The Global Economic Burden of Breast Cancer

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Presentation transcript:

The Global Economic Burden of Breast Cancer David Bloom Harvard School of Public Health November 4, 2009 Breast cancer in the developing world: meeting the unforeseen challenge to women, health and equity

The global burden of cancer Updates estimates of cancer incidence for more than two dozen cancer sites for 2009. Projects estimates to 2020. Estimates the global economic burden of cancer for 2009. Identifies a global treatment expenditure standard and calculates the cancer funding gap. http://www.eiu.com/LAF

Cost of illness methodology: general framework (# cases) * (PMCC/case) + (# cases) * (NMC/case) (# cases) * (LI/case) NPC + P&S COI = For more information on the detailed methodology used in EIU report: http://www.eiu.com/LAF PMCC: personal medical care costs NMC: non-medical costs LI: lost income NPC: non personal costs P&S: pain and suffering

Breast cancer incidence by region, 2009 World Africa Americas Asia Europe Oceania Lung Cervix Prostate Breast Stomach Colorectal Kaposi Sarcoma Liver NH Lymphoma & Prostate Cervix & Esophagus Melanoma 10.5% 1.4m new cases Source: Beaulieu, N., D. Bloom, et al. (2009). Breakaway: The global burden of cancer -- challenges and opportunities. New York, Economist Intelligence Unit Limited.

Global economic burden of breast cancer in 2009= US$28bn Total costs ($m) of new breast cancer cases, by geographic region, 2009 Europe US$ 8,742m Asia US$1,928m Americas US$17,221m Africa US$76m Oceania US$461m Global economic burden of breast cancer in 2009= US$28bn

Global economic burden of breast cancer in 2009= US$28bn Total costs (US$bn) of new breast cancer cases as portion of total cancer costs, by geographic region, 2009 Global economic burden of breast cancer in 2009= US$28bn

Components of total cost of new breast cancer cases in year 1, 2009 27% 46% 27%

Breast cancer case fatality rates(%), 2002 Who lives? Who dies?

Treatment expenditure gap Treatment expenditure standard defined by estimates of treatment and care costs associated with country that has lowest case fatality rate for each cancer site. Lowest case fatality rate: 18.8% $30bn treatment expenditure gap for breast cancer.