From: Direct medical costs of young-onset colorectal cancer: a worldwide systematic review
Study | Cost definition | Cost Components | Source of payment | Payer perspective | Cost per-capita CRC (2020 USD) | Cost per-capita aCRC (2020 USD) | Cost comparison (yCRC versus aCRC) | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Chemotherapy | Radiation Therapy | Outpatient (visits) | Prescription medications | Inpatient (care) | Patient out-of-pocket | Private insurance | Public payer | Statistical method used | Findings | |||||
Studies estimating the annualized costs of prevalent disease | ||||||||||||||
Byun, 2014 [10] | Estimated costs associated with CRC. Only considered the cost of prescription medication if it was indicated for CRC treatment | ● | ● | ● | ● | ● | ● | ● | Societala | Maleb 10–19 years: 16,078 20–29 years: 12,466 30–39 years: 10,156 40–49 years: 9,778 Femaleb 10–19 years: 16,801 20–29 years: 15,816 30–39 years: 14,044 40–49 years: 13,658 | Maleb 50–59 years: 9,501 60–69 years: 8,430 70–79 years: 7,580 80–89 years: 6,649 90–100 years: 5,962 Femaleb 50–59 years: 12,148 60–69 years: 11,099 70–79 years: 11,530 80–89 years: 12,466 90–100 years: 12,509 | N/A | N/A | |
Zheng, 2016 [11] | Estimated the costs associated with and attributed to (i.e., net cost) a CRC diagnosis | ● | ● | ● | ● | ● | ● | ● | ● | Societala | < 65 years Totalc: 13,837 Outpatient: 7,021 Inpatient: 5,053 Medications: 1,595 Netd: 9,745 Outpatient: 5,597 Inpatient: 3,948 Medications: 650 | ≥ 65 years Totalc: 14,997 Outpatient: 4,151 Inpatient: 5,942 Medications: 3,104 Netd: 5,537 Outpatient: 1,668 Inpatient: 2,970 Prescription: 726 | N/A | N/A |
Huang, 2017 [12] | Estimated costs associated with CRC. Including 2 months prior to diagnosis until the survey date | ● | ● | ● | ● | ● | ● | ● | Societala | < 45 years: 11,918 45–54 years: 11,994 | 55–64 years: 10,748 ≥ 65 years: 10,644 | Generalized linear models | Not significant | |
Tran, 2020 [13] | Estimated costs associated with CRC | ○ | ○ | ● | Societal | < 30 years: 2,263 30–39 years: 2,517 40–49 years: 2,335 | 50–59 years: 2,191 60–69 years: 1,932 ≥ 70 years: 1,412 | N/A | N/A | |||||
Gigli, 2021[14] | Estimated cost of care related to rectal cancer treatment (i.e., cost calculation only included the cost of procedures and medications related to rectal cancer treatment) | ● | ● | ● | ● | ● | ● | Healthcare provider | 15–49 years: Initiale: 27,692 Continuingf: 3,709 Terminalg: 31,359 | 50–69 years: Initiale: 24,083 Continuingf: 3,290 Terminalg: 25,450 70–79 years: Initiale: 23,184 Continuingf: 2,444 Terminalg: 18,338 ≥ 80 years: Initiale: 18,214 Continuingf: 1,620 Terminalg: 7,311 | N/A | N/A | ||
Studies estimating the costs of incident disease | ||||||||||||||
Taplin, 1995 [17] | Estimated costs associated with colon cancer by phases of care | ● | ● | ● | ● | ● | ● | Healthcare providera | < 65 years Initiale: 28,013 Continuingf: 2,594 Terminalg: 30,046 | 65–79 years Initiale: 27,614 Continuingf: 2,454 Terminalg: 22,179 ≥ 80 years Initiale: 26,802 Continuingf: 2,253 Terminalg: 19,575 | Multivariate linear regression | Not significant | ||
Clerc, 2008 [16] | Estimated costs associated with CRC during the 12 months following diagnosis | ● | ● | ● | ● | ● | ● | Healthcare providera | < 65 years: 46,624 h Medical purchasesi: 12,101 Outpatient: 8,278 Inpatient: 24,988 | 65–74 years: 42,978 h Medical purchasesi: $11,949 Outpatient: 7,485 Inpatient: 22,489 ≥ 75 years: 38,668 h Medical purchasesi: 7,492 Outpatient: 7,076 Inpatient: 23,192 | Multivariate linear regression | Not significant | ||
Hall, 2015 [15] | Estimated costs associated with CRC, 6, 12 and 15 months following diagnosis | ● | ● | ● | ● | ● | Healthcare provideri | < 65 years 6 months: 19,097 12 months: 23,368 15 months: 25,319 | ≥ 65 years 6 months: 17,858 12 months: 19,929 15 months: 20,978 | Multivariate linear regression | Not significant | |||
Laudicella, 2016 [18] | Estimated costs associated with CRC treatment | ● | ● | ● | ● | Healthcare provideri | < 65 years Stage 1/2 Year 1: 27,360 Year 2: 6,708 Year 3: 5,631 Year 4: 4,435 Year 5: 4,028 Year 6: 2,873 Year 7: 2,972 Year 8: 2,756 Year 9: 2,428 Stage 3/4: Year 1: 35,206 Year 2: 11,774 Year 3: 8,163 Year 4: 6,734 Year 5: 4,910 Year 6: 4,169 Year 7: 4,798 Year 8: 3,763 Year 9: 2,701 | ≥ 65 years Stage 1/2: Year 1: 26,048 Year 2: 6,640 Year 3: 5,567 Year 4: 4,771 Year 5: 4,829 Year 6: 4,872 Year 7: 4,503 Year 8: 4,901 Year 9: 4,229 Stage 3/4: Year 1: 28,277 Year 2: 9,437 Year 3: 7,459 Year 4: 6,006 Year 5: 5,668 Year 6: 5,420 Year 7: 3,739 Year 8: 4,629 Year 9: 3,769 | N/A | N/A | ||||
Ritzwoller, 2018 [19] | Estimated costs associated with CRC during the 12 months following diagnosis | ● | ● | ● | ● | Healthcare providera | < 65 years De Novoj: 89,945 Recurrentk: 61,935 | ≥ 65 years De Novoj: 67,195 Recurrentk: 49,279 | N/A | N/A | ||||
Shi, 2019 [20] | Estimated costs associated with CRC treatment | ● | ● | ● | ● | ● | Societala | 2002–2011 < 45: 7,151 45–54: 7,085 2009–2011 < 45: 10,087 45–54: 9,846 | 2002–2011 55–64: 6,680 ≥ 65: 6,933 2009–2011 55–64: 8,193 ≥ 65: 8,354 | N/A | N/A | |||
Goldsbury, 2021[21] | Estimated costs associated with colon and rectal cancer during the 12 months following diagnosis | ● | ● | ● | ● | ● | Healthcare provider | 45–54 years Colon: 36,064 Rectal: 40,720 | 55- 64 years Colon: 31,869 Rectal: 36,488 65–74 years Colon: 29,723 Rectal: 30,754 ≥ 75 years Colon: 23,251 Rectal: 32,695 | Multivariable gamma regression | Colon: higher costs associated with age < 55 years old at diagnosis Rectal: higher costs associated with age < 65 years old at diagnosis | |||
Paszat, 2021 [22] | Estimated costs associated with CRC during the 12 months following diagnosis | ● | ● | ● | ● | ● | Healthcare provider | 20–49 years 44,291 | 65–74 years 41,063 | N/A | N/A | |||
Utsumi, 2021[23] | Estimated costs associated with CRC within 3 years of diagnosis | ● | ● | ● | ● | ● | ● | Healthcare provider | 30–39 years Endoscopicl: 8,733 Surgicalm: 22,755 Palliativen: 55,713 40–49 years Endoscopicl: 5,717 Surgicalm: 26,386 Palliativen: 72,016 | 50–59 years Endoscopicl: 8,184 Surgicalm: 26,507 Palliativen: 80,516 60–69 years Endoscopicl: 12,681 Surgicalm: 33,424 Palliativen: 78,840 70–71 years Endoscopicl: 12,811 Surgicalm: 29,160 Palliativen: 70,936 | N/A | N/A |