An economic study of neuro-oncological patients in a large developing country: a cost analysis

Paiva, Aline Lariessy Campos; Vitorino-Araujo, João Luiz; Lovato, Renan Maximilian; Costa, Guilherme Henrique Ferreira da; Veiga, José Carlos Esteves

doi:10.1055/s-0042-1758649

Aline Lariessy Campos Paiva Address for correspondence Aline Lariessy Campos Paiva (e-mail: lariessy@hotmail.com).

design of the work

acquisition analysis

interpretation of the data for the work

final approval of the version to be published

agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

Santa Casa de São Paulo, Departamento de Cirurgia, São Paulo SP, Brazil.

Hospital do Coração, São Paulo SP, Brazil.

Hospital Sírio-Libanês, Neurosurgery Department, São Paulo SP, Brazil.

https://orcid.org/0000-0002-1228-531X

João Luiz Vitorino-Araujo

design of the work

drafting the work

final approval of the version to be published

agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

Santa Casa de São Paulo, Departamento de Cirurgia, São Paulo SP, Brazil.

Hospital do Coração, São Paulo SP, Brazil.

Hospital Sírio-Libanês, Neurosurgery Department, São Paulo SP, Brazil.

https://orcid.org/0000-0002-6539-6718

Renan Maximilian Lovato

interpretation of the data for the work

drafting the work

final approval of the version to be published

agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

Santa Casa de São Paulo, Departamento de Cirurgia, São Paulo SP, Brazil.

Hospital do Coração, São Paulo SP, Brazil.

Hospital Sírio-Libanês, Neurosurgery Department, São Paulo SP, Brazil.

https://orcid.org/0000-0002-9239-008X

Guilherme Henrique Ferreira da Costa

interpretation of the data for the work

drafting the work

final approval of the version to be published

agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

Santa Casa de São Paulo, Departamento de Cirurgia, São Paulo SP, Brazil.

https://orcid.org/0000-0001-7659-7104

José Carlos Esteves Veiga

design of the work

drafting the work

final approval of the version to be published

agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

Santa Casa de São Paulo, Departamento de Cirurgia, São Paulo SP, Brazil.

Hospital Sírio-Libanês, Neurosurgery Department, São Paulo SP, Brazil.

https://orcid.org/0000-0002-7723-4396

Address for correspondence Aline Lariessy Campos Paiva (e-mail: lariessy@hotmail.com).

Conflict of Interest

The authors have no conflict of interests to declare.

Variable	Mean	Total	%
Operating room	R$ 6.542,51	R$ 673.878,53	29.2
ICU**	R$ 5.582,99	R$ 575.048,10	25.0
Neurosurgical infirmary	R$ 4.140,78	R$ 426.500,10	18.5
Other medications excluding antibiotics	R$ 2.041,17	R$ 208.199,25	9.1
Laboratory, pathology, radiological exams	R$ 1.888,77	R$ 194.543,58	8.4
Specific neurosurgical material	R$ 1.202,78	R$ 121.480,35	5.4
Antibiotics	R$ 324,55	R$ 32.454,93	1.5
Physiotherapy	R$ 180,43	R$ 18.584,39	0.8
Other procedures (gastrostomy, tracheostomy…)	R$ 102,70	R$ 10.578,46	0.5
TOTAL COST	R$ 22.372,22	R$ 2.304.339,07	100.0

Variable	Mean	Median	SD	Minimum	Maximum
Age	51	53	15	14	78
OR occupation (minutes)	489	475	197	75	1242
Hospitalization period (days)	12	7	16	3	123

Initials	Sex	Age (years old)	Histological analysis	Urgency	Thromboembolic event	Infection	Death
AOA	F	39	MENINGIOMA GRADE I	NO	NO	NO	NO
SEM	F	63	MENINGIOMA GRADE I	YES	NO	NO	NO
ASGS	F	57	MENINGIOMA GRADE I	NO	NO	NO	NO
DLS	M	73	MENINGIOMA GRADE II	YES	NO	MENINGITIS + PNEUMONIA	YES
SRS	F	57	MENINGIOMA GRADE I	NO	NO	MENINIGITIS + PNEUMONIA + SEPSIS	YES
MRSS	F	68	GLIOBLASTOMA	YES	NO	NO	NO
TJS	F	70	MENINGIOMA GRADE I	NO	YES	NO	NO
MJSL	F	60	MENINGIOMA GRADE I	NO	NO	NO	NO
EFS	F	58	MENINGIOMA GRADE I	YES	NO	NO	YES
CRAS	M	48	MENINGIOMA GRADE I	NO	NO	NO	NO
RSD	F	40	MENINGIOMA GRADE I	YES	NO	NO	NO
ESP	F	48	MENINGIOMA GRADE I	NO	NO	NO	NO
JAO	M	63	GLIOBLASTOMA	YES	NO	MENINGITIS	NO
HGA	M	23	ANAPLASTIC OLIGODENDROGLIOMA GRADE III	NO	NO	MENINGITIS	NO
JMSS	M	22	POLIMIXOID ASTROCYTOMA GRADE II	NO	NO	NO	NO
MCL	M	54	GLIOBLASTOMA	NO	NO	NO	NO
JFL	M	60	GLIOBLASTOMA	YES	NO	NO	NO
IDGL	M	26	DIFFUSE ASTROCYTOMA GRADE II	NO	NO	NO	NO
TRCV	M	30	GLIOBLASTOMA	YES	NO	MENINGITIS	YES
TGB	F	36	MENINGIOMA GRADE I	NO	NO	NO	NO
FWFS	M	32	DIFFUSE ASTROCYTOMA GRADE II	NO	NO	NO	NO
JAO	M	63	GLIOBLASTOMA	YES	NO	MENINGITIS	NO
MAS	F	56	MENINGIOMA GRADE I	NO	NO	NO	NO
EDC	M	70	MENINGIOMA GRADE I	YES	NO	NO	YES
NLR	M	54	GLIOBLASTOMA	YES	NO	NO	NO
SPC	F	42	MENINGIOMA GRADE I	NO	NO	NO	NO
ACJ	F	18	ANAPLASTIC ASTROCYTOMA GRADE III	NO	NO	NO	NO
JRTP	M	45	GLIOBLASTOMA	YES	NO	NO	NO
RR	M	39	OLIGODENDROGLIOMA GRADE II	NO	NO	NO	NO
SCGB	F	48	MENINGIOMA GRADE I	NO	NO	NO	NO
JP	F	57	MENINGIOMA GRADE I	YES	NO	NO	NO
CAO	F	46	MENINGIOMA GRADE I	NO	NO	NO	NO
MHSS	F	46	MENINGIOMA GRADE I	YES	NO	NO	NO
ILM	F	58	MENINGIOMA GRADE I	NO	NO	NO	NO
SMS	F	45	MENINGIOMA GRADE I	NO	NO	NO	NO
CBC	M	30	GLIOBLASTOMA	YES	NO	NO	NO
LARS	F	41	GLIOBLASTOMA	YES	NO	NO	NO
BRSP	F	69	MENINGIOMA GRADE I	NO	NO	NO	NO
ELS	M	45	MENINGIOMA GRADE I	NO	NO	MENINGITIS	NO
JFS	M	77	MENINGIOMA GRADE I	NO	NO	NO	NO
JRS	M	66	MENINGIOMA GRADE I	NO	NO	NO	NO
EBS	F	47	MENINGIOMA GRADE I	YES	NO	NO	NO
JCOM	M	36	OLIGODENDROGLIOMA GRADE II	NO	NO	NO	NO
OLF	F	67	MENINGIOMA GRADE I	NO	NO	NO	NO
VAQ	F	64	GLIOBLASTOMA	NO	NO	NO	NO
IAJ	M	45	OLIGODENDROGLIOMA GRADE II	YES	NO	NO	NO
MS	M	56	MENINGIOMA GRADE I	NO	NO	NO	NO
NLR	M	55	GLIOBLASTOMA	NO	NO	NO	NO
JCR	M	60	DIFFUSE ASTROCYTOMA GRADE II	YES	NO	NO	NO
RASP	F	54	GLIOBLASTOMA	YES	YES	NO	NO
MS	M	36	OLIGODENDROGLIOMA GRADE II	YES	NO	NO	NO
ENB	M	47	GLIOBLASTOMA	YES	NO	PNEUMONIA, MENINGITIS, URINARY TRACT INFECTION	YES
COM	M	14	ANAPLASTIC ASTROCYTOMA GRADE III	YES	NO	NO	NO
MO	F	33	OLIGODENDROGLIOMA GRADE III	NO	NO	WOUND INFECTION	NO
MAOS	F	66	MENINGIOMA GRADE I	YES	NO	NO	NO
VAB	M	51	ANAPLASTIC ASTROCYTOMA GRADE III	NO	NO	NO	NO
AMM	M	51	MENINGIOMA GRADE I	YES	NO	NO	NO
LJN	M	68	GLIOBLASTOMA	YES	NO	PNEUMONIA AND URINARY TRACT INFECTION	YES
CLH	F	58	GLIOBLASTOMA	NO	NO	NO	NO
MDN	F	47	MENINGIOMA GRADE I	NO	NO	NO	NO
IFM	M	40	GLIOBLASTOMA	NO	NO	WOUND INFECTION	NO
WMN	M	19	GLIOBLASTOMA	YES	NO	NO	NO
JAFS	M	60	GLIOBLASTOMA	NO	NO	NO	NO
CPU	F	37	GLIOBLASTOMA	NO	NO	NO	NO
JAC	M	73	GLIOBLASTOMA	YES	NO	NO	NO
MAD	F	53	DIFFUSE ASTROCYTOMA GRADE II	NO	NO	NO	NO
MSB	F	44	MENINGIOMA GRADE I	NO	NO	NO	NO
MBD	F	73	GLIOBLASTOMA	YES	NO	NO	NO
MG	M	60	GLIOBLASTOMA	YES	NO	NO	NO
MJSL	F	61	MENINGIOMA GRADE I	YES	NO	WOUND INFECTION	NO
OSN	M	74	GLIOBLASTOMA	YES	NO	NO	NO
NSS	M	54	GLIOBLASTOMA	YES	NO	NO	NO
LJS	M	55	GLIOBLASTOMA	YES	NO	NO	NO
RPC	M	36	OLIGODENGLIOMA GRADE II	YES	NO	NO	NO
FMFS	F	40	GLIOBLASTOMA	YES	NO	NO	NO
FEFG	M	56	GLIOBLASTOMA	YES	NO	PNEUMONIA	YES
MRS	F	40	ANAPLASTIC ASTROCYTOMA GRADE III	YES	NO	NO	NO
RAIS	F	59	ANAPLASTIC OLIGODENDROGLIOMA GRADE III	YES	NO	NO	NO
MLFA	F	64	MENINGIOMA GRADE I	YES	NO	NO	YES
ACS	M	51	GLIOBLASTOMA	YES	NO	NO	NO
GVM	M	46	GLIOBLASTOMA	NO	NO	NO	NO
WOS	F	78	MENINGIOMA GRADE I	YES	NO	PNEUMONIA	YES
JVS	M	71	GLIOBLASTOMA	YES	NO	NO	YES
JSS	M	49	GLIOBLASTOMA	NO	NO	NO	NO
MAS	F	71	MENINGIOMA GRADE I	YES	YES	NO	NO
AOS	F	32	GLIOBLASTOMA	YES	NO	NO	NO
MLAS	F	58	GLIOBLASTOMA	YES	NO	NO	NO
MRSS	F	68	GLIOBLASTOMA	NO	NO	NO	NO
MMS	M	70	GLIOBLASTOMA	NO	NO	NO	NO
CRM	F	42	OLIGODENDROGLIOMA GRADE II	NO	NO	NO	NO
DAL	M	56	GLIOBLASTOMA	YES	NO	NO	NO
AS	M	26	MENINGIOMA GRADE II	YES	NO	NO	NO
RSMJ	M	22	GLIOBLASTOMA	NO	NO	NO	NO
EM	M	49	GLIOBLASTOMA	YES	NO	NO	YES
VMO	F	68	GLIOBLASTOMA	YES	NO	PNEUMONIA	NO
CBC	F	48	MENINGIOMA GRADE I	YES	NO	NO	NO
JJN	F	68	GLIOBLASTOMA	YES	NO	PNEUMONIA	NO
FO	M	38	ANAPLASTIC OLIGODENGLIOMA GRADE III	NO	NO	NO	NO
MMS	M	53	DIFFUSE ASTROCYTOMA GRADE II	NO	NO	WOUND INFECTION	NO
ACOS	F	16	GANGLIOGLIOMA GRADE I	YES	NO	NO	NO
RQS	M	26	MENINGIOMA GRADE I	YES	NO	MENINGITIS	NO
ACPF	M	67	MENINGIOMA GRADE I	YES	NO	NO	YES
NSS	M	54	GLIOBLASTOMA	YES	NO	NO	NO

[1] Address for correspondence Aline Lariessy Campos Paiva (e-mail: lariessy@hotmail.com).

Brasil

Brasil

An economic study of neuro-oncological patients in a large developing country: a cost analysis

Um estudo de análise econômica dos pacientes neuro-oncológicos em um grande país em desenvolvimento: uma análise de custos

Abstract

Background

Objective

Methods

Results

Conclusions