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Cancer Survivors’ Long-Term Health Service Costs in Queensland, Australia: Results of a Population-Level Data Linkage Study (Cos-Q)

Author

Listed:
  • Katharina M. D. Merollini

    (School of Health and Behavioural Sciences, University of the Sunshine Coast, Maroochydore, QLD 4558, Australia
    Sunshine Coast Health Institute, Birtinya, QLD 4575, Australia)

  • Louisa G. Gordon

    (Health Economics, Population Health Department, QIMR Berghofer Medical Research Institute, Herston, QLD 4006, Australia
    School of Public Health, The University of Queensland, Herston, QLD 4006, Australia
    School of Biomedical Sciences, Queensland University of Technology, St. Lucia, QLD 4072, Australia)

  • Yiu M. Ho

    (Rockhampton Hospital, Central Queensland Hospital and Health Service, Rockhampton, QLD 4700, Australia
    Rural Clinical School, The University of Queensland, Rockhampton, QLD 4700, Australia)

  • Joanne F. Aitken

    (School of Public Health, The University of Queensland, Herston, QLD 4006, Australia
    Cancer Council Queensland, Fortitude Valley, QLD 4006, Australia
    School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove, QLD 4006, Australia)

  • Michael G. Kimlin

    (School of Biomedical Sciences, Queensland University of Technology, St. Lucia, QLD 4072, Australia)

Abstract

Worldwide, the number of cancer survivors is rapidly increasing. The aim of this study was to quantify long-term health service costs of cancer survivorship on a population level. The study cohort comprised residents of Queensland, Australia, diagnosed with a first primary malignancy between 1997 and 2015. Administrative databases were linked with cancer registry records to capture all health service utilization. Health service costs between 2013–2016 were analyzed using a bottom-up costing approach. The cumulative mean annual healthcare expenditure (2013–2016) for the cohort of N = 230,380 individuals was AU$3.66 billion. The highest costs were incurred by patients with a history of prostate (AU$538 m), breast (AU$496 m) or colorectal (AU$476 m) cancers. Costs by time since diagnosis were typically highest in the first year after diagnosis and decreased over time. Overall mean annual healthcare costs per person (2013–2016) were AU$15,889 (SD: AU$25,065) and highest costs per individual were for myeloma (AU$45,951), brain (AU$30,264) or liver cancer (AU$29,619) patients. Our results inform policy makers in Australia of the long-term health service costs of cancer survivors, provide data for economic evaluations and reinforce the benefits of investing in cancer prevention.

Suggested Citation

  • Katharina M. D. Merollini & Louisa G. Gordon & Yiu M. Ho & Joanne F. Aitken & Michael G. Kimlin, 2022. "Cancer Survivors’ Long-Term Health Service Costs in Queensland, Australia: Results of a Population-Level Data Linkage Study (Cos-Q)," IJERPH, MDPI, vol. 19(15), pages 1-17, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9473-:d:878400
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    1. Laura C. Edney & Jackie Roseleur & Tim Bright & David I. Watson & Gaston Arnolda & Jeffrey Braithwaite & Geoffrey P. Delaney & Winston Liauw & Rebecca Mitchell & Jonathan Karnon, 2023. "DAta Linkage to Enhance Cancer Care (DaLECC): Protocol of a Large Australian Data Linkage Study," IJERPH, MDPI, vol. 20(11), pages 1-16, May.

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