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Costs of cervical cancer and precancerous lesions treatment in a publicly financed health care system |
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| Authors: | Chao-Hsiun Tang Raoh-Fang Pwu I-Ching Tsai Han-I Wang San-Lin You Chi-An Chen Paul A. Scuffham Chang-Yao Hsieh Cheng-Yang Chou Sheue-Rong Lin Yao-Der Chen Chien-Jen Chen |
| Affiliation: | 1. School of Health Care Administration, Taipei Medical University, No. 250, Wu Xing Street, Xing Yi District, Taipei, 110, Taiwan 2. Gynecology Research Center, Taipei Medical University Hospital, No. 252, Wu Xing Street, Xing Yi District, Taipei, 110, Taiwan 3. Center for Drug Evaluation, 1st Floor, No. 15-1, Sect. 1, Hangjou South Road, Jhongjheng District, Taipei, 100, Taiwan 4. Janssen Cilag Taiwan, 8th Floor, No. 319, Sect. 2, Tunhwa South Road, Da-an District, Taipei, 106, Taiwan 5. Genomics Research Center, Academia Sinica, No. 128, Sect. 2, Academia Road, Nankang District, Taipei, 115, Taiwan 6. School of Public Health, National Defense Medical Center, No. 161, Sect. 6, Min-Chuan East Road, Neihu District, Taipei, 114, Taiwan 7. Department of Obstetrics and Gynecology, College of Medicine, National Taiwan University, No. 1, Sect. 1, Ren-ai Road, Jhongjheng District, Taipei, 100, Taiwan 8. School of Medicine, Logan campus, Griffith University, Meadowbrook, QLD, 4131, Australia 9. Department of Obstetrics and Gynecology, College of Medicine, National Cheng Kung University, No. 1, University Road, East District, Tainan, 701, Taiwan 10. Bureau of Food Safety, Department of Health, 4th Floor, No. 80, Linsen North Road, Zhongshan District, Taipei, 104, Taiwan 11. Tainan County Health Bureau, No. 163, Dongsing Road, Sinying City, Tainan County, 730, Taiwan 12. Graduate Institute of Epidemiology, College of Public Health, National Taiwan University, No. 17, Syujhou Road, Jhongjheng District, Taipei, 100, Taiwan |
| Abstract: | PurposeAlthough 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.MethodsA 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.ResultsThe average total costs for CIN patients were NT$4,201 for CIN1, 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$210,230 for Stage 1, NT$392,387 for Stage 2, 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.ConclusionsCIN 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. |
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