國家衛生研究院 NHRI:Item 3990099045/9998
English  |  正體中文  |  简体中文  |  全文笔数/总笔数 : 12145/12927 (94%)
造访人次 : 915114      在线人数 : 1356
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
搜寻范围 查询小技巧：
  • 您可在西文检索词汇前后加上"双引号"，以获取较精准的检索结果
  • 若欲以作者姓名搜寻，建议至进阶搜寻限定作者字段，可获得较完整数据
    •  进阶搜寻
    主页 ‧ 登入 ‧ 上传 ‧ 说明 ‧ 关于NHRI ‧ 管理 到手机版


    jsp.display-item.identifier=請使用永久網址來引用或連結此文件: http://ir.nhri.org.tw/handle/3990099045/9998


    题名: Estimating impacts of asbestos-related malignant mesothelioma: Quantification of life expectancy lost and lifetime healthcare expenditures in Taiwan
    作者: Lee, LJH;Takahashi, K;Chang, YY;Wang, JD
    贡献者: National Institute of Environmental Health Sciences
    摘要: Malignant mesothelioma (MM) can be considered as a marker malignancy related to previous asbestos exposure. This study determines the impact of MM using average life years lost and lifetime healthcare expenditures in Taiwan. We collected patients diagnosed with pleural MM (ICD-O 163) and peritoneal MM (ICD-O 158) during 1998-2009 with histological evidence from the Taiwan Cancer Registry (TCR), which were inter-linked with the National Mortality Registry (NMR) and the National Health Insurance (NHI) reimbursement database up to 2011 to estimate survival and lifetime direct medical costs. For each MM patient, we simulated age- and gender-matched referents based on the vital statistics of Taiwan to estimate expected years of life lost (EYLL). We extrapolated lifetime survival function by a semi-parametric method after 14 years of follow-up. The mean monthly direct medical costs were calculated, multiplied with the corresponding survival probability, and summed up throughout life for the lifetime healthcare expenditures (LTHE) after adjustment for annual discount rate of 3%. A total of 300 cases of pleural MM, and 106 cases of peritoneal MM were identified in the TCR during 1998-2009. The average EYLL for pleural and peritoneal MM was 18.2 (95% confidence interval [CI]: 17.9-18.4), and 19.1 (95% CI: 18.5-19.8) years, respectively. Estimated LTHE with a 3% annual discount was $ USD 29,400 (95% CI: 24,200-33,000) for pleural MM and 27,200 (95% CI 20,500-32,000) for peritoneal MM. As MM has been under-diagnosed in Taiwan, such estimates provide lower bounds for potential saving of society on total ban of asbestos.
    日期: 2016-09
    關聯: Asbestos: Risk Assessment, Health Implications and Impacts on the Environment. 2016 Sep:83-97.
    Link to: https://www.novapublishers.com/catalog/product_info.php?products_id=58720&osCsid=
    显示于类别:[李俊賢] 圖書

    文件中的档案:

    档案 描述 大小格式浏览次数
    NEM2016100401.pdf911KbAdobe PDF353检视/开启


    在NHRI中所有的数据项都受到原著作权保护.

    TAIR相关文章

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - 回馈