DOI QR코드

DOI QR Code

Economic Burden of Cancer in South Korea for the Year 2005

2005년 암의 경제적 비용부담 추계

  • Kim, Jin-Hee (National Cancer Control Research Institute, National Cancer Center) ;
  • Hahm, Myung-Il (Department of U-Healthcare Management, College of Medical Science, Soonchunhyang University) ;
  • Park, Eun-Cheol (National Cancer Control Research Institute, National Cancer Center) ;
  • Park, Jae-Hyun (Department of Social and Preventive Medicine, Sungkyunkwan University School of Medicine) ;
  • Park, Jong-Hyock (National Cancer Control Research Institute, National Cancer Center) ;
  • Kim, Sung-Eun (National Cancer Control Research Institute, National Cancer Center) ;
  • Kim, Sung-Gyeong (National Cancer Control Research Institute, National Cancer Center)
  • 김진희 (국립암센터 국가암관리사업단) ;
  • 함명일 (순천향대학교 의료과학대학 보건행정경영학과) ;
  • 박은철 (국립암센터 국가암관리사업단) ;
  • 박재현 (성균관대학교 의과대학 사회의학교실) ;
  • 박종혁 (국립암센터 국가암관리사업단) ;
  • 김성은 (국립암센터 국가암관리사업단) ;
  • 김성경 (국립암센터 국가암관리사업단)
  • Published : 2009.05.31

Abstract

Objectives : The objective of this study is to estimate the economic costs of cancer on society. Methods : We estimated the economic burden of people with cancer in South Korea. To perform the analysis, we reviewed the records of people who were cancer patients and those who were newly diagnosed with cancer. The data was compiled from the National Health Insurance Corporation, which included the insurance claims database, a list of cancer patients, a database that records the cancer rates, the Korea Central Cancer Registry Center s cancer patient registry database and the Korea National Statistical Office s causes of death database. We classified the costs as related to cancer into direct costs and indirect costs, and we estimated each cost. Direct costs included both medical and non-medical care expenses and the indirect costs consisted of morbidity, mortality and the caregiver's time costs. Results : The total economic costs of cancer in South Korea stood at 14.1 trillion won in 2005. The largest amount of the cost 7.4 trillion won, was the mortality costs. Following this were the morbidity costs (3.2 trillion won), the medical care costs (2.2 trillion won), the non-medical care costs (1.1 trillion won) and the costs related to the caregiver's time (100 billion won). As a result, the economic cost of cancer to South Korea is estimated to be between 11.6 trillion won to 14.1 trillion won for the year 2005. Conclusions : We need to reduce the cancer burden through encouraging people to undergo early screening for cancer and curing it in the early stage of cancer, as well as implementing policies to actively prevent cancer.

Keywords

References

  1. Stewart BW, Kleihues P, World Cancer Report,Lyon: IARC Press;2003
  2. Ngoma T, World Health Organization cancer priorities in developing countries, Ann Oncol 2006;17 (Suppl 8): viii9-viii14 https://doi.org/10.1093/annonc/mdl982
  3. Korea National Statistical Office, Korean Statistical Information Service, Daejeon: Korea National Statistical Office;[cited 2009 Apr 27], Available from: URL:http://www.kosis.kr(Korean)
  4. National Cancer Center, Cancer Facts & Figures 2008, Goyang:National Cancer Center;2008 (Korean)
  5. Ministry for Health, Welfare and Family Affairs, Press Release. 16 Oct 2008, [cited 2009 Apr 27].Available from: URL:http://www.mw.go.kr/ front/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&BOARD_ID=140 &BOARD_FLA%20G=&CONT_SEQ=45732&SEARCHKEY=TITLE&SEARCHVALU E= &CREATE_DATE1=&CREATE_DATE2=(Korean)
  6. Brown ML, Lipscomb J, Snyder C, The burden of illness of cancer: Economic cost and quality of life, Annu Rev Public Health 2001; 22:91-113 https://doi.org/10.1146/annurev.publhealth.22.1.91
  7. Rice DP, Hodgson TA, Kopstein AN, The economic costs of illness: A replication and update, Health Care Financ Rev 1985;7(1):61-80
  8. Max W, Rice DP, Sung HY, Michel M, Breuer W, Zhang X. The economic burden of prostate cancer, California, 1998, Cancer 2002;94(11):2906-2913 https://doi.org/10.1002/cncr.10532
  9. Pickle LW, Hao Y, Jemal A, Zou Z, Tiwari RC, Ward E, et al, A new method of estimating United States and state-level cancer incidence counts for the current calender year, CA Cancer J Clin 2007;57(1):30-42 https://doi.org/10.3322/canjclin.57.1.30
  10. American Cancer Society. Cancer Facts & Figures. 2002. Atlanta: American Cancer Society; c2009 [cited 2009 Apr 27] Available from: URL: http://www.cancer.org/docroot/STT/stt_0_2002.asp?sitearea=STT&level=1
  11. American Cancer Society, Cancer Facts & Figures, 2005. Atlanta: American Cancer Society;c2009 [cited 2009 Apr 27] Available from: URL: http://www.cancer.org/docroot/ STT/stt_0_2005.asp?sitearea=STT&level=1
  12. Park CS, Kang HY, Kwon I, Kang DR, Jung HY, Cost-of-illness study of asthma in Korea: Estimated from the Korea national health insurance claims database, J Prev Med Public Health 2006;39(5):397-403 (Korean)
  13. Yang BM, Paik SW, Han OS, Bae EY, Yi,DH, Choi MS, Direct and Indirect Costs of Hepatitis B in Korea, Seoul: The Korea, Association of Health Economics and Policy;2000 (Korean)
  14. Kim HJ, Park TK, Jee SH, Kang HY, Nam CM. Analysis of socioeconomic costs of smoking in Korea. Korean J Prev Med 2001;34(3):183-190(Korean)
  15. Jung YH, Ko SJ, Estimating socioeconomic costs of five major disease, Korean J Public Finance 2004;18(2):77-104 (Korean)
  16. Kim SG, Hahm MI, Choi KS, Seung NY, Shin HR, Park EC. The economic burden of cancer in Korea in 2002, Eur J Cancer Care (Engl) 2008;17(2):136-144 https://doi.org/10.1111/j.1365-2354.2007.00818.x
  17. You GC, Choi BH, Jung YH, Shin YJ, Nam SH, Go SG, et al, Determinants and Macroefficiency of the National Health Expenditure, Seoul: Korea Institute for Health and Social Affairs; 2003 (Korean)
  18. Lee KS, Brouwer WB, Lee SI, Koo HW, Critical review of health care economic evaluation methodology: With a special reference to study design and cost estimation, Korean J Health Policy Adm 2004;14(2): 58-77 (Korean) https://doi.org/10.4332/KJHPA.2004.14.2.058
  19. Kang HY, Cho WH, Lee SM, Kim HJ, Lee HY, Woo TW, Estimating the cost savings due to the effect of kremezin in delaying the initiation of dialysis treatments among patients with chronic renal failure, J Prev Med Public Health 2006;39(2):149-158 (Korean)
  20. Drummond MF, Sculpher MJ, Torrance GW, O Brien BJ, Stoddart GL, Methods for the Economic Evaluation of Health Care Programmes, 3nd ed. New York: Oxford University Press;2005
  21. Jeong BG, Moon OR, Kim NS, Kang JH, Yoon TH, Lee SY, et al, Socioeconomic costs of obesity for Korean adults, Korean J Prev Med 2002; 35(1): 1-12 (Korean)
  22. Hogan P, Dall T, Nikolov P;American Diabetes Association, Economic costs of diabetes in the US in 2002, Diabetes Care 2003; 26(3):917-932 https://doi.org/10.2337/diacare.26.3.917
  23. Hoffman C, Rice D, Sung HY, Persons with chronic conditions:Their prevalence and costs, JAMA 1996; 276(18):1473-1479 https://doi.org/10.1001/jama.276.18.1473
  24. Kim JH, Jung JC, Lee HY, Choi SJ, Lee JK, A Survey About Out-of-pocket Expenditure of Patients Enrolled in Health Insurance in Year 2005, Seoul: National Health Insurance Corporation; 2006 (Korean)
  25. Park EC, Choi KS, Kim SG, Lim JH, A Study on the Estimation of Cost Related to Cancer Care and Burden of Cancer Diseases, Goyang: National Cancer Center; 2003 (Korean)
  26. Korea Centers for Disease Control and Prevention, The Third Korea National Health and Nutrition Examination Survey (KNHANES), Seoul: Korea Centers for Disease Control and Prevention;2005 [cited 2009 Apr 27] Available from: URL:http://knhanes.cdc.go.kr(Korean)
  27. Association of Sarangnanum Medicare Service, Seoul: Association of Sarangnanum Medicare Service;c1999-2006 [cited 2009 Apr27] Available from: URL:http://www.sarang nanum.or.kr (Korean)
  28. Park EC, Choi KS, Kwak MS, Kim SG, Kim H, Kim YM, et al, Evaluation of Cancer Screening and Cost of Cancer, Gogang: National Cancer Center; 2005 (Korean)
  29. Park EC, Choi KS, Park JH, Park GH, Kwak MS, Kim SG, et al, Evaluation of Cancer Screening and Cost of Cancer, Gogang:National Cancer Center; 2006(Korean)
  30. Chang SB. Cost Analysis and Classification of Complementary and Alternative Therapies used by Cancer patients in Korea, Seoul: Ministry for Health, Welfare and Family Affairs;2005 (Korean)
  31. Park EC, Choi KS, Kang IO, Kwak MS, Gae SY, Kim YM, et al, Evaluation of Cancer Screening and Cost of Cancer, Gogang:National Cancer Center; 2004(Korean)
  32. Jung YH, An estimation of lost earnings attributable to cancer-induced deaths, Welf Fam Aff 2002;67:69-80(Korean)
  33. National Health Insurance Corporation, 2006 National Health Insurance Statistical Yearbook, Seoul: National Health Insurance Corporation; 2007(Korean)
  34. The Bank of Korea, Economic Statistic System, Seoul: The Bank of Korea; c2007 [cited 2009 Apr 27], Available from:URL:http://ecos.bok.or.kr (Korean)
  35. Kim TI, Choi YY, Lee KH, Analysis on the differences in medical service usage in terms of income levels, Soc Secur Res 2008;24(3):53-75 (Korean)
  36. 200Ministry for Health, Welfare and Family Affairs, Press Release, 1 Sept 2005. [cited 2009Apr 27].Available from: URL:http://www.mw.go.kr/front/al/sal0301vw.jsp?PAR_MENU_ID =04&MENU_ID=0403&page=2&BOARD_I D=140&BOARD_FLAG=&CONT_SEQ=34 865&SEARCHKEY=CREATE_DATE&SE ARCHVALUE=&CREATE_DATE1=2005- 08-24&CREATE_DATE2=2005-09-07(Korean)
  37. Yabroff KR, Lawrence WF, Clauser S, Davis WW, Brown ML, Burden of illness in cancer survivors: Findings from a population-based national sample, J Natl Cancer Inst 2004;96(17): 1322-1330 https://doi.org/10.1093/jnci/djh255
  38. Max W, Rice DP, Sung HY, Michel M, Breuer W, Zhang X, The economic burden of prostate cancer, California, 1998. Cancer 2002;94(11): 2906-2913 https://doi.org/10.1002/cncr.10532
  39. Brown ML, Hodgson TA, Rice DP, Economic impact of cancer in the United States, In: Schottenfeld D, Fraumini JF, editors, Cancer Epidemiology and Prevention. 2nd ed. New York: Oxford University Press; 1996. p. 255-266

Cited by

  1. Estimating Medical Expenditure Associated with Osteoporotic Hip Fracture in Elderly Korean Women Based on the National Health Insurance Claims Database 2002-2004 vol.12, pp.suppl3, 2009, https://doi.org/10.1111/j.1524-4733.2009.00637.x
  2. A Renal Transplantation and Hemodialysis Cost-Utility Analysis in Patients with End-Stage Renal Disease vol.24, pp.3, 2009, https://doi.org/10.4285/jkstn.2010.24.3.173
  3. 암 환자가 느끼는 경제적 도움에 대한 필요와 이에 영향을 미치는 요인 vol.20, pp.4, 2009, https://doi.org/10.4332/kjhpa.2010.20.4.058
  4. How Much Amount of Socioeconomic Loss Is Caused by Digestive Diseases? vol.58, pp.6, 2011, https://doi.org/10.4166/kjg.2011.58.6.297
  5. 암환자 의료비 지원사업 대상자의 만족도 관련 요인 vol.21, pp.1, 2009, https://doi.org/10.4332/kjhpa.2011.21.1.061
  6. Comprehensive needs assessment tool in cancer (CNAT): the development and validation vol.19, pp.12, 2011, https://doi.org/10.1007/s00520-010-1037-0
  7. 보건소 재가암환자관리사업 대상자의 서비스 요구도 분석 vol.36, pp.4, 2009, https://doi.org/10.5393/jamch.2011.36.4.238
  8. The economic burden of stroke in 2010 in Korea vol.55, pp.12, 2012, https://doi.org/10.5124/jkma.2012.55.12.1226
  9. Union for International Cancer Control International Session: Healthcare Economics: The significance of the UN summit non-communicable diseases political declaration in Asia vol.104, pp.6, 2013, https://doi.org/10.1111/cas.12142
  10. Review of Tumor Dormancy Therapy Using Traditional Oriental Herbal Medicine vol.16, pp.1, 2009, https://doi.org/10.3831/kpi.2013.16.005
  11. A Single Measure of Cancer Burden in Korea from 1999 to 2010 vol.14, pp.9, 2009, https://doi.org/10.7314/apjcp.2013.14.9.5249
  12. Attributable fraction of alcohol consumption on cancer using population-based nationwide cancer incidence and mortality data in the Republic of Korea vol.14, pp.None, 2009, https://doi.org/10.1186/1471-2407-14-420
  13. The Epidemiology and Economic Burden of Clostridium difficile Infection in Korea vol.2015, pp.None, 2009, https://doi.org/10.1155/2015/510386
  14. The Economic Burden of Cancer in Korea in 2009 vol.16, pp.3, 2015, https://doi.org/10.7314/apjcp.2015.16.3.1295
  15. Quality of Life among End-stage Renal Disease Treatments and Economic Evaluation of Renal Transplantation and Hemodialysis Treatments vol.29, pp.4, 2009, https://doi.org/10.4285/jkstn.2015.29.4.200
  16. 중년남성의 국가암 검진수검 관련요인 vol.10, pp.3, 2009, https://doi.org/10.12811/kshsm.2016.10.3.051
  17. The economic burden of kidney disorders in Korea vol.21, pp.3, 2018, https://doi.org/10.1080/13696998.2017.1397523
  18. The economic burden of cancer attributable to obesity in Korea: A population‐based cohort study vol.28, pp.5, 2009, https://doi.org/10.1111/ecc.13084
  19. Association of Bedtime with both Suicidal Ideation and Suicide Planning among Korean Adolescents vol.16, pp.20, 2009, https://doi.org/10.3390/ijerph16203817
  20. Socioeconomic Burden of Disease Due to Asthma in South Korea vol.32, pp.4, 2020, https://doi.org/10.1177/1010539520920524
  21. 암 환자의 삶의 질에 영향을 미치는 재정 관련 어려움 요인 vol.21, pp.10, 2020, https://doi.org/10.5762/kais.2020.21.10.299
  22. Sex Difference in the Socioeconomic Burden of Osteoporosis among South Koreans vol.9, pp.10, 2009, https://doi.org/10.3390/healthcare9101304