The Economic Impact of Rectal Cancer: A Population-Based Study in Italy

Anna Gigli, Silvia Francisci, Giulia Capodaglio, Daniela Pierannunzio, Sandra Mallone, Andrea Tavilla, Tania Lopez, Manuel Zorzi, Fabrizio Stracci, Susanna Busco, Walter Mazzucco, Sara Lonardi, Fortunato Bianconi, Antonio Giampiero Russo, Silvia Iacovacci, Diego Serraino, Gianfranco Manneschi, Mario Fusco, Rosanna Cusimano, Massimo Rugge and Stefano Guzzinati
Additional contact information
Anna Gigli: Institute for Research on Population and Social Policies, National Research Council, 00185 Rome, Italy
Silvia Francisci: Centro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, 00161 Roma, Italy
Giulia Capodaglio: Servizio Epidemiologico Regionale, Azienda Zero, 35132 Padova, Italy
Daniela Pierannunzio: Centro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, 00161 Roma, Italy
Sandra Mallone: Centro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, 00161 Roma, Italy
Andrea Tavilla: Centro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, 00161 Roma, Italy
Tania Lopez: Centro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, 00161 Roma, Italy
Manuel Zorzi: Registro Tumori Veneto, Azienda Zero, 35132 Padova, Italy
Fabrizio Stracci: Registro Tumori dell’Umbria, Università di Perugia, 06123 Perugia, Italy
Susanna Busco: UOC Programmazione e Controllo di Gestione, Azienda Sanitaria Locale Latina, 04100 Latina, Italy
Walter Mazzucco: Registro Tumori di Palermo, Università of Palermo, 90133 Palermo, Italy
Sara Lonardi: Istituto Oncologico Veneto, IRCCS, 35128 Padova, Italy
Fortunato Bianconi: Registro Tumori dell’Umbria, Università di Perugia, 06123 Perugia, Italy
Antonio Giampiero Russo: Registro Tumori di Milano, Agenzia per la Protezione della Salute di Milano, 20100 Milano, Italy
Silvia Iacovacci: Registro Tumori di Latina, Dipartimento di Prevenzione Azienda Sanitaria Locale Latina, 04100 Latina, Italy
Diego Serraino: Registro Tumori del Friuli Venezia Giulia, Centro di Riferimento Oncologico, IRCCS, 33081 Aviano, Italy
Gianfranco Manneschi: Registro Tumori della Toscana, Istituto per lo Studio, la Prevenzione e la Rete Oncologica, 50139 Firenze, Italy
Mario Fusco: Registro Tumori Azienda Sanitaria Locale Napoli 3 Sud, 80100 Napoli, Italy
Rosanna Cusimano: Azienda Sanitaria Locale 6, 90141 Palermo, Italy
Massimo Rugge: Registro Tumori del Veneto, Università di Padova, 35122 Padova, Italy
Stefano Guzzinati: Registro Tumori Veneto, Azienda Zero, 35132 Padova, Italy

IJERPH, 2021, vol. 18, issue 2, 1-17

Abstract: Costs of cancer care are increasing worldwide, and sustainability of cancer burden is critical. In this study, the economic impact of rectal cancer on the Italian healthcare system, measured as public healthcare expenditure related to investigation and treatment of rectal cancer patients is estimated. A cross-sectional cohort of 9358 rectal cancer patients is linked, on an individual basis, to claims associated to rectal cancer diagnosis and treatments. Costs refer mainly to years 2010–2011 and are estimated by phase of care, as healthcare needs vary along the care pathway: diagnostic procedures are mainly provided in the first year, surveillance procedures are addressed to chronically ill patients, and end-of-life procedures are given in the terminal status. Clinical approaches and corresponding costs are specific by cancer type and vary by phase of care, stage at diagnosis, and age. Surgery is undertaken by the great majority of patients. Thus, hospitalization is the main cost driver. The evidence produced can be used to improve planning and allocation of healthcare resources. In particular, early diagnosis of rectal cancer is a gain in healthcare budget. Policies raising spreading of and adherence to screening plans, above all when addressed to people living in Southern Italy, should be strongly encouraged.

Keywords: cancer registry; administrative databases; cost analysis; prevalence; real-world data; patterns of care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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