J Korean Med Sci.  2004 Oct;19(5):677-681. 10.3346/jkms.2004.19.5.677.

Comparison of Hospital Charge Prediction Models for Colorectal Cancer Patients: Neural Network vs. Decision Tree Models

Affiliations
  • 1Graduate School of Business, Korea University, Seoul, Korea.
  • 2Medical Cell, Samsung SDS, Gyeonggido, Korea.
  • 3Medical College, Kyung Hee University Seoul, Korea. kangjino@khmc.or.kr

Abstract

Analysis and prediction of the care charges related to colorectal cancer in Korea are important for the allocation of medical resources and the establishment of medical policies because the incidence and the hospital charges for colorectal cancer are rapidly increasing. But the previous studies based on statistical analysis to predictthe hospital charges for patients did not show satisfactory results. Recently, data mining emerges as a new technique to extract knowledge from the huge and diverse medical data. Thus, we built models using data mining techniques to predict hospital charge for the patients. A total of 1,022 admission records with 154 variables of 492 patients were used to build prediction models who had been treated from 1999 to 2002 in the Kyung Hee University Hospital. We built an artificial neural network (ANN) model and a classification and regression tree (CART) model, and compared their prediction accuracy. Linear correlation coefficients were high in both models and the mean absolute errors were similar. But ANN models showed a better linear correlation than CART model (0.813 vs. 0.713 for the hospital charge paid by insurance and 0.746 vs. 0.720 for the hospital charge paid by patients). We suggest that ANN model has a better performance to predict charges of colorectal cancer patients.

Keyword

Hospital Charges; Neural Networks (Computer); Decision Trees; Data Mining; Colorectal Neoplasms

MeSH Terms

Algorithms
Colorectal Neoplasms/*economics/epidemiology
Comparative Study
*Decision Trees
*Hospital Charges
Humans
Incidence
Korea/epidemiology
*Models, Econometric
*Neural Networks (Computer)
Predictive Value of Tests

Cited by  1 articles

Prediction of Hospital Charges for the Cancer Patients with Data Mining Techniques
Jin Oh Kang, Suk-Hoon Chung, Yong-Moo Suh
J Korean Soc Med Inform. 2009;15(1):13-23.    doi: 10.4258/jksmi.2009.15.1.13.


Reference

1. Korea National Cancer Center. National Cancer Statistics. 2001. Seoul: The Institute.
2. Yoon SJ, Lee H, Shin Y, Kim YI, Kim CY, Chang H. Estimation of the burden of major cancers in Korea. J Korean Med Sci. 2002. 17:604–610.
Article
3. Brooks SE, Ahn J, Mullins CD, Baquet CR, D'Andrea A. Health care cost and utilization project analysis of comorbid illness and complications for patients undergoing hysterectomy for endometrial carcinoma. Cancer. 2001. 92:950–958.
Article
4. Penberthy L, Retchin SM, McDonald MK, McClish DK, Desch CE, Riley GF, Smith TJ, Hillner BE, Newschaffer CJ. Predictors of medicare costs in elderly beneficiaries with breast, colorectal, lung, or prostate cancer. Health Care Manag Sci. 1999. 2:149–160.
5. Tollestrup K, Frost FJ, Stidley CA, Bedrick E, McMillan G, Kunde T, Petersen HV. The excess costs of breast cancer health care in Hispanic and non-Hispanic female members of a managed care organization. Breast Cancer Res Treat. 2001. 66:25–31.
Article
6. Dayhoff JE, DeLeo JM. Artificial neural networks: opening the black box. Cancer. 2001. 91:Suppl 8. 1615–1635.
7. Demsar J, Zupan B, Aoki N, Wall MJ, Granchi TH, Robert Beck J. Feature mining and predictive model construction from severe trauma patient's data. Int J Med Inform. 2001. 63:41–50.
8. Roche K, Paul N, Smuck B, Whitehead M, Zee B, Pater J, Hiatt MA, Walker H. Factors affecting workload of cancer clinical trials: results of a multicenter study of the National Cancer Institute of Canada Clinical Trials Group. J Clin Oncol. 2002. 20:545–556.
Article
9. Goldman DP, Schoenbaum ML, Potosky AL, Weeks JC, Berry SH, Escarce JJ, Weidmer BA, Kilgore ML, Wagle N, Adams JL, Figlin RA, Lewis JH, Cohen J, Kaplan R, McCabe M. Measuring the incremental cost of clinical cancer research. J Clin Oncol. 2001. 19:105–110.
10. Fireman BH, Fehrenbacher L, Gruskin EP, Ray GT. Cost of care for patients in cancer clinical trials. J Natl Cancer Inst. 2000. 92:136–142.
Article
11. Ismael MB, Eisenstein EL, Hammond WE. A comparison of neural network models for the prediction of the cost of care for acute coronary syndrome patients. Proc AMIA Symp. 1998. 533–537.
12. Marshall AH, McClean SI, Shapcott CM, Millard PH. Modelling patient duration of stay to facilitate resource management of geriatric hospitals. Health Care Manag Sci. 2002. 5:313–319.
13. Walczak S, Scharf JE. Transfusion cost containment for abdominal surgery with neural networks. Neural Processing Letters. 2000. 11:229–238.
14. Burke HB, Goodman PH, Rosen DB, Henson DE, Weinstein JN, Harrell FE Jr, Marks JR, Winchester DP, Bostwick DG. Artificial neural networks improve the accuracy of cancer survival prediction. Cancer. 1997. 79:857–862.
Article
15. Sargent DJ. Comparison of artificial neural networks with other statistical approaches: results from medical data sets. Cancer. 2001. 91:Suppl 8. 1636–1642.
16. Michie D, Spiegelhalter DJ, Taylor CC. Machine learning, neural and statistical classification. 1994. New York: Ellis Horwood.
17. Rodvold DM, McLeod DG, Brandt JM, Snow PB, Murphy GP. Introduction to artificial neural networks for physicians: taking the lid off the black box. Prostate. 2001. 46:39–44.
Article
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