Objective To analyze the impact of age and surgical procedures on hospitalization costs for lung cancer pa-tients undergoing surgery.Methods The study focused on surgical patients who were primarily diagnosed with lung cancer(C34.-)in a tertiary hospital in Ningbo from January 1,2022 to December 31,2022,and analyzed their DRG enrollment sta-tus.Differential analysis of patient costs in the DRG group using t-test and analysis of variance based on age and surgical proce-dures.Results A total of 2 489 lung cancer surgery patients were all assigned to the EB1 chest surgery group.There was no sta-tistically significant difference(P＞0.05)in the impact of age and surgical procedures on patient costs between EB11 major chest surgery with severe complications and comorbidities.The hospitalization costs of patients over 60 years old in the group of EB13 major chest surgery with general complications and comorbidities and in the group of EB15 major chest surgery without com-plications and comorbidities were significantly higher than those of patients under 60 years old(P＜0.05).As age increased,hospitalization costs increased,and the amount of medical insurance losses in hospitals increased,with statistical significance(P＜0.05).Except for no difference in hospitalization costs between lobectomy and total pneumonectomy,there was a statisti-cally significant difference in hospitalization costs among other surgical procedures in the EB13 group(P＜0.05).Except for no difference in hospitalization costs between partial lobectomy,lobectomy and pneumonectomy,all other surgical procedures showed statistically significant differences(P＜0.05)in the EB15 group.As the surgical resection range increased,hospitalization costs increased,the medical insurance losses increased in the hospital,and the difference was statistically significant(P＜0.05).Conclusion The hospitalization costs of lung cancer patients undergoing surgery are greatly influenced by age and surgical pro-cedures.When optimizing the DRG grouping scheme,it is necessary to improve the compatibility with clinical practice and fur-ther refine it with full consideration of the actual clinical situation.
关键词
诊断相关分组/肺癌手术/年龄/术式/住院费用
Key words
diagnosis related grouping(DRG)/lung cancer surgery/age/surgical procedure/hospitalization cost
维普
万方数据