Hospitalization and ambulatory costs related to breast cancer due to physical inactivity in the Brazilian state capitals

Abstract

The aim of this study was to estimate the hospitalization and ambulatory costs related to breast cancer due to physical inactivity in the female population from Brazilian capitals over a three-year period (2015 to 2017). This study was carried out with data from the Brazilian health system and had as metrics incidence of breast cancer, total and standardized rate hospitalizations by breast cancer, hospitalization and ambulatory costs by breast cancer and prevalence of physical inactivity. The Population Attributable Fraction (PAF) calculation was used. The total hospitalization cost by breast cancer in women aged ≥ 20 years in Brazil from 2015 to 2017 was US$ 33,484,920.54. Of this total, US$ 182,736.76 was due to physical inactivity. Outpatient expenses related to breast cancer in the Brazilian female population from 2015 to 2017 was US$ 207,993,744.39. Of this total, US$ 1,178,841.86 was due to physical inactivity. Outpatient and hospitalization expenses were higher in the states of Southeastern, Southern and Northeastern regions. Physical inactivity has contributed to the high number of hospitalizations for breast cancer in Brazil, which resulted in economic burden for health services (inpatient and outpatient) of more than US$ 1,300,000.00 from 2015 to 2017.

Spatial patterns and the associated factors for breast cancer hospitalization in Fujian Province, China

“…While such geographic disparities might be in uenced by the differences in the distribution of environmental exposures and socioeconomic factors (Gentil et al, 2012;Merletti et al, 2011;Robert et al, 2004a), previous evidences were, however, usually limited by the assumption of constant estimates over the entire geographic area and unable to capture the geographical variations in the relationships (Tu and Xia, 2008;Wang et al, 2020). Socioeconomic factors could in uence women's lifestyle (Fei et al, 2015), including dietary pattern, physical activity and reproductive behavior (Linos et al, 2008), which are known factors for breast cancer risk (Adams et al, 2004;Gentil et al, 2012;Harper et al, 2009;Sung et al, 2021) and hospitalization (Silva, 2022). In addition, recent evidence suggests that hospitalizations for breast cancer might also be in uence by travel distances (de Souza et al, 2020)and social security (Ventura-Alfaro et al, 2016).…”