IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i8p4040-d534418.html
   My bibliography  Save this article

Downstream Complications and Healthcare Expenditure after Invasive Procedures for Lung Lesions in Taiwan

Author

Listed:
  • Szu-Chun Yang

    (Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704, Taiwan
    Szu-Chun Yang and Ching-Han Lai contributed equally to this study.)

  • Ching-Han Lai

    (Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704, Taiwan
    Szu-Chun Yang and Ching-Han Lai contributed equally to this study.)

  • Chin-Wei Kuo

    (Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704, Taiwan
    Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan)

  • Chien-Chung Lin

    (Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704, Taiwan)

  • Wu-Wei Lai

    (Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 704, Taiwan)

  • Jung-Der Wang

    (Department of Public Health, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan)

Abstract

This study aimed to estimate the downstream complications and healthcare expenditure after invasive procedures for lung lesions, which in turn could be used for future cost-effectiveness analyses of lung cancer screening in Taiwan. We interlinked the Taiwan National Beneficiary Registry with the National Health Insurance Reimbursement databases to identify non-lung cancer individuals aged 50–80 years who underwent invasive lung procedures within one month after non-contrast chest computed tomography between 2014 and 2016. We directly matched one individual with 10 controls by age, gender, calendar year, residence area, comorbidities, and the past one-year healthcare expenditure to calculate incremental one-month complication rates and attributable costs. A total of 5805 individuals who underwent invasive lung procedures were identified and matched with 58,050 controls. The incremental one-month complication rates were 13.4% (95% CI: 10.9% to 15.8%), 10.7% (95% CI: 9.2% to 12.1%), and 4.4% (95% CI: 2.0% to 6.7%) for thoracic surgery, bronchoscopy, and needle biopsy, respectively. The incremental one-month healthcare expenditure for minor, intermediate, and major complications were NT$1493 (95% CI: NT$-3107 to NT$6092), NT$18,422 (95% CI: NT$13,755 to NT$23,089), and NT$58,021 (95% CI: NT$46,114 to NT$69,929), respectively. Individuals aged 60–64 years incurred the highest incremental costs. Downstream complications and the healthcare expenditure after invasive procedures for lung lesions would be substantial for non-lung cancer individuals 50–80 years of age. These estimates could be used in modeling the cost-effectiveness of the national lung screening program in Taiwan.

Suggested Citation

  • Szu-Chun Yang & Ching-Han Lai & Chin-Wei Kuo & Chien-Chung Lin & Wu-Wei Lai & Jung-Der Wang, 2021. "Downstream Complications and Healthcare Expenditure after Invasive Procedures for Lung Lesions in Taiwan," IJERPH, MDPI, vol. 18(8), pages 1-9, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4040-:d:534418
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/8/4040/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/8/4040/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Chun-Ku Chen & Hsiao-Ting Chang & Yu-Chun Chen & Shu-Chiung Chiang & Hsiao-Ping Chou & Tzeng-Ji Chen, 2019. "Utilization and Safety of Percutaneous Lung Biopsy: A 10-Year Nationwide Population-Based Study," IJERPH, MDPI, vol. 16(8), pages 1-10, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chia-Hao Liu & Yu-Chieh Lee & Jeff Chien-Fu Lin & I-San Chan & Na-Rong Lee & Wen-Hsun Chang & Wei-Min Liu & Peng-Hui Wang, 2019. "Radical Hysterectomy After Neoadjuvant Chemotherapy for Locally Bulky-Size Cervical Cancer: A Retrospective Comparative Analysis between the Robotic and Abdominal Approaches," IJERPH, MDPI, vol. 16(20), pages 1-19, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4040-:d:534418. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.