Cost and resource utilization in cervical cancer management: a real-world retrospective cost analysis

I. Cromwell, Z. Ferreira, L. Smith, K. van der Hoek, G. Ogilvie, A. Coldman, S.J. Peacock

Abstract


Objectives

We set out to assess the health care resource utilization and cost of cervical cancer from the perspective of a single-payer health care system.

Methods

Retrospective observational data for women diagnosed with cervical cancer in British Columbia between 2004 and 2009 were analyzed to calculate patient-level resource utilization patterns from diagnosis to death or 5-year discharge. Domains of resource use within the scope of this cost analysis were chemotherapy, radiotherapy, and brachytherapy administered by the BC Cancer Agency; resource utilization related to hospitalization and outpatient visits as recorded by the B.C. Ministry of Health; medically required services billed under the B.C. Medical Services Plan; and prescriptions dispensed under British Columbia’s health insurance programs. Unit costs were applied to radiotherapy and brachytherapy, producing per-patient costs.

Results

The mean cost per case of treating cervical cancer in British Columbia was $19,153 (standard error: $3,484). Inpatient hospitalizations, at 35%, represented the largest proportion of the total cost (95% confidence interval: 32.9% to 36.9%). Costs were compared for subgroups of the total cohort.

Conclusions

As health care systems change the way they manage, screen for, and prevent cervical cancer, cost effectiveness evaluations of the overall approach will require up-to-date data for resource utilization and costs. We provide information suitable for such a purpose and also identify factors that influence costs.


Keywords


Cost of care; cervical cancer

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DOI: http://dx.doi.org/10.3747/co.23.2914






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ISSN: 1198-0052 (Print) ISSN: 1718-7729 (Online)