The Burden of Cervical Cancer in Korea: A Population-Based Study

Jinhee Kim, Donghwan Lee, Kyung-Bok Son and SeungJin Bae
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Jinhee Kim: College of Pharmacy, Ewha Womans University, Seoul 03760, Korea
Donghwan Lee: Department of Statistics, Ewha Womans University, Seoul 03760, Korea
Kyung-Bok Son: College of Pharmacy, Ewha Womans University, Seoul 03760, Korea
SeungJin Bae: College of Pharmacy, Ewha Womans University, Seoul 03760, Korea

IJERPH, 2020, vol. 17, issue 17, 1-14

Abstract: This study used the Korean National Health Insurance (NHI) claims database from 2011 to 2017 to estimate the incidence and the incidence-based cost of cervical cancer and carcinoma in situ of cervix uteri (CIS) in Korea. The primary outcome was the direct medical cost per patient not diagnosed with cervical cancer (C53) or CIS (D06) 2 years prior to the index date in the first year after diagnosis. A regression analysis was conducted to adjust for relevant covariates. The incidence of cervical cancer tended to decrease from 2013 to 2016, while that of CIS increased. In particular, the incidence rate of CIS in women in their 20 s and 30 s increased by 56.8% and 28.4%, respectively, from 2013 to 2016. The incidence-based cost of cervical cancer and CIS was USD 13,058 and USD 2695 in 2016, respectively, which increased from 2013. Multivariate regression analysis suggested that age was the most influential variable of the cost in both patient groups, and the cost was highest in those aged over 60, i.e., the medical cost was significantly lower in younger women than their older counterparts. These findings suggest that targeting younger women in cervical cancer prevention is a reasonable option from both economic and public health perspectives.

Keywords: cervical cancer; carcinoma in situ; incidence; cost; burden of disease; HPV (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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