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Economic Burden of Cervical and Head and Neck Cancer in Taiwan from a Societal Perspective

Background: Head and neck cancers (HNC) are increasingly recognized as important human papillomavirus (HPV)-related malignancies in addition to cervical cancer (CC). However, data on the socioeconomic impact of HNC and CC in Taiwan are limited. Methods: A retrospective cohort study was conducted to...

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Autores principales: Wu, Ying-Hui, Lai, Chyong-Huey, Chien, Ling, Pan, Yun-Chung, Lin, Yu-Jr, Feng, Casey, Chang, Chee-Jen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9967678/
https://www.ncbi.nlm.nih.gov/pubmed/36834412
http://dx.doi.org/10.3390/ijerph20043717
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author Wu, Ying-Hui
Lai, Chyong-Huey
Chien, Ling
Pan, Yun-Chung
Lin, Yu-Jr
Feng, Casey
Chang, Chee-Jen
author_facet Wu, Ying-Hui
Lai, Chyong-Huey
Chien, Ling
Pan, Yun-Chung
Lin, Yu-Jr
Feng, Casey
Chang, Chee-Jen
author_sort Wu, Ying-Hui
collection PubMed
description Background: Head and neck cancers (HNC) are increasingly recognized as important human papillomavirus (HPV)-related malignancies in addition to cervical cancer (CC). However, data on the socioeconomic impact of HNC and CC in Taiwan are limited. Methods: A retrospective cohort study was conducted to estimate the total direct medical cost and indirect productivity loss from CC and HNC between 2014 and 2015. Patient data from the Taiwan National Cancer Registry were analyzed, with matched non-cancer controls from the Taiwan National Healthcare Reimbursement Database. Indirect costs due to premature deaths were calculated using public data from Taiwanese government reports. Results: In the direct cost analysis, 2083 patients with newly diagnosed CC and 11,078 with newly diagnosed HNC (10,036 males) were identified between 2014 and 2015 and followed up through the end of 2016 or until death. The total direct medical costs incurred in 2014 and 2015 due to HNC were 11.54 times higher in males than in females, and 4.55 times higher than CC. Indirect cost analysis showed the total annual productivity loss was New Taiwan Dollar (NTD) $12 billion in 2019, and 79.99% was attributed to male HNC. Conclusion: In Taiwan, the socioeconomic burden associated with male HNC is high and greater than that seen with CC. While not all HNCs are attributable to HPV infection, prevention of HNC through HPV vaccination should be considered for both sexes.
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spelling pubmed-99676782023-02-27 Economic Burden of Cervical and Head and Neck Cancer in Taiwan from a Societal Perspective Wu, Ying-Hui Lai, Chyong-Huey Chien, Ling Pan, Yun-Chung Lin, Yu-Jr Feng, Casey Chang, Chee-Jen Int J Environ Res Public Health Article Background: Head and neck cancers (HNC) are increasingly recognized as important human papillomavirus (HPV)-related malignancies in addition to cervical cancer (CC). However, data on the socioeconomic impact of HNC and CC in Taiwan are limited. Methods: A retrospective cohort study was conducted to estimate the total direct medical cost and indirect productivity loss from CC and HNC between 2014 and 2015. Patient data from the Taiwan National Cancer Registry were analyzed, with matched non-cancer controls from the Taiwan National Healthcare Reimbursement Database. Indirect costs due to premature deaths were calculated using public data from Taiwanese government reports. Results: In the direct cost analysis, 2083 patients with newly diagnosed CC and 11,078 with newly diagnosed HNC (10,036 males) were identified between 2014 and 2015 and followed up through the end of 2016 or until death. The total direct medical costs incurred in 2014 and 2015 due to HNC were 11.54 times higher in males than in females, and 4.55 times higher than CC. Indirect cost analysis showed the total annual productivity loss was New Taiwan Dollar (NTD) $12 billion in 2019, and 79.99% was attributed to male HNC. Conclusion: In Taiwan, the socioeconomic burden associated with male HNC is high and greater than that seen with CC. While not all HNCs are attributable to HPV infection, prevention of HNC through HPV vaccination should be considered for both sexes. MDPI 2023-02-20 /pmc/articles/PMC9967678/ /pubmed/36834412 http://dx.doi.org/10.3390/ijerph20043717 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wu, Ying-Hui
Lai, Chyong-Huey
Chien, Ling
Pan, Yun-Chung
Lin, Yu-Jr
Feng, Casey
Chang, Chee-Jen
Economic Burden of Cervical and Head and Neck Cancer in Taiwan from a Societal Perspective
title Economic Burden of Cervical and Head and Neck Cancer in Taiwan from a Societal Perspective
title_full Economic Burden of Cervical and Head and Neck Cancer in Taiwan from a Societal Perspective
title_fullStr Economic Burden of Cervical and Head and Neck Cancer in Taiwan from a Societal Perspective
title_full_unstemmed Economic Burden of Cervical and Head and Neck Cancer in Taiwan from a Societal Perspective
title_short Economic Burden of Cervical and Head and Neck Cancer in Taiwan from a Societal Perspective
title_sort economic burden of cervical and head and neck cancer in taiwan from a societal perspective
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9967678/
https://www.ncbi.nlm.nih.gov/pubmed/36834412
http://dx.doi.org/10.3390/ijerph20043717
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