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Head and Neck Cancers Medical Costs in a Universal Health System: A Population-Based Case-Control Study.
Noémie Villemure-Poliquin1,2,3, Rui Fu1,2,4, Kelvin K W Chan2,4,5
1Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Head and neck cancers (HNC) cost over $53,000 per person in direct medical expenses over 63 months. Costs are highest early post-diagnosis and for advanced stages or multimodal treatments.
Area of Science:
- Oncology
- Health Economics
- Public Health
Background:
- Head and neck cancers (HNC) represent a significant financial burden on healthcare systems.
- Understanding direct medical costs across HNC care phases is vital for resource allocation and cost-effectiveness in universal healthcare.
Purpose of the Study:
- To quantify direct medical costs of HNC over 60 months post-diagnosis.
- To analyze cost variations by cancer subsite, stage, and treatment modality.
Main Methods:
- Population-based, matched case-control study utilizing administrative healthcare data from Ontario, Canada.
- Included 19,832 adults diagnosed with HNC (2007-2020), matched with 5 controls each.
- Analyzed mean per-person direct medical costs over 63 months by care phase, subsite, stage, and treatment.
Main Results:
- Mean per-person HNC cost over 63 months was $53,812.9.
- Costs peaked in the first 3 months post-diagnosis ($9709.7/month) and decreased over time.
- Larynx/hypopharynx cancers, advanced stages (IV vs. I), and multimodal treatments (surgery + chemoradiation) incurred the highest costs.
Conclusions:
- HNC generates substantial healthcare costs with significant variations based on subsite, stage, and treatment.
- Peak costs occur during early treatment, remaining elevated for multimodal therapy patients.
- Findings inform resource allocation and cost-effectiveness evaluations for HNC care.
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