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Economic Burden of Cervical Cancer in Bulgaria

Bibliographic Data

ID15464360
AuthorsHristina Lebanova (0000-0003-4835-6965, Medical University Pleven, corresponding author), Svetoslav Stoev (0000-0001-6165-5674, Medical University Pleven), Emilia Naseva (0000-0002-1282-8441, Medical University of Sofia), Violeta Getova-Kolarova (0000-0002-7103-3892, Medical University of Sofia), Violeta Getova (Medical University of Sofia), Wei Wang (0000-0001-5806-2368, Merck & Co., Inc., Rahway, NJ, USA (United States)), Ugne Sabale (0000-0003-1874-8730, MSD (Sweden)), Elina Petrova (Market Access, MSD, 1407 Sofia, Bulgaria)
Year2023
Volume20
Issue3
Pages2746-2746
Publication date2023-02-03
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph20032746
PMID36768109
OpenAlexW4319319128
LanguageEN
Citations received4
References cited32

Bulgaria is among the European Union (EU) countries with the highest burden of cervical cancers and life expectancy below the EU average. The majority of cervical cancer cases (more than 95%) are caused by the human papillomavirus (HPV). The aim of this retrospective, cost of illness study is to identify direct healthcare costs of cervical cancer in Bulgaria from the payer perspective and to calculate indirect costs and the associated years of life lost. Costs data were sourced from the National Health Insurance Fund from January 2018 to December 2020. Years of life lost were calculated based on the country and gender-specific life expectancy. Indirect costs due to productivity loss were calculated using the human capital approach. The total treatment costs for 3540 patients with cervical cancer are EUR 5,743,657 (2018), EUR 6,377,508 (2019), and EUR 6,751,182 (2020). The costs associated with drug acquisition and administration accounted for the majority (63%) of total healthcare costs followed by hospital management costs (14%). An estimated total of 20,446 years of life were lost due to cervical cancer for the period 2018-2020. The costs of productivity losses are estimated at EUR 7,578,014. Our study showed that the economic burden of cervical cancer in Bulgaria is substantial. Focus on cervical cancer prevention via vaccination against the human papillomavirus, timely screening, early diagnosis, and higher vaccine coverage rates could reduce its economic burden in Bulgaria

Business · Cancer · Cervical cancer · Economic cost · Economic growth · Environmental health · European union · Health care · Indirect costs · Life expectancy · Population · Productivity · Retrospective cohort study · Total cost · Cervical Cancer and HPV Research · Demography · Global Cancer Incidence and Screening · Medicine · Internal Medicine · Surgery

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    Open Access•Yiran Liu, Yiran E Liu et al.•BMC Public Health•2024

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    Open Access•Andre A N Bovell, Cebisile Ngcamphalala et al.•International Journal of…•2024

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  • Global Cancer Statistics 2020

    Open Access•Hyuna Sung, Adalberto M Filho et al.•CA: A Cancer Journal for Clinicians•2021

  • A comparison of health system responses to Covid-19 in Bulgaria, Croatia and Romania in 2020

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Unique citing works4
Citations per year2
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 4

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