Cancer treatment in Sweden--costs of drugs, inpatient and outpatient care from 1985 to 1996 and cost effectiveness of new drugs.
This study was carried out to investigate the direct costs for treatment of patients with cancer from 1985 to 1996 in Sweden, and to examine health economic effects of changes in treatment pattern. Material for the study was collected from official statistics and from published health economic evaluations of cancer treatment. Costs for inpatient care decreased during the period, while costs for outpatient care and drugs increased. In total, the direct health care costs for cancer treatment decreased from 1985 to 1996. New drugs registered on the market are often more expensive than the drugs they replace. From a health economic perspective it is not clear, however, that higher drug costs necessarily increase total costs. Further health economic research is needed because many treatment alternatives have not yet been evaluated, and furthermore, because a treatment option can be cost effective in one specific indication but not in another.
Ragnarson Tennvall
G
G
IHE, The Swedish Institute for Health Economics, Lund. grt@ihe.se
Karlsson
G
G
D000553:Ambulatory Care / Q000191:economics*; D000726:Androgen Antagonists / Q000191:economics / Q000627:therapeutic use; D000970:Antineoplastic Agents / Q000191:economics* / Q000627:therapeutic use; D003362:Cost-Benefit Analysis; D003841:Deoxycytidine / Q000031:analogs & derivatives / Q000191:economics / Q000627:therapeutic use; D016527:Drug Costs; D000069585:Filgrastim; D007987:Gonadotropin-Releasing Hormone / Q000191:economics / Q000627:therapeutic use; D016179:Granulocyte Colony-Stimulating Factor / Q000191:economics / Q000627:therapeutic use; D006801:Humans; D009369:Neoplasms / Q000188:drug therapy / Q000191:economics*; D017239:Paclitaxel / Q000191:economics / Q000627:therapeutic use; D011985:Receptors, Serotonin / Q000187:drug effects; D044406:Receptors, Serotonin, 5-HT3; D011994:Recombinant Proteins; D013548:Sweden; D000093542:Gemcitabine
D000726:Androgen Antagonists; D000970:Antineoplastic Agents; D011985:Receptors, Serotonin; D044406:Receptors, Serotonin, 5-HT3; D011994:Recombinant Proteins; D003841:Deoxycytidine; D016179:Granulocyte Colony-Stimulating Factor; D007987:Gonadotropin-Releasing Hormone; D017239:Paclitaxel; D000069585:Filgrastim; D000093542:Gemcitabine