Department of Economics, Universitat de Barcelona, Barcelona, Spain.
Department of Health Economics, BCN Health Economics & Outcomes Research S.L., Barcelona, Spain.
PLoS One. 2020 Dec 23;15(12):e0244375. doi: 10.1371/journal.pone.0244375. eCollection 2020.
Cancer is responsible annually for around 27% of all deaths in Spain, 15% of which are caused by colorectal cancer. This malignancy has increased its incidence considerably over the past years, which surely impacts global productivity losses. The evaluation of lost productivity due to premature mortality provides valuable information that guides healthcare policies into the establishment of prevention and screening programs. The purpose of this study was to assess the productivity losses from premature deaths due to colorectal cancer over a ten year period (2008-2017). The costs derived from premature mortality due to this highly prevalent cancer were estimated using data on mortality, age- and sex-specific reference salaries and unemployment rates in Spain via the human capital approach. Between 2008 and 2017, 15,103 persons died per year from colorectal cancer, representing almost 15% of all cancer-related deaths. Annually, 25,333 years of potential productive life were estimated to be lost on average, 14,992 in males and 10,341 in females. Productivity losses summed €510.8 million in in 2017, and the cancers of the colon and rectum accounted for 9.6% of cancer-related productivity losses in 2017 in Spain. Colorectal cancer has an important weight in terms of productivity losses within the Spanish population, consequently, prevention and early detection programmes should be promoted and implemented to achieve significant reductions in mortality and productivity losses.
癌症每年导致西班牙约 27%的死亡,其中 15%归因于结直肠癌。这种恶性肿瘤在过去几年中的发病率显著增加,这无疑对全球生产力损失产生了影响。对因过早死亡而导致的生产力损失进行评估提供了有价值的信息,有助于指导医疗保健政策制定预防和筛查计划。本研究旨在评估过去十年(2008-2017 年)因结直肠癌过早死亡导致的生产力损失。通过人力资本法,利用西班牙死亡率、年龄和性别特定参考工资以及失业率的数据,估算了因这种高发性癌症导致的过早死亡的成本。2008 年至 2017 年间,每年有 15103 人死于结直肠癌,占所有癌症相关死亡人数的近 15%。平均每年估计损失 25333 年潜在的生产寿命,男性为 14992 年,女性为 10341 年。2017 年,生产力损失总计为 5108 万欧元,在 2017 年西班牙,结肠癌和直肠癌占癌症相关生产力损失的 9.6%。结直肠癌在西班牙人口的生产力损失方面具有重要意义,因此应促进和实施预防和早期发现计划,以实现死亡率和生产力损失的显著降低。