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Article

The Economic Impact of Rectal Cancer: A Population-Based Study in Italy

1
Institute for Research on Population and Social Policies, National Research Council, 00185 Rome, Italy
2
Centro Nazionale per la Prevenzione delle Malattie e la Promozione della Salute, Istituto Superiore di Sanità, 00161 Roma, Italy
3
Servizio Epidemiologico Regionale, Azienda Zero, 35132 Padova, Italy
4
Registro Tumori Veneto, Azienda Zero, 35132 Padova, Italy
5
Registro Tumori dell’Umbria, Università di Perugia, 06123 Perugia, Italy
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UOC Programmazione e Controllo di Gestione, Azienda Sanitaria Locale Latina, 04100 Latina, Italy
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Registro Tumori di Palermo, Università of Palermo, 90133 Palermo, Italy
8
Istituto Oncologico Veneto, IRCCS, 35128 Padova, Italy
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Registro Tumori di Milano, Agenzia per la Protezione della Salute di Milano, 20100 Milano, Italy
10
Registro Tumori di Latina, Dipartimento di Prevenzione Azienda Sanitaria Locale Latina, 04100 Latina, Italy
11
Registro Tumori del Friuli Venezia Giulia, Centro di Riferimento Oncologico, IRCCS, 33081 Aviano, Italy
12
Registro Tumori della Toscana, Istituto per lo Studio, la Prevenzione e la Rete Oncologica, 50139 Firenze, Italy
13
Registro Tumori Azienda Sanitaria Locale Napoli 3 Sud, 80100 Napoli, Italy
14
Azienda Sanitaria Locale 6, 90141 Palermo, Italy
15
Registro Tumori del Veneto, Università di Padova, 35122 Padova, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(2), 474; https://doi.org/10.3390/ijerph18020474
Received: 19 October 2020 / Revised: 2 January 2021 / Accepted: 4 January 2021 / Published: 8 January 2021
(This article belongs to the Special Issue Global Economic Burden of Cancers)
Costs of cancer care are increasing worldwide, and sustainability of cancer burden is critical. In this study, the economic impact of rectal cancer on the Italian healthcare system, measured as public healthcare expenditure related to investigation and treatment of rectal cancer patients is estimated. A cross-sectional cohort of 9358 rectal cancer patients is linked, on an individual basis, to claims associated to rectal cancer diagnosis and treatments. Costs refer mainly to years 2010–2011 and are estimated by phase of care, as healthcare needs vary along the care pathway: diagnostic procedures are mainly provided in the first year, surveillance procedures are addressed to chronically ill patients, and end-of-life procedures are given in the terminal status. Clinical approaches and corresponding costs are specific by cancer type and vary by phase of care, stage at diagnosis, and age. Surgery is undertaken by the great majority of patients. Thus, hospitalization is the main cost driver. The evidence produced can be used to improve planning and allocation of healthcare resources. In particular, early diagnosis of rectal cancer is a gain in healthcare budget. Policies raising spreading of and adherence to screening plans, above all when addressed to people living in Southern Italy, should be strongly encouraged. View Full-Text
Keywords: cancer registry; administrative databases; cost analysis; prevalence; real-world data; patterns of care cancer registry; administrative databases; cost analysis; prevalence; real-world data; patterns of care
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MDPI and ACS Style

Gigli, A.; Francisci, S.; Capodaglio, G.; Pierannunzio, D.; Mallone, S.; Tavilla, A.; Lopez, T.; Zorzi, M.; Stracci, F.; Busco, S.; Mazzucco, W.; Lonardi, S.; Bianconi, F.; Russo, A.G.; Iacovacci, S.; Serraino, D.; Manneschi, G.; Fusco, M.; Cusimano, R.; Rugge, M.; Guzzinati, S. The Economic Impact of Rectal Cancer: A Population-Based Study in Italy. Int. J. Environ. Res. Public Health 2021, 18, 474. https://doi.org/10.3390/ijerph18020474

AMA Style

Gigli A, Francisci S, Capodaglio G, Pierannunzio D, Mallone S, Tavilla A, Lopez T, Zorzi M, Stracci F, Busco S, Mazzucco W, Lonardi S, Bianconi F, Russo AG, Iacovacci S, Serraino D, Manneschi G, Fusco M, Cusimano R, Rugge M, Guzzinati S. The Economic Impact of Rectal Cancer: A Population-Based Study in Italy. International Journal of Environmental Research and Public Health. 2021; 18(2):474. https://doi.org/10.3390/ijerph18020474

Chicago/Turabian Style

Gigli, Anna, Silvia Francisci, Giulia Capodaglio, Daniela Pierannunzio, Sandra Mallone, Andrea Tavilla, Tania Lopez, Manuel Zorzi, Fabrizio Stracci, Susanna Busco, Walter Mazzucco, Sara Lonardi, Fortunato Bianconi, Antonio G. Russo, Silvia Iacovacci, Diego Serraino, Gianfranco Manneschi, Mario Fusco, Rosanna Cusimano, Massimo Rugge, and Stefano Guzzinati. 2021. "The Economic Impact of Rectal Cancer: A Population-Based Study in Italy" International Journal of Environmental Research and Public Health 18, no. 2: 474. https://doi.org/10.3390/ijerph18020474

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