OBJECTIVES: The prevalence of excess body weight (EBW) has increased over the last decades in Brazil, where 55.4% of the adult population was overweight in 2019. EBW is a well-known risk factor for several types of cancer. We estimated the federal cost of EBW-related cancers in adults, considering the medical expenditures in the Brazilian Public Health System. METHODS: We calculated the costs related to 11 types of cancer considering the procedures performed in 2018 by all organizations that provide cancer care in the public health system. We obtained data from the Hospital and Ambulatory Information Systems of the Brazilian Public Health System. We calculated the fractions of cancer attributable to EBW using the relative risks from the literature and prevalence from a nationally representative survey. We converted the monetary values in Reais (R$) to international dollars (Int$), considering the purchasing power parity (PPP) of 2018. RESULTS: In Brazil, the 2018 federal cost for all types of cancers combined was Int$ 1.73 billion, of which nearly Int$ 710 million was spent on EBW-related cancer care and Int$ 30 million was attributable to EBW. Outpatient and inpatient expenditures reached Int$ 20.41 million (of which 80% was for chemotherapy) and Int$ 10.06 million (of which 82% was for surgery), respectively. Approximately 80% of EBW-attributable costs were due to breast, endometrial and colorectal cancers. CONCLUSION: A total of 1.76% of all federal cancer-related costs could be associated with EBW, representing a substantial economic burden for the public health system. We highlight the need for integrated policies for excess body weight control and cancer prevention.
OBJECTIVES: The prevalence of excess body weight (EBW) has increased over the last decades in Brazil, where 55.4% of the adult population was overweight in 2019. EBW is a well-known risk factor for several types of cancer. We estimated the federal cost of EBW-related cancers in adults, considering the medical expenditures in the Brazilian Public Health System. METHODS: We calculated the costs related to 11 types of cancer considering the procedures performed in 2018 by all organizations that provide cancer care in the public health system. We obtained data from the Hospital and Ambulatory Information Systems of the Brazilian Public Health System. We calculated the fractions of cancer attributable to EBW using the relative risks from the literature and prevalence from a nationally representative survey. We converted the monetary values in Reais (R$) to international dollars (Int$), considering the purchasing power parity (PPP) of 2018. RESULTS: In Brazil, the 2018 federal cost for all types of cancers combined was Int$ 1.73 billion, of which nearly Int$ 710 million was spent on EBW-related cancer care and Int$ 30 million was attributable to EBW. Outpatient and inpatient expenditures reached Int$ 20.41 million (of which 80% was for chemotherapy) and Int$ 10.06 million (of which 82% was for surgery), respectively. Approximately 80% of EBW-attributable costs were due to breast, endometrial and colorectal cancers. CONCLUSION: A total of 1.76% of all federal cancer-related costs could be associated with EBW, representing a substantial economic burden for the public health system. We highlight the need for integrated policies for excess body weight control and cancer prevention.
Authors: Darren R Brenner; Abbey E Poirier; Yibing Ruan; Lauren A Hebert; Xin Grevers; Stephen D Walter; Paul J Villeneuve; Christine M Friedenreich Journal: Prev Med Date: 2019-05 Impact factor: 4.018
Authors: Gerald W Prager; Sofia Braga; Branislav Bystricky; Camilla Qvortrup; Carmen Criscitiello; Ece Esin; Gabe S Sonke; Guillem Argilés Martínez; Jean-Sebastian Frenel; Michalis Karamouzis; Michiel Strijbos; Ozan Yazici; Paolo Bossi; Susana Banerjee; Teresa Troiani; Alexandru Eniu; Fortunato Ciardiello; Josep Tabernero; Christoph C Zielinski; Paolo G Casali; Fatima Cardoso; Jean-Yves Douillard; Svetlana Jezdic; Keith McGregor; Gracemarie Bricalli; Malvika Vyas; André Ilbawi Journal: ESMO Open Date: 2018-02-02
Authors: Leandro F M Rezende; Thainá Alves Malhão; Rafael da Silva Barbosa; Arthur Orlando Correa Schilithz; Ronaldo Corrêa Ferreira da Silva; Luciana Grucci Maya Moreira; Paula Aballo Nunes Machado; Bruna Pitasi Arguelhes; Maria Eduarda Leão Diogenes Melo Journal: BMC Public Health Date: 2022-06-21 Impact factor: 4.135