Costs of cervical cancer and precancerous lesions treatment in a publicly financed health care system

No Thumbnail Available
File version
Author(s)
Tang, Chao-Hsiun
Pwu, Raoh-Fang
Tsai, I-Ching
Wang, Han-I
You, San-Lin
Chen, Chi-An
Scuffham, Paul A
Hsieh, Chang-Yao
Chou, Cheng-Yang
Lin, Sheue-Rong
Chen, Yao-Der
Chen, Chien-Jen
Griffith University Author(s)
Primary Supervisor
Other Supervisors
Editor(s)
Dr. Klaus Diedrich, Hans Ludwig
Date
2010
Size
File type(s)
Location
License
Abstract

Purpose Although cervical cancer is the most frequent cancer for women in Taiwan, no examination of its treatment costs has yet been undertaken. This study aimed to investigate the costs of cervical cancer and precancerous lesion treatment in Taiwan. Methods A total of 7,398 cases of cervical intraepithelial neoplasia (CIN) lesions were identified from the Taiwan Cervical Cancer Screening Registration System in 2003. A further 1,469 cases of invasive cervical cancer (ICC) were also identified from a survey on cervical cancer staging information conducted by the Taiwan Cancer Registration Task Force. Resource usage covering the first 6 months after CIN diagnosis and the 5 years after ICC diagnosis were extracted from the National Health Insurance claims database. The duration of each visit and the transportation costs were collected by means of personal interviews with CIN/ICC patients. The mean and standard deviation of the treatment and indirect costs were estimated. Results The average total costs for CIN patients were NT4,201 for CIN1, NT4,201forCIN1,NT 8,623 for CIN2 and NT$14,406 for CIN3, with the indirect costs accounting for 25-33% of the total. The total costs for ICC patients were NT$14,406forCIN3,withtheindirectcostsaccountingfor25-33 210,230 for Stage 1, NT392,387 for Stage 2, NT392,387forStage2,NT 433,969 for Stage 3 and NT$464,701 for Stage 4, with the indirect costs accounting for about 14-17% of the total. Conclusions CIN and ICC treatment resulted in considerable costs to the healthcare system in Taiwan. Indirect costs associated with such treatment were also substantial and cannot be ignored.

Journal Title
Archives of Gynecology and Obstetrics
Conference Title
Book Title
Edition
Volume
281
Issue
4
Thesis Type
Degree Program
School
Publisher link
Patent number
Funder(s)
Grant identifier(s)
Rights Statement
Rights Statement
Item Access Status
Note
Access the data
Related item(s)
Subject
Public Health and Health Services not elsewhere classified
Paediatrics and Reproductive Medicine
Persistent link to this record
Citation
Collections