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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">Every year&#44; health expenditure in Spain increases and&#44; with it&#44; the resources dedicated to cancer treatment&#46; Cutaneous melanoma is the skin cancer with the highest morbidity and mortality&#46;</p> <span class="elsevierStyleSectionTitle">Objetives</span><p class="elsevierStyleSimplePara elsevierViewall">We performed a descriptive study of the costs&#44; based on a theoretical model&#44; to determine the healthcare expenditure for patients with cutaneous melanoma&#59; the objective was to define the overall costs &#40;direct and indirect&#41; of the diagnostic and treatment process of cutaneous melanoma&#44; divided into different stages or diagnostic-therapeutic steps&#44; and the possible variations in these costs&#46;</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">For this purpose&#44; we used the Andalusian analytical accountancy program of hospitals and districts &#40;COAN-hyd&#41; and the total costs module of the COAN for 2007&#44; applied to the protocol we use in the melanoma unit of our hospital&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The most important conclusions were that the greatest health care expenditure was observed in patients with more advanced melanomas&#44; with a poor prognosis&#46; Management of the diagnostic-therapeutic process by dermatologists&#44; the appropriate use of complementary tests&#44; and operations performed by dermatologists reduce costs&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">El gasto sanitario en Espa&#241;a crece anualmente y con &#233;l los recursos destinados al tratamiento del c&#225;ncer&#46; El melanoma cut&#225;neo es el c&#225;ncer de piel que m&#225;s morbimortalidad origina&#46;</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Para conocer la parte del gasto sanitario consumido por los pacientes con melanoma cut&#225;neo hemos realizado un estudio de descripci&#243;n de costes&#44; basado en un modelo te&#243;rico&#44; cuyo objetivo es conocer los costes totales &#40;directos e indirectos&#41; y sus posibles variaciones&#44; del proceso de diagn&#243;stico y tratamiento del melanoma cut&#225;neo&#44; dividido en diferentes etapas o pasos diagn&#243;stico-terap&#233;uticos&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Para ello hemos utilizado como fuente el Programa de Control de Gesti&#243;n de Hospitales andaluces COAN hyd y M&#243;dulo de Costes Totales del COAN&#44; para el ejercicio 2007&#44; aplicado al protocolo que seguimos en la Unidad de Melanomas de nuestro hospital&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Las conclusiones m&#225;s relevantes son&#58; los pacientes con melanomas m&#225;s avanzados&#44; de peor pron&#243;stico&#44; ser&#225;n los que consuman m&#225;s gasto sanitario&#46; La direcci&#243;n del proceso diagn&#243;stico terap&#233;utico por los dermat&#243;logos&#44; la utilizaci&#243;n adecuada de las pruebas complementarias y la realizaci&#243;n de las t&#233;cnicas quir&#250;rgicas por ellos mismos abaratan los costes&#46;</p>"
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Vol. 100. Issue 9.
Pages 785-791 (November 2009)
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Vol. 100. Issue 9.
Pages 785-791 (November 2009)
Original articles
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Descriptive Study of the Costs of Diagnosis and Treatment of Cutaneous Melanoma
Estudio de Descripción de Costes Sobre el Diagnóstico y Tratamiento del Melanoma Cutáneo
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F.M. Almazán-Fernándeza,
Corresponding author
almazanweb@yahoo.es

Correspondence: Francisco Manuel Almazán Fernández, Servicio de Dermatología, Hospital Clínico San Cecilio, Avda. de Madrid, s/n, 18012 Granada, Spain.
, S. Serrano-Ortegab, J.J. Moreno-Villalongac
a Servicio de Dermatología, Hospital Clínico San Cecilio, Granada, Spain
b Departamento de Dermatología, Facultad de Medicina, Granada, Spain
c Unidad de Control de Gestión, Hospital Clínico San Cecilio, Granada, Spain
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Article information
Abstract
Introduction

Every year, health expenditure in Spain increases and, with it, the resources dedicated to cancer treatment. Cutaneous melanoma is the skin cancer with the highest morbidity and mortality.

Objetives

We performed a descriptive study of the costs, based on a theoretical model, to determine the healthcare expenditure for patients with cutaneous melanoma; the objective was to define the overall costs (direct and indirect) of the diagnostic and treatment process of cutaneous melanoma, divided into different stages or diagnostic-therapeutic steps, and the possible variations in these costs.

Material and methods

For this purpose, we used the Andalusian analytical accountancy program of hospitals and districts (COAN-hyd) and the total costs module of the COAN for 2007, applied to the protocol we use in the melanoma unit of our hospital.

Conclusions

The most important conclusions were that the greatest health care expenditure was observed in patients with more advanced melanomas, with a poor prognosis. Management of the diagnostic-therapeutic process by dermatologists, the appropriate use of complementary tests, and operations performed by dermatologists reduce costs.

Key words:
melanoma
costs
stages
prevention
health economics study
Resumen
Introducción

El gasto sanitario en España crece anualmente y con él los recursos destinados al tratamiento del cáncer. El melanoma cutáneo es el cáncer de piel que más morbimortalidad origina.

Objetivos

Para conocer la parte del gasto sanitario consumido por los pacientes con melanoma cutáneo hemos realizado un estudio de descripción de costes, basado en un modelo teórico, cuyo objetivo es conocer los costes totales (directos e indirectos) y sus posibles variaciones, del proceso de diagnóstico y tratamiento del melanoma cutáneo, dividido en diferentes etapas o pasos diagnóstico-terapéuticos.

Material y métodos

Para ello hemos utilizado como fuente el Programa de Control de Gestión de Hospitales andaluces COAN hyd y Módulo de Costes Totales del COAN, para el ejercicio 2007, aplicado al protocolo que seguimos en la Unidad de Melanomas de nuestro hospital.

Conclusiones

Las conclusiones más relevantes son: los pacientes con melanomas más avanzados, de peor pronóstico, serán los que consuman más gasto sanitario. La dirección del proceso diagnóstico terapéutico por los dermatólogos, la utilización adecuada de las pruebas complementarias y la realización de las técnicas quirúrgicas por ellos mismos abaratan los costes.

Palabras clave:
melanoma
costes
etapas
prevención
estudio económico de salud
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References
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Campaigning for melanoma prevention: a model for a health education program.
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D.C. Whiteman, C.A. Bray, V. Siskind, A.C. Green, D.J. Hole, R.M. MacKie.
Changes in the incidence of cutaneous melanoma in the west of Scotland and Queensland, Australia: hope for health promotion?.
Eur J Cancer Prevention, 17 (2008), pp. 243-250
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A. Hernández Martín, A. Núñez Reiz, M. Sáiz Martínez, J. Rovirosa i Juncosa.
Coste por proceso en el tratamiento quirúrgico del cáncer de piel.
Gac Sanit, 20 (2006), pp. 273-279
Copyright © 2009. Academia Española de Dermatología y Venereología and Elsevier España, S.L.
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