THE BURDEN OF CANCER IN EMERGING ECONOMIES- PRODUCTIVITY LOSS AS AN ALTERNATIVE PERSPECTIVE

Author(s)

Pearce A1, Hanly P2, Sharp L3, Soerjomataram I4
1National Cancer Registry Ireland, Cork, Ireland, 2National College of Ireland, Dublin, Ireland, 3Newcastle University, Newcastle, UK, 4International Agency for Research on Cancer, Lyon, France

OBJECTIVES: When people die due to cancer, their contribution to society through paid work, called production, is lost. Previous estimates of cancer-related lost production have focussed on developed countries. However, developing nations account for approximately 70% of the world’s annual cancer deaths. We estimate the value of lost productivity due to cancer mortality in the rapidly emerging economies of Brazil, Russia, India, China and South Africa (BRICS).  METHODS: Based on the Human Capital Approach, we valued the lost productivity associated with premature cancer deaths in the BRICS countries in 2012. We used GLOBOCAN estimates of cancer deaths by country, sex and age group, along with OECD and national data for workforce participation, unemployment, and wage rates. Sensitivity analyses examined the impact of changing assumptions about wages, life expectancy and discounting. RESULTS: The total cost of cancer-related lost productivity in the BRICS countries combined was over USD$51 billion. Losses were highest in China ($28 billion) and lowest in South Africa ($1.9 billion). When adjusted by number of deaths, lost productivity (per death) were highest in South Africa ($157,000), and Brazil ($94,000) and lowest in India ($31,000). There were large differences between countries in terms of lost productivity when examined by gender, age and cancer. For example, the cancers contributing highest productivity losses were lung cancer in Russia (22% of total), South Africa (14%), and Brazil (13%), stomach cancer in India (11%), and liver cancer in China (31%). CONCLUSIONS: In many developing countries cancer now kills more people than AIDS, malaria and tuberculosis combined, however resources have not shifted correspondingly. Valuing cancer-related lost productivity provides policy-makers with an additional perspective on priorities for cancer prevention and control.

Conference/Value in Health Info

2015-11, ISPOR Europe 2015, Milan, Italy

Value in Health, Vol. 18, No. 7 (November 2015)

Code

CA3

Topic

Economic Evaluation

Topic Subcategory

Budget Impact Analysis, Cost/Cost of Illness/Resource Use Studies, Cost-comparison, Effectiveness, Utility, Benefit Analysis, Work & Home Productivity - Indirect Costs

Disease

Oncology

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