The population-level economic burden of liver cancer in China, 2019–2030: prevalence-based estimations from a societal perspective

Abstract Background Benchmark data on the population-level economic burden are critical to inform policymakers about liver cancer control. However, comprehensive data in China are currently limited. Methods A prevalence-based approach from a societal perspective was used to quantify the annual econo...

Full description

Bibliographic Details
Main Authors: Meng-Di Cao, Cheng-Cheng Liu, Hong Wang, Lin Lei, Maomao Cao, Yuting Wang, He Li, Xin-Xin Yan, Yan-Jie Li, Xin Wang, Ji Peng, Chunfeng Qu, Eleonora Feletto, Ju-Fang Shi, Wanqing Chen
Format: Article
Language:English
Published: BMC 2022-07-01
Series:Cost Effectiveness and Resource Allocation
Subjects:
Online Access:https://doi.org/10.1186/s12962-022-00370-3
_version_ 1818510017604616192
author Meng-Di Cao
Cheng-Cheng Liu
Hong Wang
Lin Lei
Maomao Cao
Yuting Wang
He Li
Xin-Xin Yan
Yan-Jie Li
Xin Wang
Ji Peng
Chunfeng Qu
Eleonora Feletto
Ju-Fang Shi
Wanqing Chen
author_facet Meng-Di Cao
Cheng-Cheng Liu
Hong Wang
Lin Lei
Maomao Cao
Yuting Wang
He Li
Xin-Xin Yan
Yan-Jie Li
Xin Wang
Ji Peng
Chunfeng Qu
Eleonora Feletto
Ju-Fang Shi
Wanqing Chen
author_sort Meng-Di Cao
collection DOAJ
description Abstract Background Benchmark data on the population-level economic burden are critical to inform policymakers about liver cancer control. However, comprehensive data in China are currently limited. Methods A prevalence-based approach from a societal perspective was used to quantify the annual economic burden of liver cancer in China from 2019 to 2030. Detailed per-case data on medical/non-medical expenditure and work-loss days were extracted from a multicenter survey. The numbers/rates of new/prevalent cases and deaths, survival, and population-related parameters were extracted from the Global Burden of Disease 2019 and the literature. All expenditure data were reported in both 2019 Chinese Yuan (CNY) and United States dollar (US$, for main estimations). Result The overall economic burden of liver cancer was estimated at CNY76.7/US$11.1 billion in China in 2019 (0.047% of the local GDP). The direct expenditure was CNY21.6/US$3.1 billion, including CNY19.7/US$2.9 billion for medical expenditure and CNY1.9/US$0.3 billion for non-medical expenditure. The indirect cost was CNY55.1/US$8.0 billion (71.8% of the overall burden), including CNY3.0/US$0.4 billion due to disability and CNY52.0/US$7.5 billion due to premature death. The total burden would increase to CNY84.2/US$12.2 billion, CNY141.7/US$20.5 billion, and CNY234.3/US$34.0 billion in 2020, 2025, and 2030, accounting for 0.102%, 0.138%, and 0.192% of China's GDP, respectively. However, if China achieves the goals of Healthy China 2030 or the United Nations' Sustainable Development Goals for non-communicable diseases, the burden in 2030 would be < CNY144.4/US$20.9 billion. Conclusions The population-level economic burden of liver cancer in China is currently substantial and will consistently increase in the future. Sustainable efforts in primary and secondary interventions for liver cancer need to be further strengthened.
first_indexed 2024-12-10T22:53:28Z
format Article
id doaj.art-41be5e0610fc4144ac37cbe909cee034
institution Directory Open Access Journal
issn 1478-7547
language English
last_indexed 2024-12-10T22:53:28Z
publishDate 2022-07-01
publisher BMC
record_format Article
series Cost Effectiveness and Resource Allocation
spelling doaj.art-41be5e0610fc4144ac37cbe909cee0342022-12-22T01:30:21ZengBMCCost Effectiveness and Resource Allocation1478-75472022-07-0120111110.1186/s12962-022-00370-3The population-level economic burden of liver cancer in China, 2019–2030: prevalence-based estimations from a societal perspectiveMeng-Di Cao0Cheng-Cheng Liu1Hong Wang2Lin Lei3Maomao Cao4Yuting Wang5He Li6Xin-Xin Yan7Yan-Jie Li8Xin Wang9Ji Peng10Chunfeng Qu11Eleonora Feletto12Ju-Fang Shi13Wanqing Chen14Office of Cancer Screening, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeOffice of Cancer Screening, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeOffice of Cancer Screening, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Cancer Prevention and Control, Shenzhen Center for Chronic Disease ControlOffice of Cancer Screening, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeState Key Lab of Molecular Oncology, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeOffice of Cancer Screening, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeOffice of Cancer Screening, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeOffice of Cancer Screening, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeOffice of Cancer Screening, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Cancer Prevention and Control, Shenzhen Center for Chronic Disease ControlState Key Lab of Molecular Oncology, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeThe Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSWOffice of Cancer Screening, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeOffice of Cancer Screening, National Cancer Center / National Clinical Research Center for Cancer / Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeAbstract Background Benchmark data on the population-level economic burden are critical to inform policymakers about liver cancer control. However, comprehensive data in China are currently limited. Methods A prevalence-based approach from a societal perspective was used to quantify the annual economic burden of liver cancer in China from 2019 to 2030. Detailed per-case data on medical/non-medical expenditure and work-loss days were extracted from a multicenter survey. The numbers/rates of new/prevalent cases and deaths, survival, and population-related parameters were extracted from the Global Burden of Disease 2019 and the literature. All expenditure data were reported in both 2019 Chinese Yuan (CNY) and United States dollar (US$, for main estimations). Result The overall economic burden of liver cancer was estimated at CNY76.7/US$11.1 billion in China in 2019 (0.047% of the local GDP). The direct expenditure was CNY21.6/US$3.1 billion, including CNY19.7/US$2.9 billion for medical expenditure and CNY1.9/US$0.3 billion for non-medical expenditure. The indirect cost was CNY55.1/US$8.0 billion (71.8% of the overall burden), including CNY3.0/US$0.4 billion due to disability and CNY52.0/US$7.5 billion due to premature death. The total burden would increase to CNY84.2/US$12.2 billion, CNY141.7/US$20.5 billion, and CNY234.3/US$34.0 billion in 2020, 2025, and 2030, accounting for 0.102%, 0.138%, and 0.192% of China's GDP, respectively. However, if China achieves the goals of Healthy China 2030 or the United Nations' Sustainable Development Goals for non-communicable diseases, the burden in 2030 would be < CNY144.4/US$20.9 billion. Conclusions The population-level economic burden of liver cancer in China is currently substantial and will consistently increase in the future. Sustainable efforts in primary and secondary interventions for liver cancer need to be further strengthened.https://doi.org/10.1186/s12962-022-00370-3Liver cancerCost of illnessChinaPopulation-levelPrevalence
spellingShingle Meng-Di Cao
Cheng-Cheng Liu
Hong Wang
Lin Lei
Maomao Cao
Yuting Wang
He Li
Xin-Xin Yan
Yan-Jie Li
Xin Wang
Ji Peng
Chunfeng Qu
Eleonora Feletto
Ju-Fang Shi
Wanqing Chen
The population-level economic burden of liver cancer in China, 2019–2030: prevalence-based estimations from a societal perspective
Cost Effectiveness and Resource Allocation
Liver cancer
Cost of illness
China
Population-level
Prevalence
title The population-level economic burden of liver cancer in China, 2019–2030: prevalence-based estimations from a societal perspective
title_full The population-level economic burden of liver cancer in China, 2019–2030: prevalence-based estimations from a societal perspective
title_fullStr The population-level economic burden of liver cancer in China, 2019–2030: prevalence-based estimations from a societal perspective
title_full_unstemmed The population-level economic burden of liver cancer in China, 2019–2030: prevalence-based estimations from a societal perspective
title_short The population-level economic burden of liver cancer in China, 2019–2030: prevalence-based estimations from a societal perspective
title_sort population level economic burden of liver cancer in china 2019 2030 prevalence based estimations from a societal perspective
topic Liver cancer
Cost of illness
China
Population-level
Prevalence
url https://doi.org/10.1186/s12962-022-00370-3
work_keys_str_mv AT mengdicao thepopulationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT chengchengliu thepopulationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT hongwang thepopulationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT linlei thepopulationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT maomaocao thepopulationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT yutingwang thepopulationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT heli thepopulationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT xinxinyan thepopulationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT yanjieli thepopulationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT xinwang thepopulationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT jipeng thepopulationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT chunfengqu thepopulationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT eleonorafeletto thepopulationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT jufangshi thepopulationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT wanqingchen thepopulationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT mengdicao populationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT chengchengliu populationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT hongwang populationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT linlei populationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT maomaocao populationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT yutingwang populationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT heli populationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT xinxinyan populationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT yanjieli populationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT xinwang populationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT jipeng populationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT chunfengqu populationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT eleonorafeletto populationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT jufangshi populationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective
AT wanqingchen populationleveleconomicburdenoflivercancerinchina20192030prevalencebasedestimationsfromasocietalperspective