title: Economic burden of colorectal cancer in Korea.
abstract: OBJECTIVE
  The incidence and survival rate of colorectal cancer in Korea are increasing because of improved screening, treatment technologies, and lifestyle changes. In this aging population, increases in economic cost result. This study was conducted to estimate the economic burden of colorectal cancer utilizing claims data from the Health Insurance Review and Assessment Service.
  
  
  METHODS
  Economic burdens of colorectal cancer were estimated using prevalence data and patients were defined as those who received ambulatory treatment from medical institutions or who had been hospitalized due to colorectal cancer under the International Classification of Disease 10th revision codes from C18-C21. The economic burdens of colorectal cancer were calculated as direct costs and indirect costs.
  
  
  RESULTS
  The prevalence rate (per 100 000 people) of those who were treated for colorectal cancer during 2010 was 165.48. The economic burdens of colorectal cancer in 2010 were 3 trillion and 100 billion Korean won (KRW), respectively. Direct costs included 1 trillion and 960 billion KRW (62.85%), respectively and indirect costs were 1 trillion and 160 billion (37.15%), respectively.
  
  
  CONCLUSIONS
  Colorectal cancer has a large economic burden. Efforts should be made to reduce the economic burden of the disease through primary and secondary prevention.
authors.affiliation: Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
authors.forename: Ju-Young
authors.initials: JY
authors.lastname: Byun
authors.affiliation: Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
authors.forename: Seok-Jun
authors.initials: SJ
authors.lastname: Yoon
authors.affiliation: Department of Preventive Medicine, Kyung Hee University College of Medicine, Seoul, Korea.
authors.forename: In-Hwan
authors.initials: IH
authors.lastname: Oh
authors.affiliation: Department of Public Health, Graduate School of Korea University, Seoul, Korea.
authors.forename: Young Ae
authors.initials: YA
authors.lastname: Kim
authors.affiliation: Graduate School of Public Health, Korea University, Seoul, Korea.
authors.forename: Hye-Young
authors.initials: HY
authors.lastname: Seo
authors.affiliation: Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea.
authors.forename: Yo-Han
authors.initials: YH
authors.lastname: Lee
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D015179:Colorectal Neoplasms / Q000191:economics* / Q000453:epidemiology; D017281:Cost of Illness; D005260:Female; D017048:Health Care Costs; D005102:Health Expenditures; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D056910:Republic of Korea; D055815:Young Adult
keywords: Colorectal neoplasms; Cost of illness; Economic burden; Prevalence
references.citation: Eur J Cancer Care (Engl). 2008 Mar;17(2):136-44
references.pmid: 18302650
references.citation: Cancer Res Treat. 2012 Mar;44(1):11-24
references.pmid: 22500156
references.citation: CA Cancer J Clin. 2012 Jan-Feb;62(1):10-29
references.pmid: 22237781
references.citation: J Manag Care Pharm. 2007 Aug;13(6 Suppl C):S5-18
references.pmid: 17713990
references.citation: Cancer Res Treat. 2010 Dec;42(4):191-8
references.pmid: 21253320
references.citation: Recent Results Cancer Res. 2005;166:177-211
references.pmid: 15648191
references.citation: Int J Colorectal Dis. 2012 Aug;27(8):1061-9
references.pmid: 22354136
references.citation: Cancer Res Treat. 2012 Mar;44(1):25-31
references.pmid: 22500157
references.citation: J Prev Med Public Health. 2009 May;42(3):190-8
references.pmid: 19491563
references.citation: Eur J Cancer. 2012 Sep;48(14):2212-8
references.pmid: 22424881
references.citation: Arch Intern Med. 2011 Oct 24;171(19):1747-57
references.pmid: 22025432
references.citation: Med Decis Making. 2007 Mar-Apr;27(2):138-50
references.pmid: 17409364
references.citation: Clin Endosc. 2012 Mar;45(1):25-43
references.pmid: 22741131