Epidemiology Unit, Department of Occupational Medicine, Research Area, Italian Workers' Compensation Authority (INAIL), Rome, Italy.
Am J Ind Med. 2013 Nov;56(11):1272-9. doi: 10.1002/ajim.22224. Epub 2013 Jun 24.
The costs of productivity loss due to occupational cancer mortality are rarely investigated. An estimate of occupational cancer deaths in Italy in 2006 and an approximation of the resultant costs from medical and non-medical expenditures together with figures of remuneration lost are provided.
Occupational cancer deaths, obtained from the application of the attributable fraction (AF) to mortality data (source: Italian National Institute of Statistics), were used to calculate the Potential Years of Life Lost (PYLLs), the Potential Years of Working Life Lost (PYWLLs) and the costs of the loss of productive life. The health care costs for any cancer was applied to the estimated number of occupational cancer cases to obtain the total cost.
Around 8,000-8,500 deaths/year from occupational cancer are estimated to occur in Italy, corresponding to 170,000 PYLLs and more than 16,000 PYWLLs, leading to around 360,000,000 euros in indirect economic loss. Health care costs of occupational cancer are estimated at 456,000,000 euros.
Occupational cancer is of major concern in terms of mortality and economic productivity loss. Preventive efforts in evaluating ongoing risks and current exposures are strongly recommended to health policy-makers.
职业性癌症死亡率导致的生产力损失成本很少被调查。本文对意大利 2006 年职业性癌症死亡人数进行了估计，并对由此导致的医疗和非医疗支出成本以及薪酬损失数据进行了近似计算。
通过将归因分数（AF）应用于死亡率数据（来源：意大利国家统计局），我们得出了职业性癌症死亡人数，进而计算了潜在寿命损失年数（PYLLs）、潜在工作寿命损失年数（PYWLLs）和生产寿命损失成本。将任何癌症的医疗保健成本应用于估计的职业性癌症病例数，就可以得出总费用。
意大利每年估计有 8000-8500 人死于职业性癌症，这相当于 17 万 PYLLs 和超过 1.6 万 PYWLLs，导致约 3.6 亿欧元的间接经济损失。职业性癌症的医疗保健费用估计为 4.56 亿欧元。
职业性癌症在死亡率和经济生产力损失方面是一个重大问题。强烈建议卫生政策制定者在评估正在发生的风险和当前暴露情况方面采取预防措施。
