PMID- 19775365
OWN - NLM
STAT- MEDLINE
DCOM- 20100310
LR  - 20090924
IS  - 1365-2133 (Electronic)
IS  - 0007-0963 (Linking)
VI  - 161 Suppl 3
DP  - 2009 Nov
TI  - Inpatient management of patients with skin cancer in Germany: an analysis of the 
      nationwide DRG-statistic 2005-2006.
PG  - 99-106
LID - 10.1111/j.1365-2133.2009.09457.x [doi]
AB  - BACKGROUND: In 2004, Germany introduced a nationwide DRG (Diagnosis Related 
      Groups) based recompensation system for hospitals. The aim of this study was to 
      provide nationwide quantitative information about the in-hospital management of 
      skin cancer patients in Germany based on the DRG statistic of the years 2005 
      through 2006. METHODS: We analysed the DRG statistic of the years 2005 and 2006. 
      For each hospitalisation, diagnoses and procedures codes were analysed. The unit 
      of analysis was the hospital admission with a diagnosis of skin melanoma (MEL) or 
      nonmelanoma skin cancer (NMSC) including 151.144 hospitalisations. RESULTS: In 
      60% and 28% of all MEL- and NMSC-related hospitalisations respectively, skin 
      cancers were surgically excised. Local therapies other than surgical excision 
      were more prevalent among hospitalisations for NMSC than for MEL (9% vs. 4%). 22% 
      and 1% of all MEL-related and NMSC-related hospitalisations respectively included 
      a systemic chemotherapy. Plastic surgery was more common among NMSC-related 
      hospitalisations (56%) than among MEL-related hospitalisations (30%). Native CT 
      or MRI scans were coded in 11% and 2% of all MEL- and NMSC-related 
      hospitalisations respectively. Age-standardized hospitalisation rates for MEL and 
      NMSC varied considerably across the 16 Federal States of Germany. However, these 
      rates were neither associated with the number of dermatology hospital beds or 
      number of registered dermatologists. DISCUSSION: We provide for the first time 
      nationwide quantitative data on the in-hospital management of skin cancer 
      patients. The observed differences in the management of MEL and NMSC most likely 
      reflect differences of the biology, epidemiology and therapeutic modalities of 
      these cancers.
FAU - Stang, A
AU  - Stang A
AD  - Institut fur Klinische Epidemiologie, Medizinische Fakultat, 
      Martin-Luther-Universitat Halle-Wittenberg, 06097 Halle, Germany. 
      andreas.stang@medizin.uni-halle.de
FAU - Stausberg, J
AU  - Stausberg J
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PL  - England
TA  - Br J Dermatol
JT  - The British journal of dermatology
JID - 0004041
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Age Distribution
MH  - Aged
MH  - Aged, 80 and over
MH  - Child
MH  - Child, Preschool
MH  - Diagnosis-Related Groups/economics/*statistics & numerical data
MH  - Female
MH  - Germany/epidemiology
MH  - Health Care Surveys
MH  - Hospitalization/economics/*statistics & numerical data
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - Melanoma/economics/epidemiology/therapy
MH  - Middle Aged
MH  - Prevalence
MH  - Skin Neoplasms/economics/*epidemiology/therapy
MH  - Young Adult
EDAT- 2009/09/25 06:00
MHDA- 2010/03/11 06:00
CRDT- 2009/09/25 06:00
PHST- 2009/09/25 06:00 [entrez]
PHST- 2009/09/25 06:00 [pubmed]
PHST- 2010/03/11 06:00 [medline]
AID - BJD9457 [pii]
AID - 10.1111/j.1365-2133.2009.09457.x [doi]
PST - ppublish
SO  - Br J Dermatol. 2009 Nov;161 Suppl 3:99-106. doi: 
      10.1111/j.1365-2133.2009.09457.x.