日本可改变危险因素导致的癌症经济负担。

IF 1.9 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Eiko Saito, Shiori Tanaka, Sarah Krull Abe, Mayo Hirayabashi, Junko Ishihara, Kota Katanoda, Yingsong Lin, Chisato Nagata, Norie Sawada, Ribeka Takachi, Atsushi Goto, Junko Tanaka, Kayo Ueda, Megumi Hori, Tomohiro Matsuda, Manami Inoue
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引用次数: 0

摘要

控制可避免的癌症原因可以节省与癌症有关的医疗保健费用以及过早死亡和生产力损失的间接费用。本研究旨在估计2015年日本主要生活方式和环境风险因素导致的癌症经济负担。我们从社会角度评估了可改变危险因素导致的癌症的经济成本。我们从日本国家健康保险索赔和特定健康检查数据库中获得了2015年的直接医疗费用,并使用日本相关的国家调查估计了过早死亡和癌症发病率的间接成本。最后,我们估计了与生活方式和环境风险因素相关的癌症经济成本。根据2015年的平均汇率(1美元= 121.044日元),男女因生活方式和环境因素导致的癌症成本估计为1024006亿日元(84.6亿美元),男性为6737.8亿日元(55.66亿美元),女性为3502.26亿日元(28.93亿美元)。2015年,日本因过早死亡造成的经济损失达2851.5亿日元(23.56亿美元)。本可预防的间接发病费用估计为2006.02亿日元(16.57亿美元)。男性胃癌(287.35亿日元/ 2.37亿美元)和女性宫颈癌(244.48亿日元/ 2.02亿美元)的生产力损失最高。预防和控制由幽门螺杆菌、人乳头瘤病毒和吸烟等感染引起的癌症,不仅可以挽救生命,而且从长远来看还可以节省成本。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Economic burden of cancer attributable to modifiable risk factors in Japan.

Controlling avoidable causes of cancer may save cancer-related healthcare costs and indirect costs of premature deaths and productivity loss. This study aimed to estimate the economic burden of cancer attributable to major lifestyle and environmental risk factors in Japan in 2015. We evaluated the economic cost of cancer attributable to modifiable risk factors from a societal perspective. We obtained the direct medical costs for 2015 from the National Database of Health Insurance Claims and Specific Health Checkups of Japan, and estimated the indirect costs of premature mortality and of morbidity due to cancer using the relevant national surveys in Japan. Finally, we estimated the economic cost of cancer associated with lifestyle and environmental risk factors. The estimated cost of cancer attributable to lifestyle and environmental factors was 1,024,006 million Japanese yen (¥) (8,460 million US dollars [$]) for both sexes, and ¥673,780 million ($5,566 million) in men and ¥350,226 million ($2,893 million) in women, using the average exchange rate in 2015 ($1 = ¥121.044). A total of ¥285,150 million ($2,356 million) was lost due to premature death in Japan in 2015. Indirect morbidity costs that could have been prevented were estimated to be ¥200,602 million ($1,657 million). Productivity loss was highest for stomach cancer in men (¥28,735 million/$237 million) and cervical cancer in women (¥24,448 million/$202 million). Preventing and controlling cancers caused by infections including Helicobacter pylori, human papillomavirus and tobacco smoking will not only be life-saving but may also be cost-saving in the long run.

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