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Health Economics Evaluation of a Gastric Cancer Early Detection and Treatment Program in China

  • Li, Dan (Department of Epidemiology, School of Public Health, China Medical University) ;
  • Yuan, Yuan (Key Laboratory of Cancer Etiology and Intervention, University of Liaoning Province) ;
  • Sun, Li-Ping (Key Laboratory of Cancer Etiology and Intervention, University of Liaoning Province) ;
  • Fang, Xue (Department of Epidemiology, School of Public Health, China Medical University) ;
  • Zhou, Bao-Sen (Department of Epidemiology, School of Public Health, China Medical University)
  • Published : 2014.07.15

Abstract

Objective: To use health economics methodology to assess the screening program on gastric cancer in Zhuanghe, China, so as to provide the basis for health decision on expanding the program of early detection and treatment. Materials and Methods: The expense of an early detection and treatment program for gastric cancer in patients found by screening, and also costs of traditional treatment in a hospital of Zhuanghe were assessed. Three major techniques of medical economics, namely cost-effective analysis (CEA), cost-benefit analysis (CBA) and cost-utility analysis (CUA), were used to assess the screening program. Results: Results from CEA showed that investing every 25, 235 Yuan on screening program in Zhuanghe area, one gastric cancer patient could be saved. Data from CUA showed that it was cost 1, 370 Yuan per QALY saved. Results from CBA showed that: the total cost was 1,945,206 Yuan with a benefit as 8,669,709 Yuan and an CBR of 4.46. Conclusions: The early detection and treatment program of gastric cancer appears economic and society-beneficial. We suggest that it should be carry out in more high risk areas for gastric cancer.

Keywords

References

  1. Chen Z (2008). Report of The Third National Mortality Retrospective Sampling Survey. Beijing: Peking Union Medical College Press.
  2. Cho E, Kang MH, Choi KS, et al (2013). Cost-effectiveness outcomes of the national gastric cancer screening program in South Korea. Asian Pac J Cancer Prev, 14, 2533-40. https://doi.org/10.7314/APJCP.2013.14.5.2533
  3. Dan YY, So JB, Yeoh KG (2006). Endoscopic screening for gastric cancer.Clin Gastroenterol Hepatol, 4, 709-6. https://doi.org/10.1016/j.cgh.2006.03.025
  4. Ding SG, Wang JS, Lin SR, et al (2000). Cost-effectiveness analysis on sequential screening of gastric cancer. Chinese J Clin Oncol Rehab, 7, 43-5.
  5. Ferlay J, Shin HR, Bray F, et a1 (2010). Estimates of worldwide burden of cancer in 2008: globocan 2008. Int J Cancer, 127, 2893-917. https://doi.org/10.1002/ijc.25516
  6. Haddix AC, Teutsch SM, Shaffer PA, et al (1996). Prevention Effectiveness: A Guide to Decision Analysis and Economic Evaluation. Oxford Press, USA.
  7. Jing JJ, Liu HY, Hao JK, et al (2012). Gastric cancer incidence and mortality in Zhuanghe, China, between 2005 and 2010.World J Gastroenterol, 18, 1262-9. https://doi.org/10.3748/wjg.v18.i11.1262
  8. Kim YS, Park HA, Kim BS, et al (2000). Efficacy of screening for gastric cancer in a Korean adult population: a case-control study. J Korean Med Sci, 15, 510-5. https://doi.org/10.3346/jkms.2000.15.5.510
  9. Kobayashi D, Takahashi O, Arioka H, et al (2012). The optimal screening interval for gastric cancer using esophago-gastro-duodenoscopy in Japan. BMC Gastroenterol, 12, 144. https://doi.org/10.1186/1471-230X-12-144
  10. Leung WK, Wu MS, Kakugawa Y, et al (2008). Gastric Cancer. Screening for gastric cancer in Asia: current evidence and practice. Lancet Oncol, 9, 279-87. https://doi.org/10.1016/S1470-2045(08)70072-X
  11. Li GL, Chen WQ (2009). Representativeness of population-based cancer registration in China-comparison of urban and rural areas. Asian Pac J Cancer Prev, 10, 559-64.
  12. Wang Q, Jin PH, Lin GW, et al (2003). Cost-effectiveness of Helicobacter pylori screening to prevent gastric cancer: Markov decision analysis. Chin J Epidemiol, 24, 135 -9.
  13. Wen Z, Wang Q, Huang H, et al (2009). Work Progress of gastric cancer early diagnosis and early treatment in Zhuanghe, Liaoning Province. China Cancer, 18, 735-7.
  14. Xiao W, Zhang WG, Wang RR, et al (2005). Analysis of mortality and incidence of gastric cancer in Zhuanghe County. Chinese J Health Stat, 22, 119-20.
  15. Yuan Y, Zhang L (2001). Comprehensive Prevention and Treatment for high risk population from high risk areas of gastric cancer in China. China Cancer, 10, 139-42.
  16. Yuan Y (2012). Population-based gastric cancer screening in Zhuanghe, liaoning, from 1997 to 2011.Chin J Oncol, 34, 538-42.

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