与普通人群中的同龄人相比，监狱中的人的心理和身体健康状况较差。原因是多方面的，从生活方式因素到获得医疗保健的机会较差。人们对监狱中的癌症患者以及他们的护理费用与普通人群相比知之甚少。英国监狱中被诊断患有癌症的人的数据在国家癌症登记数据集中找到，并与医院发病统计数据 (HES) 相关联。 2012-2017 年。根据年龄、性别、诊断年份、癌症类型和疾病阶段，使用 1-5 的比例确定一般人群匹配的患者。诊断后长达六个月的门诊和住院 HES 数据使用 NHS 参考成本进行成本计算，并夸大到 2017/2018 年成本。HES 中确定了 879 例监狱癌症诊断和 4326 例普通人群癌症诊断。由于门诊就诊人数减少，监狱人员调整后的六个月癌症护理费用显着降低（-1216.95% 置信区间 (CI) -1638 至 -795）。然而，在监狱中确诊的人的紧急护理费用较高（497.95% CI 375-619）。安全护送进一步增加了护理总成本。在癌症诊断后，英国监狱中的人们的计划护理费用显着降低，但紧急护理费用更高，并且由于安全护送而导致的总体费用更高。需要开展进一步的工作来确定改善监狱中的癌症护理人员的癌症护理的方法，以确保其与普通人群所接受的护理相当。国家健康和社会护理研究所 16/52/53。© 2024 作者。

People in prison experience poorer mental and physical health compared to their peers in the general population. The causes are multi-dimensional ranging from lifestyle factors to poorer access to healthcare. Little is known about cancer in people in prison or how the cost of their care compares to the general population.Data on people diagnosed with cancer while in English prisons were identified in National Cancer Registration dataset and linked to Hospital Episode Statistics (HES) for the years 2012-2017. General population matched patients were identified using a 1-5 ratio, based on age, gender, year of diagnosis, cancer type and disease stage. Outpatient and inpatient HES data up to six-months from diagnosis were costed using NHS Reference costs and inflated to 2017/2018 costs.879 prison and 4326 general population cancer diagnoses were identified in HES. The adjusted six-month cost of cancer care was significantly lower for people in prison (-£1216.95% confidence interval (CI) -1638 to -795), driven by fewer outpatient attendances. However, people diagnosed in prison had higher emergency care costs (£497.95% CI 375-619). Security escorts further increased the total cost of care.Following a cancer diagnosis, people in English prisons have significantly lower planned care costs, but higher emergency care costs and an overall higher cost due to security escorts. Further work is required to identify ways of improving cancer care for people in prisons to ensure it is equivalent to that received by the general population.National Institute for Health and Social Care Research 16/52/53.© 2024 The Author(s).