title: Cost of illness of malignant lymphoma in Germany.
abstract: Cancer causes a high economic burden. The purpose of this study is to determine and compare the direct, indirect and societal costs of illness for Hodgkin's Disease (HD), Non-Hodgkin's Lymphoma (NHL), Plasmocytoma and Chronic Lymphatic Lymphoma (CLL). We used a database of 1.9 million individuals enrolled in a statutory sickness fund in Germany to identify 4,172 patients treated for malignant lymphoma in 2000. Direct, indirect and societal costs were calculated using a case-control design and the human capital approach. Direct cost (in Euro) for patients with HD was 3604, for NHL patients 6,149, for Plasmocytoma 8,400, and for CLL patients 3,226. Total indirect cost for HD was 69 million, for NHL patients 404 million, for Plasmocytoma 144 million, and for CLL patients 52 million. Totalling 1.7 billion Euro in economic cost for Germany in 2000, with 44,000 productive years lost, malignant lymphomas are a relatively costly disease group. As life expectancy increases, costs for malignant lymphoma are likely to rise due to the high prevalence among the elderly. Further research employing disaggregated, incidence-based cost is needed.
authors.affiliation: Cologne Lymphoma Project, Competence Network Malignant Lymphoma, 1st Department of Internal Medicine, University Hospital, Cologne, Germany. reisa@who.int
authors.forename: A
authors.initials: A
authors.lastname: Reis
authors.forename: P
authors.initials: P
authors.lastname: Ihle
authors.forename: U
authors.initials: U
authors.lastname: Paulus
authors.forename: L V
authors.initials: LV
authors.lastname: Ferber
authors.forename: V
authors.initials: V
authors.lastname: Diehl
authors.forename: R
authors.initials: R
authors.lastname: Walshe
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D017281:Cost of Illness; D003365:Costs and Cost Analysis; D004180:Direct Service Costs; D005260:Female; D005858:Germany; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008223:Lymphoma / Q000191:economics*; D008297:Male; D008875:Middle Aged; D012959:Socioeconomic Factors