The Burden of Cervical Cancer in Korea: A Population-Based Study
- 주제(키워드) cervical cancer , carcinoma in situ , incidence , cost , burden of disease , HPV
- 주제(기타) Environmental Sciences
- 주제(기타) Public, Environmental & Occupational Health
- 설명문(일반) [Kim, Jinhee; Son, Kyung-Bok; Bae, SeungJin] Ewha Womans Univ, Coll Pharm, Seoul 03760, South Korea; [Lee, Donghwan] Ewha Womans Univ, Dept Stat, Seoul 03760, South Korea
- 등재 SCIE, SSCI, SCOPUS
- OA유형 gold, Green Published
- 발행기관 MDPI
- 발행년도 2020
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000174512
- 본문언어 영어
- Published As http://dx.doi.org/10.3390/ijerph17176308
- PubMed https://pubmed.ncbi.nlm.nih.gov/32872616
초록/요약
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.
more