona, España.
authors: Josep Maria
authors: JM
authors: Borràs
authors: Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España.
authors: Pietro
authors: P
authors: Chiarello
authors: Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España.
authors: Enric
authors: E
authors: García-Alzorriz
authors: Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), España.
authors: Francesc
authors: F
authors: Macià
authors: Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España.
authors: Anna
authors: A
authors: Reig
authors: Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España.
authors: Javier
authors: J
authors: Mateu de Antonio
authors: Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), España.
authors: Xavier
authors: X
authors: Castells
authors: Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España; Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), España.
authors: Francesc
authors: F
authors: Cots
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000191:economics* / Q000473:pathology / Q000628:therapy; D000970:Antineoplastic Agents / Q000191:economics / Q000627:therapeutic use; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000191:economics* / Q000473:pathology / Q000628:therapy; D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D003938:Diagnostic Techniques, Digestive System / Q000191:economics; D013505:Digestive System Surgical Procedures / Q000191:economics; D005500:Follow-Up Studies; D017721:Hospital Costs; D006801:Humans; D009367:Neoplasm Staging; D011878:Radiotherapy / Q000191:economics; D013030:Spain / Q000453:epidemiology
chemical_list: D000970:Antineoplastic Agents
keywords: Colorectal neoplasms; Costes de hospital; Costes de la atención en salud; Estudios retrospectivos; Health care costs; Health resources; Hospital costs; Neoplasias colorrectales; Recursos en salud; Retrospective studies