Multiplicity of skin cancers in Queensland and their cost burden to government and patients

作者：Gordon Louisa G.^*; Elliott Thomas M.; Olsen Catherine M.; Pandeya Nirmala; Whiteman David C.

来源：Australian and New Zealand Journal of Public Health, 2018, 42(1): 86-91.

DOI：10.1111/1753-6405.12738

• keratinocyte cancer
• melanoma
• healthcare costs
• health expenditure
• patient out-of-pocket expenditure
• sun protection behaviours

Objective: To determine the cost burden to government and patients for individuals with multiple skin cancers. Methods: We used self-reported baseline data on socio-demographics, phenotype and sun exposure behaviours from participants in the QSkin Sun and Health Study with at least one histopathologically confirmed keratinocyte cancer or melanoma (n=5,673). Linkage to Australian Medicare data (2011-2014) provided resource data and government and out-of-pocket patient costs. Generalised linear models examined costs by frequency of skin cancer groups separately for melanoma and keratinocyte cancer. Results: Over three years, 539 participants were diagnosed with melanoma (11% had 2 melanomas) and 5,134 participants were treated for keratinocyte cancers (10% had 6). Median Medicare costs per person were $1,325 (maximum $6,117) for 2 melanomas and $2,126 (maximum $54,618) for 6 keratinocyte cancers. Increased costs were associated with private health insurance. Conclusions: Individuals who are multiply affected by skin cancers are relatively common and the accompanying individual and government cost burden can be substantial. These findings support skin cancer being classified as a chronic disease. Implications for public health: Over time, the economic burden for skin cancer for individuals and health providers is high and investment in prevention remains important from an economic viewpoint.

• 出版日期2018-2