First-Year Healthcare Resource Utilization Costs of Five Major Cancers in Japan

Watanabe, Tomone; Goto, Rei; Yamamoto, Yoko; Ichinose, Yuichi; Higashi, Takahiro

doi:10.3390/ijerph18189447

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First-Year Healthcare Resource Utilization Costs of Five Major Cancers in Japan

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Division of Health Services Research, National Cancer Center, Tokyo 104-0045, Japan

Department of Social Medicine, Graduate School of Medicine, University of Tokyo, Tokyo 113-8654, Japan

Graduate School of Business Administration, Keio University, Yokohama 223-8526, Japan

Author to whom correspondence should be addressed.

Academic Editor: Paul B. Tchounwou

Int. J. Environ. Res. Public Health 2021, 18(18), 9447; https://doi.org/10.3390/ijerph18189447

Received: 28 July 2021 / Revised: 2 September 2021 / Accepted: 4 September 2021 / Published: 7 September 2021

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Abstract

Reports on the expenditure of cancer treatments per patient using comprehensive data remain unavailable in Japan. This study aimed to use Japan’s cancer registry data and health service utilization data for evaluating the disease-specific, per-patient costs of five major cancers—stomach, lung, colorectal, liver, and breast cancers. We used a database linking the 2017 data from a hospital-based cancer registry and the health service utilization data from the Diagnosis Procedure Combination survey. All patients who started their first treatment course at each hospital were included. The costs were calculated using the total volume of the health services provided and the unit fee information included in the data. We analyzed 304,698 patients. Lung cancer had the highest healthcare cost per-patient for the first year of diagnosis and the longest median hospitalization duration. Conversely, breast cancer showed the lowest cost and the shortest median hospitalization duration. However, in the first month after diagnosis, colorectal cancer showed the highest cost. Subsequently, the gaps between the costs of the five common cancers drastically diminished. The cancer type having the longest hospitalization duration had the highest overall healthcare resource utilization costs. This information is essential for care planning and research studies. View Full-Text

Keywords: healthcare costs; major cancers; Japan

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MDPI and ACS Style

Watanabe, T.; Goto, R.; Yamamoto, Y.; Ichinose, Y.; Higashi, T. First-Year Healthcare Resource Utilization Costs of Five Major Cancers in Japan. Int. J. Environ. Res. Public Health 2021, 18, 9447. https://doi.org/10.3390/ijerph18189447

AMA Style

Watanabe T, Goto R, Yamamoto Y, Ichinose Y, Higashi T. First-Year Healthcare Resource Utilization Costs of Five Major Cancers in Japan. International Journal of Environmental Research and Public Health. 2021; 18(18):9447. https://doi.org/10.3390/ijerph18189447

Chicago/Turabian Style

Watanabe, Tomone, Rei Goto, Yoko Yamamoto, Yuichi Ichinose, and Takahiro Higashi. 2021. "First-Year Healthcare Resource Utilization Costs of Five Major Cancers in Japan" International Journal of Environmental Research and Public Health 18, no. 18: 9447. https://doi.org/10.3390/ijerph18189447

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