Economic Impact Analysis of Cancer in the Health System of Brazil: Model Based in Public Database

Aless,; Siqueira, ra de Sá Earp; Gonçalves, Juliana Garcia; Mendonça, Paulo Eduardo Xavier de; Merhy, Emerson Elı́as; L, Marcelo Gerardin Poirot

doi:10.21767/1791-809x.1000514

Cited by 13 publications

(15 citation statements)

References 12 publications

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“…Most establishments were licensed as UNACONs, resulting in the need to refer patients to external radiotherapy services, which may affect the optimal treatment time and compromise the therapy effectiveness. However, the status of cancer care in Brazil is poorly understood because of the limited availability of national data on cancer treatment outcomes and their correlation with institutional investments over time [29].…”

Section: Discussionmentioning

confidence: 99%

Cancer care in Brazil: structure and geographical distribution

2019

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BackgroundThe organisation and systematisation of health actions and services are essential to ensure patient safety and the effectiveness and efficiency of cancer care. The objective of this study was to analyse the structure of cancer care envisaged in Brazilian norms, describe the types of accreditations of cancer services and their geographic distribution, and determine the planning and evaluation parameters used to qualify the health units that provide cancer care in Brazil.MethodsThis observational study identified the current organisation of cancer care and other health services that are accredited by Brazil’s national health system (SUS) for cancer treatment as of February 2017. The following information was collected from the current norms and the National Registry of Health Establishments: geographic location, type of accreditation, type of care, and hospital classification according to annual data of the number of cancer surgeries. The adequacy of the number of licensed units relative to population size was assessed. The analysis considered the facilitative or restrictive nature of policies based on the available rules and resources.ResultsThe analysis of the norms indicated that these documents serve as structuring rules and resources for developing and implementing cancer care policies in Brazil. A total of 299 high-complexity oncology services were identified in facilities located in 173 (3.1%) municipalities. In some states, there were no authorised services in radiotherapy, paediatric oncology and/or haematology-oncology. There was a significant deficit in accredited oncology services.ConclusionsThe parameters that have been used to assess the need for accredited cancer services in Brazil are widely questioned because the best basis of calculation is the incidence of cancer or disease burden rather than population size. The results indicate that the availability of cancer services is insufficient and the organisation of the cancer care network needs to be improved in Brazil.

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Section: Discussionmentioning

confidence: 99%

Cancer care in Brazil: structure and geographical distribution

2019

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“…All the investment that will be employed will have a single outcome -death. Siqueira et al 18 , when analyzing the economic impact of cancer on the SUS, identified that although there is a historic increase in funding for cancer care, 63% of the total cost is related to cancer mortality. The revision of this logic is imperative.…”

Section: Financingmentioning

confidence: 99%

“…It is usual to observe in the reports issued by the Committee mentions to the lack of real-world data for Brazilian patients, which could support decision-making 24 . Despite the truth of the argument, the difficulties in carrying out these studies can not be denied, due to, the breaches in the care network, the lack of reliable information on therapies used in the institutions and on the non-existent measurement of clinical results stemming from practice 4,18 .…”

Section: Technologiesmentioning

confidence: 99%

Organização e práticas da assistência farmacêutica em oncologia no âmbito do Sistema Único de Saúde

Silva

Osório-de-Castro

2019

Interface (Botucatu)

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Este artigo, fundamentado na Teoria da Estruturação de Giddens, buscou analisar a organização e as práticas da assistência farmacêutica em oncologia em cinco municípios brasileiros por meio de um estudo de casos múltiplos, tendo o câncer de mama como condição marcadora. A subunidade de análise foram as unidades habilitadas de atenção oncológica. Foram entrevistados dez gestores e quinze profissionais de saúde. Complementarmente, foram considerados documentos e dados da observação direta da ação dos profissionais. Os resultados foram analisados segundo quatro eixos: estrutura organizacional, financiamento, tecnologias e processos de trabalho. Destacaram-se: a baixa articulação das ações de assistência farmacêutica realizadas entre os níveis de atenção à saúde, problemas estruturais nos serviços, insuficiência de financiamento, atrasos nos processos de avaliação e incorporação de tecnologias, e falhas nos processos de trabalho. Os aspectos destacados contribuem para a precariedade do funcionamento do sistema.

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“…In 2010, the estimates indicated the global annual economic cost of cancer at approximately US$ 1.16 trillion [ 11 ]. In Brazil, the total cost of cancer (including mortality and morbidity) was estimated at Int$ 59.7 billion in 2015 and projected to reach Int$ 81 billion in 2020 [ 12 ]. The cost of mortality represents 63% of the total costs of cancer.…”

Section: Introductionmentioning

confidence: 99%

“…Direct costs account for 20% ($10,025 per patient), and morbidity accounts for 17%. The Brazilian estimates of health expenditures were 9.5% of gross domestic product (GDP), with the average cost of cancer accounting for 1.7% of the GDP per year [ 12 ]. These results demonstrate the impact of cancer on society and the economy.…”

Section: Introductionmentioning

confidence: 99%

Costs of cancer attributable to excess body weight in the Brazilian public health system in 2018

et al. 2021

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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.

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Economic Impact Analysis of Cancer in the Health System of Brazil: Model Based in Public Database

Cited by 13 publications

References 12 publications

Cancer care in Brazil: structure and geographical distribution

Cancer care in Brazil: structure and geographical distribution

Organização e práticas da assistência farmacêutica em oncologia no âmbito do Sistema Único de Saúde

Costs of cancer attributable to excess body weight in the Brazilian public health system in 2018

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