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Health Care Costs Attributable to Prostate Cancer in British Columbia, Canada: A Population-Based Cohort Study

Authors :
Wei Zhang
Daphne P. Guh
Tima Mohammadi
Reka E. Pataky
Alexander C. T. Tam
Larry D. Lynd
Annalijn I. Conklin
Source :
Current Oncology, Vol 30, Iss 3, Pp 3176-3188 (2023)
Publication Year :
2023
Publisher :
MDPI AG, 2023.

Abstract

We aimed to estimate the total health care costs attributable to prostate cancer (PCa) during care phases by age, cancer stage, tumor grade, and primary treatment in the first year in British Columbia (BC), Canada. Using linked administrative health data, we followed a cohort of men aged ≥ 50 years at diagnosis with PCa between 2010 and 2017 (Cohort 1) from the diagnosis date until the date of death, the last date of observation, or 31 December 2019. Patients who died from PCa after 1 January 2010, were selected for Cohort 2. PCa attributable costs were estimated by comparing costs in patients to matched controls. Cohort 1 (n = 22,672) had a mean age of 69.9 years (SD = 8.9) and a median follow-up time of 5.2 years. Cohort 2 included 6942 patients. Mean PCa attributable costs were the highest during the first year after diagnosis ($14,307.9 [95% CI: $13,970.0, $14,645.8]) and the year before death ($9959.7 [$8738.8, $11,181.0]). Primary treatment with radiation therapy had significantly higher costs each year after diagnosis than a radical prostatectomy or other surgeries in advanced-stage PCa. Androgen deprivation therapy (and/or chemotherapy) had the highest cost for high-grade and early-stage cancer during the three years after diagnosis. No treatment group had the lowest cost. Updated cost estimates could inform economic evaluations and decision-making.

Details

Language :
English
ISSN :
17187729 and 11980052
Volume :
30
Issue :
3
Database :
Directory of Open Access Journals
Journal :
Current Oncology
Publication Type :
Academic Journal
Accession number :
edsdoj.ba331268d65f430b836d11f9d7d89368
Document Type :
article
Full Text :
https://doi.org/10.3390/curroncol30030240