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Table1. Liver cancer patient characteristics during the period 1996-2007

Characteristic

TCM Nonusers TCM Users Adjusteda

OR 95% CI

Total % Total %

Patient no. 5118 1240

Age 59.65±12.30 57.95±11.46

<50 (reference) 1315 25.69 343 27.66 1.00

50s 1283 25.07 383 30.89 1.15 0.97-1.37

60s 1274 24.89 275 22.18 0.84 0.69-1.02

>=70s 1246 24.35 239 19.27 0.79 0.64-0.97

Gender

Female (reference) 1957 38.24 631 50.89 1.00

Male 3161 61.76 609 49.11 0.60 0.52-0.68

Insured amount (NT$/month)

<20,000 (reference) 3491 68.21 815 65.73 1.00

20,000-39,999 964 18.84 245 19.76 0.92 0.77-1.11

40,000-59,999 459 8.97 121 9.76 1.01 0.78-1.30

>=60,000 204 3.99 59 4.76 1.21 0.87-1.70

Urban Level

1 (reference) 1456 29.19 348 28.74 1.00

2 1461 29.29 358 29.56 0.91 0.75-1.10

3 708 14.19 187 15.44 0.91 0.71-1.15

4 817 16.38 201 16.6 0.85 0.66-1.08

>=5 546 10.95 117 9.67 0.80 0.58-1.08

Residential Area

Northern (reference) 667 13.03 149 12.02 1.00

Taipei 1923 37.57 383 30.89 0.75 0.58-0.96

Central 709 13.85 306 24.68 1.99 1.56-2.54

Southern 931 18.19 215 17.34 1.12 0.86-1.44

Eastern 89 1.74 28 2.26 1.40 0.83-2.36

Kao-Ping 783 15.3 153 12.34 0.91 0.69-1.18

Insured unit

Government, school

employees (reference) 530 10.93 158 13.4 1.00

Private enterprise

employees 1390 28.68 361 30.62 0.92 0.73-1.15

Member of occupational 960 19.81 271 22.99 0.99 0.77-1.27

Farmers, fishermen 1215 25.07 246 20.87 0.71 0.54-0.94

Low-income households

Veterans, other regional 752 15.51 143 12.13 0.80 0.60-1.07

TCM: traditional Chinese Medicine; OR: odds ratio; CI: confidence interval.

a: Adjusted ORs were from the model considering age, gender, insured amount, residential area, and insured unit.

Table 2. Liver cancer outpatient service providers during the period 1996-2007 Outpatient visits specifically for liver

cancer Characteristic

Biomedicine   TCM users P value for

Visits Percentage (95%CI) Visits Percentage (95%CI) 2

Type of providers <0.001

Public hospitals 75716 11.91 (11.83-11.99) 20455 8.98 (8.86-9.1)

Public Chinese medicine hospitals 34 0.01 (0.01-0.01) 636 0.28 (0.26-0.30)

Private hospitals 250469 39.40 (39.28-39.52) 70631 30.99 (30.80-31.18)

Private Chinese medicine hospitals 326 0.05 (0.04-0.06) 2754 1.21 (1.17-1.25)

Public clinics 20175 3.17 (3.13-3.21) 4253 1.87 (1.81-1.93)

Private clinics 252442 39.71 (39.59-39.83) 120067 52.69 (52.49-52.89)

Unknown 36543 5.75 (5.69-5.81) 9098 3.99 (3.91-4.07)

Total 635705 100 227894 100

TCM: traditional Chinese medicine; CI: confidence interval.

Table 3. Top 5 disease codes among liver cancer patients during the years 1996-2007 for all outpatient visits and outpatient visits specifically for liver cancer

Western Medicine Traditional Chinese Medicine

Ranking Disease (Code) No. Percentage

(95%CI) Disease (Code) No. Percentage (95%CI) Outpatient visits specifically for liver cancer

Total=1,181,130 Total=384,074

1 Chronic liver disease

and cirrhosis (571) 84,263

infections (465) 12,231 3.18 (3.12-3.24)

hypertension (401) 11,604 3.02 (2.97-3.07)

Ranking Disease (Code) No. Percentage

(95%CI) Disease (Code) No. Percentage (95%CI)

infections (465) 1,757,625 6.00 (5.99-6.01)

conjunctica (372) 1,642,787 1.89 (1.89-1.89)

Diabetes Mellitus

(250) 635,054 2.17

(2.16-2.18)

CI: confidence interval.

Table 4. Expenditures for outpatient services for liver cancer patients (NT$) during the period 1996-2007

Biomedicine (N=53999777) TCM (N=20253460) Biomedicine/

TCM Ratio

(95%CI) t value Total Average Medical expenses for all outpatient visits

Fees for consultation,

(429.71-429.75) 6,115,161,733.80 40.02 (40.02-40.02)

301.93

(301.90-301.96) 226.64* 3.79 1.42

Diagnosis fee 11,725,511,57822.13 (22.13-22.13)

Drug fee 18,043,485,48734.06

(34.06-34.06)

Total amount 52,974,321,235 100 981.01

(980.98-981.04) 15,278,805,154.80 100 754.38

(754.35-754.41) 365.10* 3.47 1.30

Biomedicine (N=635705) TCM (N=227894) Biomedicine/

TCM Ratio

(95%CI) t value Total Average Medical expenses for outpatient visits specifically for liver cancer

Fees for consultation,

Diagnosis fee 137,611,256 14.85 (14.85-14.85)

Drug fee 318,652,124 34.40

(34.40-34.40)

Total amount 926,416,372 100 1457.31

(1457.02-1457.60) 246,297,659 100 1080.76

(1080.33-1081.19) 40.99* 3.76 1.35

TCM: traditional Chinese medicine; *:p<0.001; CI: confidence interval.

Legend to Figure:

Figure 1 Proportion of traditional Chinese medicine use by liver cancer patients during the years 1996-2007

Legend to Additional file

Additional file 1 – Table1. Liver cancer patient Biomedicine and TCM services during the period 1996-2007

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