title: Direct costs of cervical cancer management in Morocco.
abstract: BACKGROUND
  For cervical cancer the epidemiological profile is poorly known in Morocco and no data is available concerning the direct medical costs. The purpose of this work is to estimate the direct cost of medical management of invasive cervical cancer during the first year after diagnosis in Morocco.
  
  
  METHODS
  The estimation of direct costs of medical management of invasive cervical cancer during the first year after diagnosis in Morocco is based on the estimation of individual cost in each stage which covers diagnosis, treatment and follow-up during first year. The cost was estimated per patient and whole cycle-set using the costs for each drug and procedure as indicated by the Moroccan National Agency for Health Insurance. Extrapolation of the results to the whole country was used to calculate the total annual cost of cervical cancer treatments in Morocco.
  
  
  RESULTS
  Overall approximately 1,978 new cases of cervical cancer occur each year in Morocco. The majority (82.96%) of these cases were diagnosed at a late stage (stage II or more). The cost of one case of cervical cancer depends on stage of diagnosis, the lowest cost is $382 for stage Cis followed by the cost of stage IA1 for young women (<40 years) which is $2,952. The highest cost is for stage IV, which is $7,827. The total cost of cervical cancer care for one year after diagnosis is estimated at $13,589,360. The share allocated to treatment is the most important part of the global care budget with an annual sum of $13,027,609 whereas other cost components are represented as follows: $435,694 for annual follow-up activity and $126,057 for diagnosis and preclinical staging.
  
  
  CONCLUSIONS
  This study provides health decision-makers with a first estimate of costs and the opportunity to achieve the optimal use of available data to estimate the needs of health facilities in Morocco.
authors.affiliation: Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine, Fez, Morocco. maberraho@yahoo.fr
authors.forename: Mohamed
authors.initials: M
authors.lastname: Berraho
authors.forename: Adil
authors.initials: A
authors.lastname: Najdi
authors.forename: Simone
authors.initials: S
authors.lastname: Mathoulin-Pelissier
authors.forename: Roger
authors.initials: R
authors.lastname: Salamon
authors.forename: Chakib
authors.initials: C
authors.lastname: Nejjari
mesh_terms: D000328:Adult; D003365:Costs and Cost Analysis; D005260:Female; D005500:Follow-Up Studies; D017048:Health Care Costs; D006801:Humans; D007348:Insurance, Health / Q000191:economics; D009018:Morocco; D009367:Neoplasm Staging / Q000191:economics; D002583:Uterine Cervical Neoplasms / Q000191:economics* / Q000628:therapy*