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Nikolaos Melas



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    P2.01 - Advanced NSCLC (Not CME Accredited Session) (ID 950)

    • Event: WCLC 2018
    • Type: Poster Viewing in the Exhibit Hall
    • Track:
    • Presentations: 1
    • Moderators:
    • Coordinates: 9/25/2018, 16:45 - 18:00, Exhibit Hall
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      P2.01-59 - The Cost of Lung Cancer in the County of Gävleborg – Sweden (ID 14423)

      16:45 - 18:00  |  Author(s): Nikolaos Melas

      • Abstract

      Background

      Lung cancer is the leading cause of cancer morbidity and mortality, both of which imply that its burden may be high upon the health services and society. The purpose of this study is to present an economic analysis of the actual care costs of lung cancer which will allow comparison with, and verification of, cost estimates that were developed through modelling and opinion.

      a9ded1e5ce5d75814730bb4caaf49419 Method

      A chart review was conducted of incident cases of all patients with newly diagnosed lung cancer during 2015 in the Department of Respiratory Medicine, Gävle Hospital. Cases were censored at two years from the date of diagnosis. Data was retrospectively collected from patient charts. This data included patient characteristics, tumour characteristics, treatment details, adverse events, survival and resource use. Relevant clinical and health utilization data were collected. Health utilization data included hospital and institutional outpatient (ie, ambulatory clinic) costs. The present analysis was performed from the economic perspective of the health care institution.

      4c3880bb027f159e801041b1021e88e8 Result

      A total of more than 13 000 health service events were captured. Laboratory tests, diagnostic imaging and ambulatory visits constituted 86% of the service events while patient admissions and therapy constituted 76% of the costs. The vast majority of overall costs occurred just before, or within, three months of diagnosis. The cost for imaging was 344042 USD and for diagnostic procedures was 204272 USD. The total cost for chemotherapy was 651879 USD.

      More data will be presented during the conference.

      8eea62084ca7e541d918e823422bd82e Conclusion

      The results agree with the literature that the majority of lung cancer case costs are realized around the date of diagnosis (ie, early phase). The present study illustrates Swedish health care system lung cancer case costs based on actual care received .The majority of the costs occurred soon after diagnosis. These results gave an assessment of all persons treated, the course of the treatment and, thus, is an accurate assessment of costs for policy-making purposes.

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