| アブストラクト | Controlling avoidable causes of cancer may save cancer-related healthcare costs and indirect costs of premature deaths and productivity loss. This study aimed to estimate the economic burden of cancer attributable to major lifestyle and environmental risk factors in Japan in 2015. We evaluated the economic cost of cancer attributable to modifiable risk factors from a societal perspective. We obtained the direct medical costs for 2015 from the National Database of Health Insurance Claims and Specific Health Checkups of Japan, and estimated the indirect costs of premature mortality and of morbidity due to cancer using the relevant national surveys in Japan. Finally, we estimated the economic cost of cancer associated with lifestyle and environmental risk factors. The estimated cost of cancer attributable to lifestyle and environmental factors was 1,024,006 million Japanese yen ( yen) (8,460 million US dollars [$]) for both sexes, and yen673,780 million ($5,566 million) in men and yen350,226 million ($2,893 million) in women, using the average exchange rate in 2015 ($1 = yen121.044). A total of yen285,150 million ($2,356 million) was lost due to premature death in Japan in 2015. Indirect morbidity costs that could have been prevented were estimated to be yen200,602 million ($1,657 million). Productivity loss was highest for stomach cancer in men ( yen28,735 million/$237 million) and cervical cancer in women ( yen24,448 million/$202 million). Preventing and controlling cancers caused by infections including Helicobacter pylori, human papillomavirus and tobacco smoking will not only be life-saving but may also be cost-saving in the long run. |
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| 投稿者 | Saito, Eiko; Tanaka, Shiori; Abe, Sarah Krull; Hirayabashi, Mayo; Ishihara, Junko; Katanoda, Kota; Lin, Yingsong; Nagata, Chisato; Sawada, Norie; Takachi, Ribeka; Goto, Atsushi; Tanaka, Junko; Ueda, Kayo; Hori, Megumi; Matsuda, Tomohiro; Inoue, Manami |
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| 組織名 | Institute for Global Health Policy Research, Bureau of International Health;Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.;Division of Prevention, Institute for Cancer Control, National Cancer Center,;Tokyo, Japan.;School of Life and Environmental Science, Department of Food and Life Science,;Azabu University, Kanagawa, Japan.;Division of Surveillance and Policy Evaluation, National Cancer Center Institute;for Cancer Control, Tokyo, Japan.;Department of Public Health, Aichi Medical University School of Medicine,;Nagakute, Japan.;Department of Epidemiology and Preventive Medicine, Gifu University Graduate;School of Medicine, Gifu, Japan.;Division of Cohort Research, Institute for Cancer Control, National Cancer;Center, Tokyo, Japan.;Department of Food Science and Nutrition, Graduate School of Humanities and;Sciences, Nara Women's University, Nara, Japan.;Yokohama City University, Department of Health Data Science, Graduate School of;Data Science, Yokohama, Japan.;Department of Epidemiology, Infectious Disease Control and Prevention, Graduate;School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.;Department of Environmental Engineering, Graduate School of Engineering, Kyoto;University, Kyoto, Japan.;School of Nursing, University of Shizuoka, Shizuoka, Japan.;Division of International Health Policy Research, Institute for Cancer Control,;National Cancer Center, Tokyo, Japan. |
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