Xây dựng bộ chỉ số đánh giá gánh nặng kinh tế của ung thư tại Việt Nam

vd phiu thudt tai Benh vien HiJU Nghi ehiing t6i nhan

tha'y benh gap ehu ye'u d nam, BN eao tudi ehiem tdi

77,2% kem theo nhieu benh phdi hdp. BN de'n vien

ehu ye'u Id dau bung, rdi loan tieu hda, la mau. Ty le

de'n vien cdn mudn vdi bieu hien cua tae rudt ehiem

12,3%), giai doan HI va IV la 54,4%. ThUdng ton u sui

ehiem 62,3%, va chu ye'u la UTBM tuye'n (85,9%). Md

cap Clfu 13,1%); md phien 86,9%,. U chu ye'u d dai

trdng trai va trUe trang (32,5%) va 37,7%). ThUdng tdn

' xam lan tang lan can 14,9%, di can hach 30,7%, di

can phiie mac 7%, di can xa 23,7%. Phlu thuat eat u

nd'i ngay thi dau 63,1%, cat u HMNT 17,5%), phlu

thuat Hartmann 14%, kh6ng eat u chi lam HMNT

4,4%. Ty le bie'n ehUng 12,3%), ty le tif vong 1,7%,, ke't

qua tdt sau md 86%).

Vdi dae thu cua Benh Vien HUu Nghi BN la ngUdi

eao tudi, nhieu benh phdi hdp, mac dii ehan doan edn

mudn, ehiing t6i nhan tha'y phlu thuat UTOTT va phoi

hdp hda chat sau md cho ke't qua ban dau la kha

quan, tuy nhien can cd sU kham xet, danh gia t^ m^

de lUa chpn phUdng phap md thich hdp.

TAI LIEU THAM KHAO

1. Nguyen Xudn Hung vd cpngsu (1999). "Nhan xit

dieu tri ung thu true trang tai B$nh vi&n Vi§t DUc trong 8

nim (1989-1996)". Tap chi thdng tin y dUdc - Sd ddc

biet chuyen de ung thu, trang 79-82.

2. Ha Vdn Quyet vd cdng sU (2005). "Nghien cifu

chan doin vi diiu tri phiu thuat tic rudt do ung thu dai

tring". Ngoai khoa sd 3/2005, trang 28-36.

3. Nguyin Quang Thdi, Doan HUu Nghj (1999).

"Chin doin vi dieu trj phiu thuat ung thu dai trang qua

324 benh nhan tai benh vien K (1992-1998)". Tap chi

thdng tin y dUdc - Sd ddc biet chuyen de ung thU, trang

70-76.

4. Anand Govindarajan et al (2006). "Population￾Based Assessment of the Surgical Management of

Locally Advanced Colorectal Cancer". Journal of the

National Cancer Institute 98:1474-1481.

5. Bruce G. Wolff et al (2007). The ASCRS

Textbook of Colon and Rectal Surgery, p. 335-481. ,

6. David E. Beck (2002). "Surgical Management of

Colon and Rectal Cancer". The Oehsner Journal

4;p.156-162.

7. Kiyotaka Okuno (2007). "Surgical Treatment for

Digestive Cancer". Digestive Surgery;24:108-114.

8. Leonard B. Saltz (2002). "Surgery of colorectal

cancer". Colorectal Cancer Multimodality Management,

p. 247-456.

9. Michael J. O'Connell (2004). "Current Status of

Adjuvant Therapy for Colorectal Cancer". Oncology

18(6): p. 1201-1208.

XAY DUNG BO CHI SO DANH GIA GANH NANG KINH TE CUA UNG THlT TAI VIET NAM

NGUYI N QUYN H ANH, BUI NGOC LINH,

TRl/ONG OAN G KHOA , DLfONG VIET TUAN,

NGUYI N TH ! TRANG NHUNG, NGUYI N THANH HUONG

Trudng Dai hoc Y teCong cong

TOM TAT

0 Viet Nam, ung thw dang cd xu hw&ng tang len va

da so cac trwong hop mac dwoc phat hi$n khi da mudn

. din din ganh nang benh tat va kinh ti lan cho ngwai

benh, he thong cham sdc sire khde va toan xa hgi. Do

lwang ganh nang benh tat (bao gim ganh nang djeh te

va kinh ti) ciia ung thw la mgt trong nhOng diiu kien Co

ban de xay dgng chwang trinh phdng chong ung thw cd

hieu qua. Nghien ciru "Xay dung ch! so va chuan bi cho

viec khao sat, danh gia ginh nang cua ung thw doi vdi

CQng ding", dwgc thgc hien nhim dap irng yeu cau dd.

Bai viet nay nham giai thieu mgt phan kit qua cua

nghien ciru ndi tren, vai 2 ngi dung chinh (1) xaypwng

bd chi so danh gia ganh nang kinh ti ciia ung thw va (2)

ban luan mgt so diim can Iwu y khi tiin hanh woe tinh

ganh nang kinh ti ciia ung thw trong bii canh Viet Nam.

Tong quan tai lieu va nghien ciru djnh tinh dwoc sir dung

di xay dung bq chi so. Nghien ciru da dwa ra 13 chi so

danh gia ganh nang vi mat kinh te cua ung thw dwac

phan thanh 3 nhdm: (1) Chi phi true tiip, (2) Chi phi gian

tiip va (3) Chi phi vd hinh.

Kit qua nay bwdc md diu gdp phan tim kiim cac

giai phap phii hgp va hieu qua di han chi ganh nang

ciia ung thw. Trong qui trinh xay dung, nhdm nghien

ciru da can nhic toi da din cac yep to vi van hoa va

chon Igc cac chi so cd tinh kha thi, cd do tin cay trong

viec thu thap so lieu. Tuy nhien, viecirng dung bq chi so

vao diiu kien thwc ti ciia Viet Nam se ddi hdi sw kheo

leo va linh dgng di cac chi so nay cd the phan anh tot

nhiiu khia canh cua ganh nang ung thw.

Tir khoa: chi si dinh gia, ganh nang benh tat, ganh

ning kinh ti, ung thw

SUMMARY

Cancer incidence has increased in Vietnam and that

most of the cases are detected in the late stages results

in high disease burden and'economics burden for not

only the patients but also the health system and society.

The estimation of burden of cancer including

epidemiology burden and economic burden, is one of the

fundamental conditions to develop an effective cancer

prevention program. The study on "The development of

indicators and preparation for estimation of burden of

cancers for community" was conducted to meet that

demand.

This article introduces some results of this study

including 2 main parts: (1) indicators for estimation of

economics burden of cancer and (2) discussion on some

issues when estimating economics burden of cancer in

the context of Vietnam. Systematic review and

qualitative method were used to develop the indicators.

34 Y HOC THl/C HANH (727) - SO 7/2010