Economic burden of malignant neoplasms in Shandong province [山东省恶性肿瘤经济负担分析]

Guo, Xiaolei, Sun, Jiandong, Ma, Jixiang, Zhang, Jiyu, Fu, Zhentao, Lu, Zilong, Li, Weika, & Xu, Aiqiang (2010) Economic burden of malignant neoplasms in Shandong province [山东省恶性肿瘤经济负担分析]. Chinese Journal of Public Health (中国公共卫生), 26(7), pp. 813-816.

View at publisher

Abstract

Objective:

To evaluate the economic burden of malignant neoplasms in Shandong province in order to provide scientific evidence for policy-making.

Methods:

The main sources for this study were the data from the third sampling survey of death cause in 2006 and cancer prevalence survey in 2007 in Shandong province. The direct medical cost was calculated based on the survey data. The indirect cost due to mortality and morbidity were estimated with human capital approach based on the data of disability-adjusted life years derived from the two surveys and gross domestic product (GDP) data. The total economic burden was the sum of direct medical cost and indirect cost. The uncertainty analysis was conducted according to the methodology in global burden of disease study.

Results:

The total cost of cancer in Shandong province in 2006 estimated was 18 057 million Yuan RMB (95% confidence interval:16 817 - 19 393 million), which accounted for 0. 83% of the total GDP. The direct medical cost,indirect mortality cost and indirect morbidity cost accounted for 17.28%, 78.53%, and 4.20% of total economic burden of malignant neoplasms, respectively. Liver,lung and stomach cancer were the top three tumors with heavier economic burden, with accounted for more than one half (57. 83%) of the total economic burden of all cancers. The uncertainty of total burden estimated was around ± 7%, which mainly derived from the uncertainty of indirect economic burden.

Conclusion:

The influence of cancers on social economy is dominated by the loss of productivity, especially by the productivity loss due to premature death. Liver, lung and stomach cancer are the major cancers for disease control and prevention in Shandong province.

Abstract in Chinese

目的

评价山东省恶性肿瘤经济负担,为卫生决策提供科学依据.

方法

以2006年山东省第3次死因回顾抽样凋查资料和2007年山东省恶性肿瘤现患状况抽样调查资料为基础,测算全省直接医疗成本;采用人力资本法测算死亡间接负担和伤残间接负担;参考全球疾病负担研究的方法对测算结果的不确定性进行分析.

结果

2006年山东省因恶性肿瘤导致的总经济负担为180.57亿元(95%CI=16 817~19 393),占全省GDP总量的0.83%,其中直接医疗成本占总负担的17.28%,死亡造成的间接经济负担占78.53%,伤残所致间接经济负担占4.20%;肝癌、肺癌和胃癌为山东省经济负担最重的3种恶性肿瘤,总经济负担合计占全部恶性肿瘤的57.83%;总经济负担估计结果的不确定性范围在±7%左右,主要取决于间接经济负担的不确定性.

结论

恶性肿瘤对社会经济的影响主要通过生产力的损失产生作用,并以死亡所致生产力损失为主;肝癌、肺癌和胃癌应是山东省恶性肿瘤预防控制的重点.

Impact and interest:

Citation counts are sourced monthly from Scopus and Web of Science® citation databases.

These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.

Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.

ID Code: 64667
Item Type: Journal Article
Refereed: Yes
Additional Information: Authors: 郭晓雷, 孙建东,马吉祥,张吉玉,付振涛,鹿子龙,,李维卡, 徐爱强
Keywords: malignant neoplasm, economic burden, direct economic burden, indirect economic burden
ISSN: 1001-0580
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Deposited On: 25 Nov 2013 01:40
Last Modified: 16 Dec 2013 05:12

Export: EndNote | Dublin Core | BibTeX

Repository Staff Only: item control page