title: [Care costs and activity in the last three months of life of cancer patients who died in the Basque Country (Spain)].
abstract: OBJECTIVE
  To analyse the use of health resources and its budget in the last months of life of the population who died from malignant neoplasm in the Basque Autonomous Country (Spain).
  
  
  METHODS
  Retrospective observational study of a population with a diagnosis of malignancy deceased in the Basque Country (2010 and 2011).
  
  
  METHODS
  MDS and Mortality Register.
  
  
  METHODS
  gender, age, place of death, tumour location, clinical activity data and costs in the last three months of life. We performed a descriptive analysis of clinical activity and costs, and lineal multivariate regressions to obtain the adjusted mean costs by gender, age and place of death.
  
  
  RESULTS
  9,333 deaths from malignancy were identified in 2010 and 2011. 65.4% were men, 61.5% aged 70 or over, mean age 72.9 years, 71.1% died in hospital. People who died in the hospital had an average cost of about double that of the people who died at home (€14,794 and €7,491, respectively; p <0.001) and 31.3% higher than in the nursing home (€11,269; p <0.001).
  
  
  CONCLUSIONS
  Greater interventions at the end of life at the community level are necessary, strengthening the care capacity of primary health care, both from training and support from expert teams in order to change the current care profile to a more outpatient care that allows a lower consumption of resources and greater care at home.
authors.affiliation: Deusto Business School Health, Universidad de Deusto, Bilbao, España.
authors.forename: Roberto
authors.initials: R
authors.lastname: Nuño-Solinís
authors.affiliation: New Health Foundation, Sevilla, España.
authors.forename: Emilio
authors.initials: E
authors.lastname: Herrera Molina
authors.affiliation: New Health Foundation, Sevilla, España. Electronic address: silvia.librada@newhealthfoundation.org.
authors.forename: Silvia
authors.initials: S
authors.lastname: Librada Flores
authors.affiliation: Osakidetza, Servicio Vasco de Salud, Bilbao, España.
authors.forename: Juan F
authors.initials: JF
authors.lastname: Orueta Mendía
authors.affiliation: CIBER de Epidemiología y Salud Pública (CIBERESP) , España; Escuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria. IBS, Hospital Universitario de Granada, Universidad de Granada, Granada, España.
authors.forename: Andrés
authors.initials: A
authors.lastname: Cabrera-León
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006296:Health Services / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000191:economics* / Q000401:mortality; D010166:Palliative Care / Q000191:economics* / Q000706:statistics & numerical data; D057240:Patient Preference; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology; D013727:Terminal Care / Q000191:economics* / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Análisis de coste; Cost analysis; Cuidados paliativos; Cáncer; Neoplasms; Palliative care; Public health; Salud pública