Annual national direct and indirect cost estimates of the prevention and treatment of cervical cancer in Brazil
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Data
2015-04
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Resumo
OBJECTIVE: To estimate the annual direct and indirect costs of the prevention and treatment of cervical cancer
in Brazil.
METHODS: This cost description study used a "gross-costing" methodology and adopted the health system and
societal perspectives. The estimates were grouped into sets of procedures performed in phases of cervical cancer
care: the screening, diagnosis and treatment of precancerous lesions and the treatment of cervical cancer. The
costs were estimated for the public and private health systems, using data from national health information
systems, population surveys, and literature reviews. The cost estimates are presented in 2006 USD.
RESULTS: From the societal perspective, the estimated total costs of the prevention and treatment of cervical
cancer amounted to USD $1,321,683,034, which was categorized as follows: procedures (USD $213,199,490),
visits (USD $325,509,842), transportation (USD $106,521,537) and productivity losses (USD $676,452,166).
Indirect costs represented 51% of the total costs, followed by direct medical costs (visits and procedures) at 41%
and direct non-medical costs (transportation) at 8%. The public system represented 46% of the total costs, and
the private system represented 54%.
CONCLUSION: Our national cost estimates of cervical cancer prevention and treatment, indicating the economic
importance of cervical cancer screening and care, will be useful in monitoring the effect of the HPV vaccine
introduction and are of interest in research and health care management.
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Palavras-chave
Costs and cost analysis, Cervical cancer screening, Uterine cervical neoplasms, Cost of illness, Early detection of cancer
Citação
NOVAES, Hillegonda Maria Dutilh et al. Annual national direct and indirect cost estimates of the prevention and treatment of cervical cancer in Brazil. Clinics, São Paulo, v. 70, n. 4, p. 289-295-295, Apr. 2015.