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2030 年瑞典胰腺癌预估经济负担。

Projected economic burden of pancreatic cancer in Sweden in 2030.

机构信息

Department of Surgery, Clinical Sciences Lund, Skåne University Hospital, Lund University, Lund, Sweden.

School of Economics, The Swedish Institute for Health Economics Lund, Lund, Sweden.

出版信息

Acta Oncol. 2021 Jul;60(7):866-871. doi: 10.1080/0284186X.2021.1892821. Epub 2021 Mar 17.

Abstract

BACKGROUND

Pancreatic cancer is predicted to become the second most common cause of cancer-related death by 2030. The objective of this study was to estimate the economic burden of pancreatic cancer for the years 2018 and 2030 based on changing demographics and incidence rates in Sweden.

METHOD

The incidence of pancreatic cancer in Sweden and additional relevant data were obtained from official statistics. A linear regression model and the mean incidence rates 2008-2018 were applied to calculate the incidence in 2030. An economic model based on the human capital method was created to calculate the indirect cost of pancreatic cancer in 2018 and 2030. Costs associated with surgery, radiology, oncology, and palliative care constituted the direct costs. A sensitivity analysis was performed.

RESULTS

The incidence of pancreatic cancer in Sweden in the year 2018 was 1352 patients and projected to between 1554 (+15%) and 1736 (+28%) in 2030. The total cost was calculated to €125 million in 2018 and between €210 million (+68%) and €225 million (+80%) in 2030. The indirect cost in the ≤65-year-old group was €328,344 in 2018 and between €380,738 and €382,109 per individual in 2030.

CONCLUSIONS

The economic burden of pancreatic cancer is expected to increase in Sweden by 2030 due to the increasing incidence of the disease and changing demographics. Pancreatic cancer is a growing health care problem in urgent need of advancements in prevention, early detection, treatment, and control of the disease.

摘要

背景

预计到 2030 年,胰腺癌将成为癌症相关死亡的第二大主要原因。本研究旨在根据瑞典人口统计学和发病率的变化,估算 2018 年和 2030 年胰腺癌的经济负担。

方法

从官方统计数据中获得了瑞典胰腺癌的发病率和其他相关数据。应用线性回归模型和 2008-2018 年的平均发病率来计算 2030 年的发病率。根据人力资本法建立了一个经济模型,以计算 2018 年和 2030 年胰腺癌的间接成本。手术、放射学、肿瘤学和姑息治疗相关的成本构成了直接成本。进行了敏感性分析。

结果

2018 年瑞典胰腺癌的发病率为 1352 例,预计到 2030 年将增加到 1554 例(增加 15%)至 1736 例(增加 28%)。2018 年总成本为 1.25 亿欧元,预计到 2030 年将增加到 2.10 亿至 2.25 亿欧元(增加 68%至 80%)。2018 年≤65 岁人群的间接成本为 328344 欧元,预计到 2030 年将增加到每人 380738 至 382109 欧元。

结论

由于疾病发病率的增加和人口统计学的变化,预计到 2030 年,瑞典胰腺癌的经济负担将增加。胰腺癌是一个日益严重的医疗保健问题,迫切需要在疾病的预防、早期发现、治疗和控制方面取得进展。

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