Original articles
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
F.M. Almazán-Fernándeza,
, S. Serrano-Ortegab, J.J. Moreno-Villalongac
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.
Correspondence: Francisco Manuel Almazán Fernández, Servicio de Dermatología, Hospital Clínico San Cecilio, Avda. de Madrid, s/n, 18012 Granada, Spain.
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"apellidos" => "Almazán-Fernández" "email" => array:1 [ 0 => "almazanweb@yahoo.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "S." "apellidos" => "Serrano-Ortega" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "J.J." "apellidos" => "Moreno-Villalonga" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Dermatología, Hospital Clínico San Cecilio, Granada, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Departamento de Dermatología, Facultad de Medicina, Granada, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Unidad de Control de Gestión, Hospital Clínico San Cecilio, Granada, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: Francisco Manuel Almazán Fernández, Servicio de Dermatología, Hospital Clínico San Cecilio, Avda. de Madrid, s/n, 18012 Granada, Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Estudio de Descripción de Costes Sobre el Diagnóstico y Tratamiento del Melanoma Cutáneo" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2009-03-25" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec84610" "palabras" => array:5 [ 0 => "melanoma" 1 => "costs" 2 => "stages" 3 => "prevention" 4 => "health economics study" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84609" "palabras" => array:5 [ 0 => "melanoma" 1 => "costes" 2 => "etapas" 3 => "prevención" 4 => "estudio económico de salud" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Objetives</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">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.</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, 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.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:12 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:1 [ "host" => array:1 [ 0 => array:1 [ "WWW" => array:1 [ "link" => "http://www.msc.es/estadEstudios/estadisticas/sisInfSanSNS/pdf/grupodeTrabajoSanitario2007.pdf" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:1 [ "host" => array:1 [ 0 => array:1 [ "WWW" => array:1 [ "link" => "http://www.msc.es/estadEstudios/estadisticas/docs/EGSP2005/esumenEGSP2005.pdf" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Epidemiología del melanoma en España" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. 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| 2018 February | 9 | 3 | 12 |
| 2018 January | 17 | 8 | 25 |
| 2017 December | 14 | 15 | 29 |
| 2017 November | 14 | 4 | 18 |
| 2017 October | 15 | 9 | 24 |
| 2017 September | 10 | 7 | 17 |
| 2017 August | 21 | 16 | 37 |
| 2017 July | 19 | 4 | 23 |
| 2017 June | 15 | 7 | 22 |
| 2017 May | 8 | 4 | 12 |
| 2017 April | 22 | 9 | 31 |
| 2017 March | 8 | 13 | 21 |
| 2017 February | 16 | 10 | 26 |
| 2017 January | 14 | 13 | 27 |
| 2016 December | 30 | 22 | 52 |
| 2016 November | 23 | 22 | 45 |
| 2016 October | 25 | 9 | 34 |
| 2016 September | 26 | 11 | 37 |
| 2016 August | 27 | 12 | 39 |
| 2016 July | 30 | 12 | 42 |
| 2016 June | 11 | 0 | 11 |
| 2016 May | 6 | 13 | 19 |
| 2016 April | 8 | 2 | 10 |
| 2016 March | 4 | 0 | 4 |
| 2016 February | 6 | 3 | 9 |
| 2016 January | 8 | 1 | 9 |
| 2015 December | 8 | 3 | 11 |
| 2015 November | 17 | 1 | 18 |
| 2015 October | 5 | 2 | 7 |
| 2015 September | 4 | 2 | 6 |
| 2015 August | 11 | 3 | 14 |
| 2015 July | 26 | 10 | 36 |
| 2015 June | 29 | 14 | 43 |
| 2015 May | 65 | 16 | 81 |
| 2015 April | 34 | 13 | 47 |
| 2015 March | 51 | 4 | 55 |
| 2015 February | 28 | 14 | 42 |
| 2015 January | 21 | 15 | 36 |
| 2014 December | 19 | 13 | 32 |
| 2014 November | 14 | 13 | 27 |
| 2014 October | 27 | 10 | 37 |
| 2014 September | 18 | 8 | 26 |
| 2014 August | 38 | 18 | 56 |
| 2014 July | 30 | 19 | 49 |
| 2014 June | 45 | 10 | 55 |
| 2014 May | 28 | 13 | 41 |
| 2014 April | 28 | 5 | 33 |
| 2014 March | 38 | 21 | 59 |
| 2014 February | 25 | 15 | 40 |
| 2014 January | 24 | 22 | 46 |
| 2013 December | 33 | 13 | 46 |
| 2013 November | 30 | 23 | 53 |
| 2013 October | 29 | 12 | 41 |
| 2013 September | 17 | 24 | 41 |
| 2013 August | 23 | 40 | 63 |
| 2013 July | 39 | 39 | 78 |
| 2013 June | 32 | 33 | 65 |
| 2013 May | 28 | 31 | 59 |
| 2013 April | 30 | 43 | 73 |
| 2013 March | 31 | 29 | 60 |
| 2013 February | 25 | 10 | 35 |
| 2013 January | 9 | 3 | 12 |
Show all
