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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Bull+Cancer 2020 ; 107 (11): 1129-1137 Nephropedia Template TP
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Nomadisme des patients traites par radiotherapie en Ile-de-France : notre systeme de sante a-t-il autant d'argent a gaspiller ? #MMPMID33036742
Paix A; Popotte H; Levy C; Perez A; Bouillet T; Zelek L; Duchemann B
Bull Cancer 2020[Nov]; 107 (11): 1129-1137 PMID33036742show ga
PURPOSE: Human, material, and financial resources being limited, the organization of the care system must allow an efficient allocation of resources. The management of cancers leads to specific and repetitive care for which the reimbursement of transport costs represents a high cost. We carried out an analysis of the additional transport costs, linked to the care of patients in Ile-de-France, in a center other than the radiotherapy center closest to their home. MATERIALS AND METHODS: Using data from the Ile-de-France Regional Health Agency, we have created a model evaluating the additional cost linked to transport generated by the care of a radiotherapy patient far from his home. In order to take into account the uncertainties linked to the hypotheses made in the development of the model, we carried out deterministic and probabilistic sensitivity analyzes. RESULTS: In the base case, the additional annual cost related to transport was 841,176 euros in Ile-de-France. The probabilistic sensitivity analysis reports a total annual additional cost of 2,817,481 euros. CONCLUSION: Our results are similar to a report from the General Inspectorate of Social Affairs published in July 2011, which then pointed to an additional cost of between 4 and 6 million euros annually. The long-term care of cancer patients from their homes contributes to a deterioration in the quality of life linked to travel times, a delay in the care of potential treatment complications, and the spread of infectious diseases, such as COVID-19, and bacteria resistant to antibiotics.