c ancer c ost a nalysis in k erman ( iran ) a bottom up approach to cost of cancer mohamad reza...
TRANSCRIPT
CANCER COST ANALYSIS IN KERMAN(IRAN) A bottom up approach to cost of cancer
Mohamad Reza Farokhi1, Kourosh Holakouie Naieni1, Ali akbar Haghdoost2, Anahita Emami3
1Health, University Of Medical Sciences, Tehran, Iran2Health, University Of Medical Sciences, kerman, Iran3 Clinic,Kerman, Iran
Introduction & Goals
cance
r cost a
naly
sis in IR
AN
(Kerm
an)
2
Cancer is the cause of many direct and indirect costs.
No similar studies were made in the country.
Goal of this study was to determine the quality and quantity of cancer costs(2010-2011) in Kerman (south eastern province of IRAN)
cance
r cost a
naly
sis in IR
AN
(Kerm
an)
3
Method and Approach
cance
r cost a
naly
sis in IR
AN
(Kerm
an)
4
Bottom –up(from the patients' point of view)
Cross sectional study(prevalence base)
Groups ,types and costs of 233 patients' cancers
Eight groups:
1-Blood 5-Digestive System
2-Breast 6- Male Reproductive Organs
3- Lung 7- Brain and Peripheral Nerves
4- Prostate 8- Female Reproductive Organs
cance
r cost a
naly
sis in IR
AN
(Kerm
an)
5
Patient interviewed and registered in related form
Used Office Excel 2007 and PASW Statistics Version 18 for analysis
cance
r cost a
naly
sis in IR
AN
(Kerm
an)
6
Objectives&Conclusions
cance
r cost a
naly
sis in IR
AN
(Kerm
an)
7
CHARACTERISTICS OF PATIENTS
Cancer Type(%)Number of
patients(%)Number of
female
(%) Number of male
Age mean/ Year (standard
Deviation )
Blood (62.66)146 (28.76)67 (33.91)79 50(SD:7.07)
Breast (9.44)22 (9.44)22 (0)0 55 (SD:29.6)
Brain and Peripheral Nerves
(6.87)16 (2.15)5 (4.72)11 39(SD:4.9)
Female Reproductive Organs
(6)14 (6)14 (0)0 50(SD:12.7)
Digestive System
(5.58)13 (1.72)4 (3.86)9 62(SD:31.8)
Lung (3)7 (0)0 (3)7 67(SD:16.9)
Male Reproductive Organs
(2.15)5 (0)0 (2.15)5 40(SD:14.1)
Prostate (4.29)10 (0)0 (4.29)10 67(SD:4.9)
Total 233 112 121 53(SD:11)
cance
r cost a
naly
sis in IR
AN
(Kerm
an)
8
Average total cost :3320 $ (SD:710) per month
Out of pocket cost:1200 $ (SD:670) per month
Diagnosis and treatment cost:780$(SD:270) per month
cance
r cost a
naly
sis in IR
AN
(Kerm
an)
9
DIAGNOSIS-TREATMENT COSTS Cost
Cancer
Drugscost(mean)
$/month
Paracliniccost(mean)
$/month
Physicians' visits
cost(mean) $/month
Outpatient cost(mean)
$/month
Hospitalization cost(mean)
$/month
Total cost
$/month
Blood 299 51 17 367 639 100
Breast 411 48 17 477 1440 1916
Brain and Peripheral Nerves
749 46 16 811 252 1063
Female Reproductive Organs
246 45 14 305 262 567
Digestive System
235 52 16 303 331 634
Lung 869 74 15 958 699 1657
Male Reproductive Organs
321 100 15 437 144 581
Prostate 297 125 19 441 194 635
cance
r cost a
naly
sis in IR
AN
(Kerm
an)
10
cance
r cost a
naly
sis in IR
AN
(Kerm
an)
11
Hidden cost of cancer 2000$ per month(SD:730)
Breast cancer4300 $per month (SD: 3700) (most expensive)
Male reproductive organs 2160 $per month (SD: 1670) (cheapest cancer)
cance
r cost a
naly
sis in IR
AN
(Kerm
an)
12
NON MEDICAL COSTS
CostCancer
Specific Diets
cost(mean) $/month
Changes in Lifestyle
cost(mean) $/month
Waiting Periods
cost(mean) $/month
Traveling cost(mean)
$/month
Total cost(mean)
$/month
Blood 80 1173 357 84 1694
Breast 97 1508 267 82 1954
Brain and Peripheral Nerves
59 1777 285 73 2194
Female Reproductive Organs
94 1570 321 87 2072
Digestive System
63 1810 259 72 2204
Lung 64 1609 140 99 1912
Male Reproductive Organs
94 798 155 75 1122
Prostate 70 1247 510 634 2461
cance
r cost a
naly
sis in IR
AN
(Kerm
an)
13
IN THE PROVINCE OF KERMAN :
Breast, lung, blood and female reproductive organs cancers were high costs(expensive)
Brain and peripheral nerves, digestive system and prostate cancer were medium
Male reproductive organs cancer was low cost
cance
r cost a
naly
sis in IR
AN
(Kerm
an)
14
Results
cance
r cost a
naly
sis in IR
AN
(Kerm
an)
15
IN ALL OF THE GROUPS:
The total costs are considerably high for the patients' families
A major part of these costs are hidden
These costs need to be considered in health plans , health policies and management of disease
cance
r cost a
naly
sis in IR
AN
(Kerm
an)
16