A retrospective survey of patients with malignant gliomas treated in the neuro-oncological care system under the Universal National Health Insurance program in Taiwan

作者：Huang Yin Cheng; Wei Kuo Chen; Chang Chin Hong; Yang Jen Tsung; Ho Jih Tsun; Shen Chiung Chyi; Su Chain Fa; Cho Der Yang; Ma Hsin I; Lin Jia Wei; Lee E Jian; Wu Jionn Jong; Tsai Ming Dar; Chang Cheng Kuei; Howng Shen Long; Chang Chen Nen

来源：Journal of Clinical Neuroscience, 2011, 18(6): 784-788.

DOI：10.1016/j.jocn.2010.10.016

• Chemotherapy
• Malignant glioma
• Radiation therapy
• Surgery
• Universal health insurance

In 1995 a government-supported Universal National Health care system was implemented in Taiwan, which in 2008 was available to 98% of the population. This system offers affordable, rapid medical attention. A multi-center retrospective study was conducted to assess the prognosis of malignant glioma patients under this system. In 2005 and 2006, patients at 14 independent neuro-oncology centers with newly diagnosed malignant glioma were enrolled. The patient profile, pathology, treatment modalities, and prognosis were collected by questionnaire at each center. The Taiwan Neuro-Oncology Society was responsible for the data analysis. The overall median survival period, 1-year survival rate, and 2-year survival rate for patients with World Health Organization grade III glioma were 33.8 months, 81.4%, and 58.2%, respectively, and 15 months, 57.3%, and 33.9% in patients with grade IV glioma. The median survival period, 1-year survival rate, and 2-year-survival rate in patients receiving temozolomide adjuvant therapy was 36 months, 84.2%, and 61.8%, respectively, for patients with grade III glioma and 19.8 months, 73.1%, and 43.7%, for patients with grade IV glioma. The universal health care system in Taiwan offers a comparable prognosis with an affordable premium relative to other large series in developed countries.

• 出版日期2011-6
• 单位长春大学; 中国医科大学