HOSPITALISATION COSTS FOR HPV-RELATED CANCERS IN MALES AND FEMALES IN FRANCE
Author(s)
Borget I1, Mathevet P2, Abramowitz L3, Largeron N41Institut Gustave Roussy, Villejuif, France, 2Hopital Edouard Herriot, Lyon, France, 3Hopital Bichat Claude Bernard, Paris, France, 4Sanofi Pasteur MSD, Lyon, France
Presentation Documents
OBJECTIVES: Human papillomavirus (HPV) infection is a necessary cause of cervical cancer and is associated with a subset of other anogenital (anal, vulvar, vaginal, penile) and head/neck cancers (oral cavity, oropharynx/pharynx, larynx). The overall HPV-related disease burden is considerable in Europe. This study aimed to assess the hospital costs of HPV-related cancers for both genders in France. METHODS: Hospitalisation costs were collected from a recent publication for cervical cancer and from the French national hospital database (PMSI) for other cancers. Costs included hospital stays, radiotherapy and chemotherapy sessions. Annual costs for each cancer were estimated from the healthcare payers' perspective. RESULTS: In 2006, the annual costs of cervical cancer were estimated at €43.9 million. In addition, vulvar and vaginal cancers were associated with €9.7 million annually. For anal cancer, the annual costs were €20.3 million (male: €6.3 million; female: €14 million). Penile cancer hospitalisations represented €2.6 million annually. The estimated annual costs for head/neck cancers in 2007 for males and females respectively, were €54.4 and €17.1 million for oral cavity, €128.2 and €21.7 million for oropharynx/pharynx, and €47.8 and €5.5 million for larynx. Considering the assumed proportion of cancers attributable to HPV (cervical: 100%; vulvar: 34.7%; vaginal 76.8%; anal: 84.2%; penile: 46.7%; oral cavity: 16.0%; oropharynx: 28.2%; larynx: 21.3%, in Europe), the overall hospitalisation costs due to HPV-related cancers were estimated at €61.6 million in males and €70.8 million in females. CONCLUSIONS: The hospital burden of HPV-associated cancers in males is almost similar as in females, in France. This burden is probably underestimated since outpatient and indirect costs were not included.
Conference/Value in Health Info
2010-11, ISPOR Europe 2010, Prague, Czech Republic
Value in Health, Vol. 13, No. 7 (November 2010)
Code
PCN51
Topic
Economic Evaluation
Topic Subcategory
Cost/Cost of Illness/Resource Use Studies
Disease
Oncology