COMPARISON OF EXPECTED HEALTH IMPACTS FOR MAJOR CANCERS-INTEGRATION OF INCIDENCE RATE AND LOSS OF QUALITY-ADJUSTED LIFE EXPECTANCY
Author(s)
Hung M1, Lai W2, Chen HH3, Su W4, Wang J5
1Department of Public Health, National Cheng Kung University College of Medicine, Tainan, Taiwan, 2Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan, 3Department of Radiation Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan, 4Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan, 5National Cheng Kung University College of Medicine, Tainan, Taiwan
OBJECTIVES: The study aims to quantify the expected impacts of different cancers through multiplying the incidence rate by loss-of-QALE (quality-adjusted life expectancy), with QALY (quality-adjusted life year) as the common unit, to aid prevention policy decisions. METHODS: A convenience sample for measuring the utility value with EQ-5D was conducted with ) were calculated to estimate the lifetime risk of cancer for each organ-system. RESULTS: Liver and lung cancer were found the highest expected lifetime health impacts in males and females, or expected lifetime losses of 0.97 and 0.41 QALYs that could be averted, respectively. While the priority changes for prevention based on expected health impacts were slightly different for females based on standardized mortality rates, those of males involve a broader spectrum, including oral, colorectal, esophageal and stomach cancer. CONCLUSIONS: The integration of incidence rate with loss-of-QALE could be used to represent the expected losses that could be averted by prevention, which may be useful in prioritizing strategies for cancer control.
Conference/Value in Health Info
2015-05, ISPOR 2015, Philadelphia, PA, USA
Value in Health, Vol. 18, No. 3 (May 2015)
Code
PCN171
Topic
Health Service Delivery & Process of Care
Topic Subcategory
Health Care Research
Disease
Oncology