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Significantly Increased Medical Expenditure on Breast Cancer Failing to Bring Down Its Mortality and Incidence Rate

Background: The direct impact of medical expenses on breast cancer incidence and mortality rate has not been sufficiently addressed. The purpose of this study is to investigate the potential correlation between the incidence and mortality rate of breast cancer and the medical expenses in Taiwan. Mat...

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Autores principales: Ho, Ming-Lin, Liaw, Yung-Po, Lai, Chien-Hsu, Chen, Yen-Yu, Tsai, Horng-Der, Chou, Ming-Chih, Hsiao, Yi-Hsuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ivyspring International Publisher 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3753527/
https://www.ncbi.nlm.nih.gov/pubmed/23983817
http://dx.doi.org/10.7150/jca.6211
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author Ho, Ming-Lin
Liaw, Yung-Po
Lai, Chien-Hsu
Chen, Yen-Yu
Tsai, Horng-Der
Chou, Ming-Chih
Hsiao, Yi-Hsuan
author_facet Ho, Ming-Lin
Liaw, Yung-Po
Lai, Chien-Hsu
Chen, Yen-Yu
Tsai, Horng-Der
Chou, Ming-Chih
Hsiao, Yi-Hsuan
author_sort Ho, Ming-Lin
collection PubMed
description Background: The direct impact of medical expenses on breast cancer incidence and mortality rate has not been sufficiently addressed. The purpose of this study is to investigate the potential correlation between the incidence and mortality rate of breast cancer and the medical expenses in Taiwan. Materials and Methods: Breast cancer cases were identified from the National Health Insurance Research Database (NHIRD) with corresponding to International Classification of Diseases, and the Ninth Revision (ICD-9) code 174, 1740-1749, 175, 1750 and 1759 from January 1999 to December 2006. Age-specific incidences were estimated by population data obtained from the Department of Statistics, Ministry of the Interior. Medical expenses, including outpatient and inpatient services, were also retrieved from the NHIRD. Results: The incidence increased from 20.06 per 100,000 in 1999 to 30.34 per 100,000 in 2006; the total expenses increased from 1,449,333,521 in 1999 to 4,350,400,592 Taiwan dollars in 2006. The age-standardized mortality rate for female breast cancer remained essentially unchanged, while the age-standardized incidence increased steadily (except 2002-2003). Among the top 20 coexisting ICD-9 codes for expenses, four are directly on cancers, while 16 are on other diseases or symptoms, which are not necessarily caused by breast cancer. Conclusions: Significantly increased medical expenditure on breast cancer failed to bring down its mortality and incidence rate. The finding has implications for healthcare policy planners in proposing strategies for breast cancer control and allocating the resources.
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spelling pubmed-37535272013-08-27 Significantly Increased Medical Expenditure on Breast Cancer Failing to Bring Down Its Mortality and Incidence Rate Ho, Ming-Lin Liaw, Yung-Po Lai, Chien-Hsu Chen, Yen-Yu Tsai, Horng-Der Chou, Ming-Chih Hsiao, Yi-Hsuan J Cancer Research Paper Background: The direct impact of medical expenses on breast cancer incidence and mortality rate has not been sufficiently addressed. The purpose of this study is to investigate the potential correlation between the incidence and mortality rate of breast cancer and the medical expenses in Taiwan. Materials and Methods: Breast cancer cases were identified from the National Health Insurance Research Database (NHIRD) with corresponding to International Classification of Diseases, and the Ninth Revision (ICD-9) code 174, 1740-1749, 175, 1750 and 1759 from January 1999 to December 2006. Age-specific incidences were estimated by population data obtained from the Department of Statistics, Ministry of the Interior. Medical expenses, including outpatient and inpatient services, were also retrieved from the NHIRD. Results: The incidence increased from 20.06 per 100,000 in 1999 to 30.34 per 100,000 in 2006; the total expenses increased from 1,449,333,521 in 1999 to 4,350,400,592 Taiwan dollars in 2006. The age-standardized mortality rate for female breast cancer remained essentially unchanged, while the age-standardized incidence increased steadily (except 2002-2003). Among the top 20 coexisting ICD-9 codes for expenses, four are directly on cancers, while 16 are on other diseases or symptoms, which are not necessarily caused by breast cancer. Conclusions: Significantly increased medical expenditure on breast cancer failed to bring down its mortality and incidence rate. The finding has implications for healthcare policy planners in proposing strategies for breast cancer control and allocating the resources. Ivyspring International Publisher 2013-08-10 /pmc/articles/PMC3753527/ /pubmed/23983817 http://dx.doi.org/10.7150/jca.6211 Text en © Ivyspring International Publisher. This is an open-access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Reproduction is permitted for personal, noncommercial use, provided that the article is in whole, unmodified, and properly cited.
spellingShingle Research Paper
Ho, Ming-Lin
Liaw, Yung-Po
Lai, Chien-Hsu
Chen, Yen-Yu
Tsai, Horng-Der
Chou, Ming-Chih
Hsiao, Yi-Hsuan
Significantly Increased Medical Expenditure on Breast Cancer Failing to Bring Down Its Mortality and Incidence Rate
title Significantly Increased Medical Expenditure on Breast Cancer Failing to Bring Down Its Mortality and Incidence Rate
title_full Significantly Increased Medical Expenditure on Breast Cancer Failing to Bring Down Its Mortality and Incidence Rate
title_fullStr Significantly Increased Medical Expenditure on Breast Cancer Failing to Bring Down Its Mortality and Incidence Rate
title_full_unstemmed Significantly Increased Medical Expenditure on Breast Cancer Failing to Bring Down Its Mortality and Incidence Rate
title_short Significantly Increased Medical Expenditure on Breast Cancer Failing to Bring Down Its Mortality and Incidence Rate
title_sort significantly increased medical expenditure on breast cancer failing to bring down its mortality and incidence rate
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3753527/
https://www.ncbi.nlm.nih.gov/pubmed/23983817
http://dx.doi.org/10.7150/jca.6211
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