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Pancreatic cancer: Total costs and utilization of health services
Author(s) -
Wilson Leslie S.,
Lightwood James M.
Publication year - 1999
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/(sici)1096-9098(199907)71:3<171::aid-jso7>3.0.co;2-8
Subject(s) - medicine , total cost , indirect costs , pancreatic cancer , variable cost , cancer , population , health economics , economic cost , cost estimate , demography , environmental health , public health , economics , nursing , accounting , neoclassical economics , management , sociology , microeconomics
Background and Objectives Pancreatic cancer ranks 11th in incidence, and fifth in cancer deaths, with 29,000 affected annually. Accurate estimates of the cost of pancreatic cancer are unavailable; existing estimates are variable or not generalizable. This paper presents detailed cost estimates for pancreatic cancer by service, age, and gender. Methods Direct and indirect societal costs are determined using a prevalence‐based, human capital approach. Results Total annual costs are $4.9 billion, (men: $3.0 billion, women: $1.9 billion). Total direct costs are $881 million, with 71% ($627.1 M/$881.3 M) for those over 65 years. Total hospital costs are 77% ($679.5 M/$881.3 M) of total direct costs. Total indirect costs are $4.0 billion, with 63% ($2,518.43 M/$4,018 M) for those 45 to 64 years. Mortality costs are $3.7 billion, 93% ($3,739 M/$4,018 M) of indirect costs. Conclusions This paper presents cost estimates that are precise and generalizable to the general population. The surgical cost burden may be less than indicated previously, with most hospitalizations not including a major procedure, and average operating room costs accounting for only 9% ($1,045/$11,055) of hospital costs. Women have significantly less cancer‐directed surgery than men. J. Surg. Oncol. 1999:71:171–181. © 1999 Wiley‐Liss, Inc.