Author of

• 10997

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  P1.23 - Poster Session 1 - Tobacco Control, Prevention and Chemoprevention (ID 162)

  • Event: WCLC 2013
  • Type: Poster Session
  • Track: Prevention & Epidemiology
  • Presentations: 1
  • Moderators:
  • Coordinates: 10/28/2013, 09:30 - 16:30, Exhibit Hall, Ground Level

  • 11000

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    P1.23-003 - Health care costs of patients with Non Small Cell Lung Cancer related to smoking in the National Cancer Institute of Mexico (ID 3100)

    09:30 - 09:30  |  Author(s): R. Quintana
    • Abstract

    Background
    Smoking is a public health problem in Mexico and the world, the economic impact in developing countries have not been fully documented. In our country there is a direct relationship between smoking and the 10 leading causes of death in adults. The purpose of this study was to estimate the direct costs of medical care for lung cancer attributable to the tobacco habit in the National Cancer Institute of Mexico (INCan).

    Methods
    The study was conducted at the National Cancer Institute of Mexico (INCan) during 2009. Costs were estimated from the perspective of services supplier based on the Cost of Illness method. An expert panel developed a diagnostic-therapeutic guide which integrated infrastructure, human resources, technology and health services provided at INCan. Costs were valued in Mexican pesos using an exchange rate of 1USD=13.0659 pesos.

    Results
    297 incident cases of any type of Non Small Cell Lung Cancer during 2009 were analyzed. The annual average cost attributable to smoking per patient was 84,189 USD regardless of clinical stage. The 96% of the annual cost corresponded to stage IV. The annual total cost of Non Small Cell Lung cancer associated to tobacco habit at the INCan was 18, 807,354.8 USD. Figure 1

    Stage [+]	Anual total cost	Anual total cost due to tobacco *
    LC I	45,787.2	30,219.5
    LC II	76,244.7	50,321.5
    LC III	928,261.2	612, 652.4
    LC IV	27,445,699.0	18,114,161.3
    Total	28,495,992.1	18,807,354.8
    Currency: USA dollar, 1 dollar = 13.0659 mexican pesos Exchange according to Banco de México(Banxico) information [+] Estructure established by the Lung Cancer experts of the INCan and the CIE-10 2009. *Obtained with tobacco attributable fraction of LC, calculated for national IMSS; 0.66. Reynales et al.

    Conclusion
    Health care costs for Non Small Cell Lung Cancer attributable to smoking represent an important and high cost to the INCan and the health sector of Mexico. These costs could be avoided if all the provisions of the Agreement-framework of the World Health Organization for tobacco control were implemented in our country.