INDIRECT COSTS AND BURDEN OF LUNG CANCER IN TERMS OF DISABILITY ADJUSTED LIFE YEARS DURING 2015 IN RUSSIA

Author(s)

Musina N1, Nikitina A2, Soshnikov S1, Gorkavenko F1, Savilova A3
1I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation, 2Center of Healthcare Quality Assesment and Control, Moscow, Russian Federation, 3Moscow Institute of physics and technology (State University), Dolgoprudny, Russian Federation

OBJECTIVES:  The study was aimed to evaluate the total indirect costs of lung cancer (LC) and burden of disease during 2015 in Russia. This data could help to improve reimbursement processes and decision-making. METHODS: A systematic literature review was performed to obtain the following information: employment, length of hospital stay, average value of a statistical life, indicators of morbidity and mortality by age group and stage of LC. Finally, obtained data were used in cost-of-illness analysis. The total indirect costs of LC were calculated using two different approaches: the human-capital and friction-costs method. The cost of illness was calculated by a bottom-up approach. The global burden of LC was also assessed in terms of DALYs. The rate of discounting was 5%. RESULTS:  In 2015, the indirect costs of LC were estimated at $1 689 million ($12 621 per patient) using human-capital method. The costs were more than six times higher in males than in females. Total annual indirect costs were evaluated at $14 million ($506 per patient) using friction-cost method. The DALYs burden for LC reached 1 307 837 years, including years of life lost due to premature mortality (14 744) and years lost due to disability (1 293 093). The cost in terms of DALYs was also estimated using the average cost of a statistical life, which was $73 484. The global burden of LC using DALYs and the average cost of a statistical life was estimated at $1 344 million. CONCLUSIONS:  LC is a leading cause of cancer mortality and represents a significant burden of disease. The results suggest that LC deserve more attention from policymakers.

Conference/Value in Health Info

2017-05, ISPOR 2017, Boston, MA, USA

Value in Health, Vol. 20, No. 5 (May 2017)

Code

PCN84

Topic

Economic Evaluation

Topic Subcategory

Cost/Cost of Illness/Resource Use Studies

Disease

Oncology

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