So naturally if no opinion whatever money a person has, if he had cancer then the money is not worth more, especially if the cancer is found at an advanced stage.
"Unfortunately, most cases of cancer were found in Indonesia are at an advanced stage, three and four, thus requiring a very large cost for maintenance," said Prof Dr Iwan Dwi Prahasto, MMedSc, PhD, professor of Faculty of Medicine, University of Gadjah Mada in discussion forums cancer management and financing in Indonesia, in Jakarta, Wednesday (11 / 5).
In fact, if the cancer is found at an early stage and not yet showing symptoms, treatment will not require big costs that drain the family's income.
Given the high cost of cancer treatment, physicians should consider farmako-economic factors in choosing a drug for cancer patients.
"Farmako-economic development compared the costs and outcomes (results) of a drug, therapy or medical intervention. What is the cost of a therapy that must be commensurate with the outcomes of patients that would be obtained, "said Professor Iwan.
Doctors also must consider which patients will get the greatest benefit from the drug is consumed. "Because of its cancer drugs is not one fits all. One drug is not necessarily suitable for everyone. It is to know, "he said.
Prof. Iwan revealed there are three things that should be considered as an outcome of cancer pengbatan, namely clinical outcomes, economic outcomes and humanistic outcomes.
Clinical outcomes include effectiveness, safety and side effects of drugs. "Clinically, such as whether a given drug is the relief of pain, slow disease progression and so on," said Professor Iwan.
As for the economic outcomes of cost allocation should be done more efficiently.
"Do not waste money on useless or redundant for an outcome that is not worth it, because the cost is not price, but must consider all the costs incurred is not only limited to medication. Do not buy a more expensive drug, but the results are not better," he said.
For the humanistic outcomes, physicians should consider whether the quality of life of cancer patients improved with treatment.
For that to think what someone is obtained from such treatment, in choosing a drug to be seen 3 things that benefit, security (try to find a drug with little side effects) and the value of such treatment.
Prof. Iwan pointed out, for example, there are two different therapies, then compare the costs and outcomes of both therapies. By comparing between these two things, then one can know what the results will be gotten with these costs.
"Treatment is cheap is not always an option if the clinical results obtained far from the expected, while the high cost of therapy is also not an option if only prolong the suffering of patients. Because cancer drug not only extend life, but should improve the quality of life of patients," he said.
Meanwhile needed by cancer patients is not only limited to medical treatment alone, but support from family, friends and the people around him. This is because once a person convicted has cancer, then that pain is not only the patient but the whole family and people around him too sick. And whatever will be someone to be healed.
This is justified by dr Asrul Harsal, SpPD-KHOM, cancer specialist from the SSR Dharmais.
"Factors of support from family is very big influence, because the treatment received by cancer patients can affect their lives so that he needs help from people around him," he said.
Cancer is a chronic disease that can affect patient and family psychological factors like depression, nervous looking to the future.
Talk about cancer, in the same ksempatan dr Asrul said among the various types of cancer, lung cancer is a type that has the highest mortality rates.
"Lung cancer is the worst prognosis and is closely associated with death than breast cancer, colon prostate as well," he said.
World data show lung cancer reached 1.3 million per year, in which 1.2 million end in death.
Why the highest lung cancer death rate? This is partly due to lung cancer patients come to hospital are generally already in an advanced stage.
"Most people with lung cancer are smokers who thought cough are common. Though cough is actually a common symptom of lung cancer, but often overlooked, "said dr Asrul.
According to Dr. Asrul, the incidence of lung cancer that occurs in cancer hospitals Dharmais about 2 percent had stage 3A, 46 percent had stage 3B and 52 percent had stage 4.
Unfortunately, those affected by lung cancer are those in productive age.
It is estimated that every 30 seconds one person died of lung cancer in the world, this is equivalent to 3,000 people every day worldwide.
Despite bad prognosis, but lung cancer can be cured if detected early. For that not to ignore any complaints that arise in the body, although such complaints are small or mild.
Monday, May 16, 2011
Cancer Drugs Not Necessarily Suitable for Fellow Patients
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