Patterns of care and cost profiles of women with breast cancer in Italy: EPICOST study based on real world data.
Administrative data
Breast cancer
Cost analysis
Health care utilization
Real world data
Journal
The European journal of health economics : HEPAC : health economics in prevention and care
ISSN: 1618-7601
Titre abrégé: Eur J Health Econ
Pays: Germany
ID NLM: 101134867
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
13
09
2019
accepted:
15
04
2020
pubmed:
14
5
2020
medline:
16
6
2021
entrez:
14
5
2020
Statut:
ppublish
Résumé
To estimate total direct health care costs associated to diagnosis and treatment of women with breast cancer in Italy, and to investigate their distribution by service type according to the disease pathway and patient characteristics. Data on patients provided by population-based Cancer Registries are linked at individual level with data on health-care services and corresponding claims from administrative databases. A combination of cross-sectional approach and a threephase of care decomposition model with initial, continuing and final phases-of-care defined according to time occurred since diagnosis and disease outcome is adopted. Direct estimation of cancer-related costs is obtained. Study cohort included 49,272 patients, 15.2% were in the initial phase absorbing 42% of resources, 79.7% in the continuing phase absorbing 44% of resources and 5.1% in the final phase absorbing 14% of resources. Hospitalization was the most important cost driver, accounting for over 55% of the total costs. This paper represents the first attempt in Italy to estimate the economic burden of cancer at population level taking into account the entire disease pathway and using multiple current health care databases. The evidence produced by the study can be used to better plan resources allocation. The model proposed is replicable to countries with individual health care information on services and claims.
Identifiants
pubmed: 32399781
doi: 10.1007/s10198-020-01190-z
pii: 10.1007/s10198-020-01190-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1003-1013Subventions
Organisme : Ministero della Salute
ID : 2014
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