Skip to main content
Top
Published in: The European Journal of Health Economics 1/2007

01-03-2007 | Original paper

Cost of breast cancer in Sweden in 2002

Authors: Mathias Lidgren, Nils Wilking, Bengt Jönsson

Published in: The European Journal of Health Economics | Issue 1/2007

Login to get access

Abstract

Breast cancer is the most common cancer among Swedish women and an important cause of illness and death. The aim of this study was to estimate the total cost of breast cancer in Sweden in 2002, using a top-down prevalence-based cost-of-illness approach. The total cost of breast cancer in Sweden in 2002 was estimated at 3.0 billion SEK (1 € = 9.4 SEK). The direct costs were estimated at 895 million SEK and constituted 30% of the total cost. Indirect costs were estimated at 2.1 billion SEK and constituted 70% of the total cost. The main cost driver was production losses caused by premature mortality, amounting to 52% of the indirect costs. The reason that indirect costs were the dominant cost is because most newly detected breast cancers occur in patients aged below 65, thus causing significant production losses due to sick leave, early retirement, and premature mortality.
Footnotes
1
This is slightly higher than the prevalence of about 73,000 reported by previously studies. One reason for this higher figure may be that our sample includes some patients who are no longer alive, but who have not been registered as dead. However, the absolute number is small and this does not affect the estimates of the direct or indirect costs.
 
Literature
1.
go back to reference The National Board of Health and Welfare: Cancer incidence in Sweden 2002. Official statistics of Sweden, Stockholm (2003) The National Board of Health and Welfare: Cancer incidence in Sweden 2002. Official statistics of Sweden, Stockholm (2003)
2.
go back to reference The National Board of Health and Welfare: Causes of death 2002. Official statistics of Sweden, Stockholm (2003) The National Board of Health and Welfare: Causes of death 2002. Official statistics of Sweden, Stockholm (2003)
3.
go back to reference Olsson S., Andersson I., Karlberg I., Bjurstam N., Frodis E., Hakansson S.: Implementation of service screening with mammography in Sweden: from pilot study to nationwide programme. J. Med. Screen. 7, 14–18 (2000)CrossRef Olsson S., Andersson I., Karlberg I., Bjurstam N., Frodis E., Hakansson S.: Implementation of service screening with mammography in Sweden: from pilot study to nationwide programme. J. Med. Screen. 7, 14–18 (2000)CrossRef
4.
go back to reference Duffy S.W., Tabar L, Chen HH et al.: The impact of organized mammography service screening on breast carcinoma mortality in seven Swedish counties. Cancer 95, 458–469 (2002)CrossRef Duffy S.W., Tabar L, Chen HH et al.: The impact of organized mammography service screening on breast carcinoma mortality in seven Swedish counties. Cancer 95, 458–469 (2002)CrossRef
5.
go back to reference Statistics Sweden: 68 Population, by age. Statistical yearbook of Sweden 2004. Statistics Sweden, Stockholm (2004) Statistics Sweden: 68 Population, by age. Statistical yearbook of Sweden 2004. Statistics Sweden, Stockholm (2004)
6.
go back to reference Statistics Sweden: 379 consumer price index (total): monthly, fixed index and calculated annual averages. Statistical yearbook of Sweden 2004. Statistics Sweden, Stockholm (2004) Statistics Sweden: 379 consumer price index (total): monthly, fixed index and calculated annual averages. Statistical yearbook of Sweden 2004. Statistics Sweden, Stockholm (2004)
8.
go back to reference Lanstingsförbundet: Kostnad per vårdtillfälle, vårddag och läkarbesök på sjukhus 2001. Lanstingsförbundet, Stockholm (2003) Lanstingsförbundet: Kostnad per vårdtillfälle, vårddag och läkarbesök på sjukhus 2001. Lanstingsförbundet, Stockholm (2003)
9.
go back to reference Lanstingsförbundet: Att mäta produktivitet i primärvården. Lanstingsförbundet, Stockholm (1999) Lanstingsförbundet: Att mäta produktivitet i primärvården. Lanstingsförbundet, Stockholm (1999)
10.
go back to reference Apoteket A.B.: Apotekens försäljning på recept 2002. Stockholm, Apoteket AB (2003) Apoteket A.B.: Apotekens försäljning på recept 2002. Stockholm, Apoteket AB (2003)
11.
go back to reference Statistics Sweden: 351 Total income from employment and business: mean averages by sex and age. Current prices. Statistical yearbook of Sweden 2004. Statistics Sweden, Stockholm (2004) Statistics Sweden: 351 Total income from employment and business: mean averages by sex and age. Current prices. Statistical yearbook of Sweden 2004. Statistics Sweden, Stockholm (2004)
12.
go back to reference Statistics Sweden: 339 Index numbers for direct wages for employees in the private sector, 1st quarter 1994 = 100. Statistical yearbook of Sweden 2004. Statistics Sweden, Stockholm (2004) Statistics Sweden: 339 Index numbers for direct wages for employees in the private sector, 1st quarter 1994 = 100. Statistical yearbook of Sweden 2004. Statistics Sweden, Stockholm (2004)
13.
go back to reference Statistics Sweden: 164 Basic information and ratios for the service sector, sole proprietors excluded. Statistical yearbook of Sweden 2004. Statistics Sweden, Stockholm (2004) Statistics Sweden: 164 Basic information and ratios for the service sector, sole proprietors excluded. Statistical yearbook of Sweden 2004. Statistics Sweden, Stockholm (2004)
14.
go back to reference Riksförsäkringsverket: Vad kostar olika sjukdomar. Riksförsäkringsverket, Stockholm (2002) Riksförsäkringsverket: Vad kostar olika sjukdomar. Riksförsäkringsverket, Stockholm (2002)
15.
go back to reference Statistics Sweden: 381 Basic amount according to the National Insurance Act. Statistical yearbook of Sweden 2004. Statistics Sweden, Stockholm (2004) Statistics Sweden: 381 Basic amount according to the National Insurance Act. Statistical yearbook of Sweden 2004. Statistics Sweden, Stockholm (2004)
16.
go back to reference Riksförsäkringsverket: Sjukdomar som orsakat pensionering. Riksförsäkringsverket, Stockholm (2004) Riksförsäkringsverket: Sjukdomar som orsakat pensionering. Riksförsäkringsverket, Stockholm (2004)
17.
go back to reference Statistics Sweden: 84 Life tables. Statistical yearbook of Sweden 2004. Statistics Sweden, Stockholm (2004) Statistics Sweden: 84 Life tables. Statistical yearbook of Sweden 2004. Statistics Sweden, Stockholm (2004)
18.
go back to reference Earle C.C., Chapman R.H., Baker C.S. et al.: Systematic overview of cost-utility assessments in oncology. J. Clin. Oncol. 18, 3302–3317 (2000) Earle C.C., Chapman R.H., Baker C.S. et al.: Systematic overview of cost-utility assessments in oncology. J. Clin. Oncol. 18, 3302–3317 (2000)
19.
go back to reference Lundberg L., Johannesson M., Isacson D., Borgquist L.: Health-state utilities in a general population in relation to age, gender and socioeconomic factors. Eur. J. Public Health 9, 211–217 (1999)CrossRef Lundberg L., Johannesson M., Isacson D., Borgquist L.: Health-state utilities in a general population in relation to age, gender and socioeconomic factors. Eur. J. Public Health 9, 211–217 (1999)CrossRef
20.
go back to reference SIKA: Översyn av samhällsekonomiska metoder och kalkylvärden på transportområdet. SIKA, Stockholm (2002) SIKA: Översyn av samhällsekonomiska metoder och kalkylvärden på transportområdet. SIKA, Stockholm (2002)
21.
go back to reference Ekman M.: Studies in health economics: modeling and data analysis of cost and survival, Stockholm School of Economics (2002) Ekman M.: Studies in health economics: modeling and data analysis of cost and survival, Stockholm School of Economics (2002)
22.
go back to reference Almbrand B., Johannesson M., Sjostrand B., Malmberg K., Ryden L.: Cost-effectiveness of intense insulin treatment after acute myocardial infarction in patients with diabetes mellitus; results from the DIGAMI study. Eur. Heart J. 21, 733–739 (2000)CrossRef Almbrand B., Johannesson M., Sjostrand B., Malmberg K., Ryden L.: Cost-effectiveness of intense insulin treatment after acute myocardial infarction in patients with diabetes mellitus; results from the DIGAMI study. Eur. Heart J. 21, 733–739 (2000)CrossRef
23.
go back to reference Johannesson M., Meltzer D.: Some reflections on cost-effectiveness analysis. Health Econ. 7, 1–7 (1998)CrossRef Johannesson M., Meltzer D.: Some reflections on cost-effectiveness analysis. Health Econ. 7, 1–7 (1998)CrossRef
24.
go back to reference Hodgson T.A., Meiners M.R.: Cost-of-illness methodology: a guide to current practices and procedures. Milbank Mem. Fund. Q. Health Soc. 60, 429–462 (1982)CrossRef Hodgson T.A., Meiners M.R.: Cost-of-illness methodology: a guide to current practices and procedures. Milbank Mem. Fund. Q. Health Soc. 60, 429–462 (1982)CrossRef
25.
go back to reference Koopmanschap M.A., Rutten F.F., van Ineveld B.M., van Roijen L.: The friction cost method for measuring indirect costs of disease. J. Health Econ. 14, 171–189 (1995)CrossRef Koopmanschap M.A., Rutten F.F., van Ineveld B.M., van Roijen L.: The friction cost method for measuring indirect costs of disease. J. Health Econ. 14, 171–189 (1995)CrossRef
26.
go back to reference Johannesson M., Karlsson G.: The friction cost method: a comment. J Health Econ 16:249–255; discussion 257–249 (1997) Johannesson M., Karlsson G.: The friction cost method: a comment. J Health Econ 16:249–255; discussion 257–249 (1997)
27.
go back to reference Statistisches Bundesamt Deutschland: Krankenheitkosten 2002. Statistisches Bundesamt Deutschland, Wiesbaden (2004) Statistisches Bundesamt Deutschland: Krankenheitkosten 2002. Statistisches Bundesamt Deutschland, Wiesbaden (2004)
Metadata
Title
Cost of breast cancer in Sweden in 2002
Authors
Mathias Lidgren
Nils Wilking
Bengt Jönsson
Publication date
01-03-2007
Publisher
Springer-Verlag
Published in
The European Journal of Health Economics / Issue 1/2007
Print ISSN: 1618-7598
Electronic ISSN: 1618-7601
DOI
https://doi.org/10.1007/s10198-006-0003-8

Other articles of this Issue 1/2007

The European Journal of Health Economics 1/2007 Go to the issue