Author/Authors :
Nejati, Mina The Cancer Institute at Imam Khomeini Hospital Complex - Tehran University of Medical Sciences, Tehran, Iran , Razavi , Moaven The Schneider Institutes for Health Policy at the Heller School of Brandeis University, Waltham, MA, USA , Harirchi, Iraj The Cancer Institute at Imam Khomeini Hospital Complex - Tehran University of Medical Sciences, Tehran, Iran , Zanganeh, Marzieh Deputy of Medical Affairs - Ministry of Health and Medical Education, Tehran, Iran , Salari, Gholamreza Iran Small Businesses and Industrial Parks Organization, Qazvin, Iran , Tabatabaee, Mosa Deputy of Medical Affairs - Ministry of Health and Medical Education, Tehran, Iran
Abstract :
To estimate the resource use and costs associated to the initial phase of treatment for colorectal cancer in Iran.
Methods: A retrospective study was conducted using routinely collected data within Electronic Health Records System (SEPAS), a national database representing public hospitals in Iran between March 20, 2016 and March 19, 2017. Primary end points included healthcare resource use, direct medical and non-medical costs of care in the 12-month study period.
Results: The study population included 657 patients with colorectal cancer who underwent surgery and the fol-low-up chemotherapy. We estimated a total direct cost of $21,407 per patient. The results indicated that direct medical costs were primarily driven by inpatient hospital care, followed by surgery, chemotherapy, and diagnostic services.
Conclusion: The initial 12-month of treatment for colorectal cancer, including surgery and the follow-up chem-otherapy, is resource intensive. The total direct costs associated to the disease are remarkable, with Inpatient hos-pital services being the main contributor followed by surgery and chemotherapy
Keywords :
Colorectal cancer , Costs , Colorectal cancer , Direct medical costs , Resource use
