Economic burden of cancer across the European Union: population based cost analysis
In 2008, 2.45 million people were diagnosed with cancer and 1.23 million died due to cancer in the then 27 countries of the European Union (EU). The aim is estimating the economic burden of cancer in the EU.
In a population-based cost analysis, we evaluated the cost of all cancers and also those associated with breast, colorectal, lung, and prostate cancers. We obtained country-specific aggregate data for morbidity, mortality, and health-care resource use from international and national sources. We estimated health-care costs from expenditure on care in the primary, outpatient, emergency, and inpatient settings, and also drugs. Additionally, we estimated the costs of unpaid care provided by relatives or friends of patients (ie, informal care), lost earnings after premature death, and costs associated with individuals who temporarily or permanently left employment because of illness.
Cancer cost the EU €126 billion in 2009, with health care accounting for €51·0 billion (40%). Across the EU, the health-care costs of cancer were equivalent to €102 per citizen, but varied substantially from €16 per person in Bulgaria to €184 per person in Luxembourg.
- Productivity losses because of early death cost €42·6 billion and
- Lost working days €9·43 billion.
- Informal care cost €23·2 billion.
- Lung cancer had the highest economic cost €18·8 billion – 15% of overall cancer costs,
- Breast cancer €15·0 billion, 12%
- Colorectal cancer €13·1 billion, 10% and
- Prostate cancer €8·43 billion, 7%.
Our results show wide differences between countries, the reasons for which need further investigation. This data contributes to public health and policy intelligence, which is needed to deliver affordable cancer care systems and inform effective public research funds allocation.