CLINICAL AND ECONOMIC ANALYSIS OF THE USE OF DIFFERENT TYPES OF SYSTEMS OF VENOUS ACCESS IN THE TREATMENT OF CHILDREN WITH CANCER
Abstract
Introduction. In the article the clinical and economic analysis of the use of different systems of venous access in the treatment of children with cancer.
Objective: to conduct clinical and economic analysis systems venous access in order to optimize the cost of treatment of children with cancer.
Materials and Methods. The experience of installing and operating the subclavian catheters and implantable venous port systems installed in 2262 for children between the ages of 2 months up to 17 years. To calculate the cost price were taken «Price list of paid medical services» and Rates of the compulsory health insurance.
Results. As the number of annual primary identified children with cancer is on average 3.000 people, according to the price list prices temporarily, for the installation of each of them for a period of treatment five subclavian catheters necessary to spend 227.25 mln. rubles. And the implantations of venous ports – 156.00 mln. rubles. Thus, the savings of using implantable venous port-systems – 71.25 mln. rubles.
Conclusion. Mass introduction of the implantable venous ports will significantly reduce the cost of budgetary funds for the treatment of children with cancer, while lowering the percentage of complications and improve quality of life.
About the Authors
Maksim Yur'evich Rykov
Institute of Pediatric Oncology and Hematology N.N. Blokhin
Russian Federation
Russian Federation
PhD, researcher at the Department of tumors of the musculoskeletal system,
Kashirskoe sh., D. 24, Moscow, Russia, 115478
Vladimir Georgievich Polyakov
Institute of Pediatric Oncology and Hematology N.N. Blokhin
Russian Federation
Russian Federation
PhD, academician of RAS, prof., deputy director of the Institute,
Kashirskoe sh., D. 24, Moscow, Russia, 115478
References
1. Abstracts from WoCoVA 2010, 1st World Congress on Vascular Access. Amsterdam. June 16-18. J. Vasc. Access. 2011; 12 (1): 79-98.
2. Abstracts from WoCoVA 2012, 2nd World Congress on Vascular Access. Amsterdam. June 27-29. J. Vasc. Access. 2012; 13 (2): 1-40.
3. Abstracts from VAS 8th International Congress. April 25-27. Prague. J. Vasc. Access. 2013; 14 (1): 1-68.
4. Abstracts from WoCoVA 2014, 3rd World Congress on Vascular Access, Berlin. June 18-20. J. Vasc. Access. 2014; 15 (3): 193-239.
5. Abstracts from VAS 9th International Congress, April 15-18. Barcelona. J. Vasc. Access. 2015; 16 (2): e13-e36.
6. Craus W., Di Giacomo A., Tommasino U., Frezza A., Festa G., Cricr A. Totally Implantable Central Venous Access: 15 years experience in a single unit. J. Vasc. Access. 2001; 2 (4): 161-167.
7. Crocoli A., Tornesello A., Pittiruti M., Barone A., Muggeo P., Inserra A., Molinary A., Grillenzoni V. Central venous access devices in pediatric malignancies: a position paper of Italian Association of Pediatric Hematology and Oncology. J. Vasc. Access. 2015; 16 (2): 130-136.
8. Haag G., Berger A., Jager D. Treatment of long-term catheterrelated bloodstream infections with a taurolidine block: a single cancer center experience. J. Vasc. Access. 2011; 12 (3): 244-247.
9. Hameeteman M., Bode A., Peppelenbosch A., Van der Sande F., Tordoir J. Ultrasoun-guided central venous catheter placement by surgical trainees: A safe procedure? J. Vasc. Access. 2010; 11 (4): 288-292.
10. Kurul S., Saip P., Aydin T. Totally implantable venous-access ports: local problems and extravasation injury. The Lancet Oncology. 2002; 3 (11): 684-692.
11. Perin G., Scarpa M. Defining central venoua line position in children: tips for the tip. J. Vasc. Access. 2015; 16 (2): 77-86.
12. Perdikakis E., Kehagias E., Tsetis D. Common and uncommon complications of totally implantable central venous ports. J. Vasc. Access. 2012; 13 (3): 345-350.
13. Pittiruti M., Emoli A., Cappuccio S., LaGreca A. A new wireless device for tip location using the intracavitary ECG technique. J. Vasc. Access. 2014; 15 (3): 206.
14. Tordoir J., Canaud B., Haage P., Konner K. et al. EBPG on Vascular Access Nephrol. Dial Transplant. 2007; 22 (2) ii88-ii117.
15. Wilson S. Vascular Access: Principles and Practice. Edition 5. Philadelphia. 2010; 317 p.
For citation:
Rykov M.Y., Polyakov V.G. CLINICAL AND ECONOMIC ANALYSIS OF THE USE OF DIFFERENT TYPES OF SYSTEMS OF VENOUS ACCESS IN THE TREATMENT OF CHILDREN WITH CANCER. PHARMACOECONOMICS. Modern pharmacoeconomics and pharmacoepidemiology. 2015;8(2):11-15. (In Russ.) https://doi.org/10.17749/2070-4909.2015.8.2.011-015
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