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Resource use and costs associated with different states of breast cancer

Published online by Cambridge University Press:  01 April 2007

Mathias Lidgren ,
Nils Wilking ,
Bengt Jönsson  and
Clas Rehnberg
Mathias Lidgren
Affiliation:
Karolinska Institutet
Nils Wilking
Affiliation:
Karolinska Institutet
Bengt Jönsson
Affiliation:
Stockholm School of Economics
Clas Rehnberg
Affiliation:
Karolinska Institutet
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Abstract

Objectives: This study investigated the direct medical resource use and cost, informal care cost, and indirect cost associated with breast cancer in different states of the disease in normal clinical practice.

Methods: A retrospective database analysis was used to estimate direct medical resource use and cost, and a patient questionnaire was used to evaluate informal care and work capacity in different states of breast cancer.

Results: For patients younger than 65 years of age, the first year after a primary diagnosis total cost amounted to 280,000 SEK ($39,000) and the first year after a local or contralateral recurrence total cost was 351,000 SEK ($48,900). The second and following years after primary breast cancer or recurrence had substantially lower total cost, amounting to 94,000 SEK ($13,000). For patients with metastatic disease, the annual total cost was estimated to 334,000 SEK ($46,500). For patients older than 65 years of age, the total cost for the first year after a primary diagnosis amounted to 80,000 SEK ($11,200) and the total cost for the first year after a local or contralateral recurrence was 92,000 SEK ($12,900). The total cost for the second and following years after primary breast cancer or recurrence was estimated to 18,000 SEK ($2,600), and the total annual cost for patients with metastatic was 122,000 SEK ($17,000).

Conclusions: Both direct medical costs and indirect cost vary substantially between disease states. For patients under 65 year of age, indirect costs accounted for more than 50 percent of the total cost.

Keywords

Resources useDirect costIndirect costInformal care costBreast cancer
Type
GENERAL ESSAYS
Information
International Journal of Technology Assessment in Health Care , Volume 23 , Issue 2 , April 2007 , pp. 223 - 231
Copyright
Copyright © Cambridge University Press 2007

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