Pinto Márcia, Ugá Maria Alicia Domínguez
Instituto Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
Cad Saude Publica. 2010 Jun;26(6):1234-45. doi: 10.1590/s0102-311x2010000600016.
This study aimed to identify the direct costs of hospitalizations due to three smoking-related groups of diseases - cancer and circulatory and respiratory diseases - in Brazil's Unified National Health System (SUS) in 2005. For cancer, the cost of chemotherapy was also included. The study derived cost estimates using administrative databases, relative risks, smoking prevalence, and smoking-attributable fraction. According to the estimates, smoking- attributable medical expenditures for the three disease groups amounted to R$338,692,516.02 (approximately U$185 million), accounting for 27.6% of total medical expenditures. Considering all hospitalizations and chemotherapy provided by the National Health System, tobacco-related diseases accounted for 7.7% of total medical expenditures. These costs also represented 0.9% of expenditures by federally funded public health services. This study provides a conservative estimate of smoking-related costs and suggests the need for continued research on comprehensive approaches to measure the total burden of smoking for society.
本研究旨在确定2005年巴西统一国家卫生系统（SUS）中因三类与吸烟相关的疾病——癌症、循环系统疾病和呼吸系统疾病——导致的住院直接费用。对于癌症，还包括化疗费用。该研究利用行政数据库、相对风险、吸烟流行率和吸烟归因比例得出成本估算。根据估算，这三类疾病的吸烟归因医疗支出达3.3869251602亿雷亚尔（约1.85亿美元），占医疗总支出的27.6%。考虑到国家卫生系统提供的所有住院治疗和化疗，烟草相关疾病占医疗总支出的7.7%。这些成本也占联邦资助公共卫生服务支出的0.9%。本研究对与吸烟相关的成本进行了保守估算，并表明需要继续研究衡量吸烟对社会造成的总负担的综合方法。
