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Estimating surgery, radiotherapy and systemic anti-cancer therapy treatment costs for cancer patients by stage at diagnosis

Author

Listed:
  • Lorna Wills

    (Cancer Research UK
    National Cancer Registration and Analysis Service)

  • Diana Nagarwalla

    (Cancer Research UK
    National Cancer Registration and Analysis Service)

  • Clare Pearson

    (Cancer Research UK
    National Cancer Registration and Analysis Service)

  • Sean McPhail

    (National Cancer Registration and Analysis Service)

  • Rose Hinchliffe

    (Cancer Research UK)

  • Ben Sharpless

    (Cancer Research UK
    National Cancer Registration and Analysis Service)

  • Fahmina Fardus-Reid

    (Cancer Research UK
    National Cancer Registration and Analysis Service)

  • Lyndsy Ambler

    (Cancer Research UK)

  • Samantha Harrison

    (Cancer Research UK)

  • Jon Shelton

    (Cancer Research UK)

Abstract

Background The increasing burden of cancer has economic implications for the healthcare system in England. However, there is limited evidence on the cost of cancer treatment. We calculated the costs of initial cancer treatment (resection, radiotherapy, systemic anti-cancer therapy [SACT]) based on stage at diagnosis. Methods Data from England’s National Cancer Registration Dataset were matched to English Hospital, Radiotherapy and SACT data for breast, lung, prostate, colon and rectal cancers diagnosed between 2016 and 2018. Treatment data were matched to National Schedule of Reference Costs data to calculate the cost of each treatment event. Results Breast, colon and rectal cancers treated with resection, radiotherapy or SACT had increasing costs with later stage at diagnosis; costs for lung and prostate cancers were lower at stages 1 and 4 compared to stages 2 and 3. In general, surgery and SACT were the most expensive treatments. Radiotherapy and SACT costs showed little change across stages 1–3; radiotherapy costs decreased in stage 4, while SACT costs increased. Conclusions This analysis estimates initial treatment costs by stage based on observed data. Future research can build on this to provide more comprehensive costings associated with cancer; this is important for future planning of cancer services.

Suggested Citation

  • Lorna Wills & Diana Nagarwalla & Clare Pearson & Sean McPhail & Rose Hinchliffe & Ben Sharpless & Fahmina Fardus-Reid & Lyndsy Ambler & Samantha Harrison & Jon Shelton, 2024. "Estimating surgery, radiotherapy and systemic anti-cancer therapy treatment costs for cancer patients by stage at diagnosis," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(5), pages 763-774, July.
  • Handle: RePEc:spr:eujhec:v:25:y:2024:i:5:d:10.1007_s10198-023-01623-5
    DOI: 10.1007/s10198-023-01623-5
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    References listed on IDEAS

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    1. Li Sun & Rosa Legood & Isabel dos-Santos-Silva & Shivani Mathur Gaiha & Zia Sadique, 2018. "Global treatment costs of breast cancer by stage: A systematic review," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-14, November.
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    More about this item

    Keywords

    Cancer; Treatment; Costs; Stage at diagnosis;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health

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