Economic Burden of Gynecological Cancers in Iran.

cervical cancer economic burden endometrial cancer gynecological cancers ovarian cancer

Journal

Value in health regional issues
ISSN: 2212-1102
Titre abrégé: Value Health Reg Issues
Pays: United States
ID NLM: 101592642

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 14 07 2020
revised: 11 02 2021
accepted: 23 02 2021
pubmed: 19 11 2021
medline: 9 3 2022
entrez: 18 11 2021
Statut: ppublish

Résumé

Gynecological cancers (GCs) are an important cause of morbidity and mortality among women worldwide. The incidence of cancer is increasing in Iran, and according to statistics, it has become the most important cause of mortality. This study aimed to assess the economic burden of GCs, including cervical, ovarian, and endometrial cancers, in Iran in 2014. We used a prevalence-based cost of illness methodology to investigate the annual healthcare cost of GCs and to determine the productivity loss. The productivity loss was estimated, using the human capital approach. We obtained our data from a referral hospital for the year 2014; we also used expert opinion and occupational and statistical data. To estimate direct medical cost, we used bottom-up approach and we estimated the average cost of each procedure, multiplied by the number of patients receiving the procedure. The total cost of GCs in Iran was estimated at $51 million in 2014. The direct costs were $32 million, and indirect costs were $19 million of the total annual cost. The total cost of ovarian cancer was the highest among 3 cancers. Knowing that the cost of GCs has a significant impact on the burden of disease and imposes an economic burden on the country could force policy makers to allocate their resource in the prevention programs and new approach in patient's management. This could lead to diagnose more GCs in the early stages, reduce mortality, and increase the quality of life.

Sections du résumé

BACKGROUND BACKGROUND
Gynecological cancers (GCs) are an important cause of morbidity and mortality among women worldwide. The incidence of cancer is increasing in Iran, and according to statistics, it has become the most important cause of mortality. This study aimed to assess the economic burden of GCs, including cervical, ovarian, and endometrial cancers, in Iran in 2014.
METHODS METHODS
We used a prevalence-based cost of illness methodology to investigate the annual healthcare cost of GCs and to determine the productivity loss. The productivity loss was estimated, using the human capital approach. We obtained our data from a referral hospital for the year 2014; we also used expert opinion and occupational and statistical data. To estimate direct medical cost, we used bottom-up approach and we estimated the average cost of each procedure, multiplied by the number of patients receiving the procedure.
RESULTS RESULTS
The total cost of GCs in Iran was estimated at $51 million in 2014. The direct costs were $32 million, and indirect costs were $19 million of the total annual cost. The total cost of ovarian cancer was the highest among 3 cancers.
CONCLUSIONS CONCLUSIONS
Knowing that the cost of GCs has a significant impact on the burden of disease and imposes an economic burden on the country could force policy makers to allocate their resource in the prevention programs and new approach in patient's management. This could lead to diagnose more GCs in the early stages, reduce mortality, and increase the quality of life.

Identifiants

pubmed: 34794064
pii: S2212-1099(21)00069-8
doi: 10.1016/j.vhri.2021.02.005
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-6

Informations de copyright

Copyright © 2021 ISPOR--The professional society for health economics and outcomes research. Published by Elsevier Inc. All rights reserved.

Auteurs

Nasrin Sargazi (N)

Health Economics and Management Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Rajabali Daroudi (R)

Health Economics and Management Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Kazem Zendehdel (K)

Cancer Biology Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran; Cancer Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran; Breast Disease Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.

Farnaz Amouzegar Hashemi (FA)

Cancer Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.

Mamak Tahmasebi (M)

Cancer Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran.

Ali Darrudi (A)

Health Economics and Management Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Azin Nahvijou (A)

Cancer Research Center, Cancer Institute, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: aznahvi@yahoo.com.

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Classifications MeSH