title: [Assessing the economic impact of cancer in Chile: a direct and indirect cost measurement based on 2009 registries].
abstract: OBJECTIVE
  This paper aims to determine the economic impact that cancer represents to Chile, exploring the share of costs for the most important cancers and the differences between the public and private sector.
  
  
  METHODS
  We used the cost of illness methodology, through the assessment of the direct and indirect costs associated with cancer treatment. Data was obtained from 2009 registries of the Chilean Ministry of Health and the Superintendence of Health. Indirect costs were calculated by days of job absenteeism and potential years of life lost.
  
  
  RESULTS
  Over US$ 2.1 billion were spent on cancer in 2009, which represents almost 1% of Chiles Gross Domestic Product. The direct per capita cost was US$ 47. Indirect costs were 1.92 times more than direct costs. The three types of cancer that embody the highest share of costs were gastric cancer (17.6%), breast cancer (7%) and prostate cancer (4.2%) in the public sector, and breast cancer (14%), lung cancer (7.5%) and prostate cancer (4.1%) in the private sector. On average men spent 30.33% more than women.
  
  
  CONCLUSIONS
  There are few studies of this kind in Chile and the region. The country can be classified as having a cancer economic impact below the average of those in European Union countries. We expect that this information can be used to develop access policies and resource allocation decision making, and as a first step into further cancer-costing studies in Chile and the Latin American and Caribbean region.
authors.affiliation: Departamento de Salud Pública, Escuela de Medicina, Universidad Católica de Chile, Santiago, Chile. Address: Marcoleta 434, Santiago, Chile. Email: camilocid@gmail.com.
authors.forename: Camilo
authors.initials: C
authors.lastname: Cid
authors.affiliation: Departamento de Salud Pública, Escuela de Medicina, Universidad Católica de Chile, Santiago, Chile.
authors.forename: Cristian
authors.initials: C
authors.lastname: Herrera
authors.affiliation: Departamento de Salud Pública, Escuela de Medicina, Universidad Católica de Chile, Santiago, Chile.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Rodríguez
authors.affiliation: Departamento de Salud Pública, Escuela de Medicina, Universidad Católica de Chile, Santiago, Chile.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Bastías
authors.affiliation: Departamento de Salud Pública, Escuela de Medicina, Universidad Católica de Chile, Santiago, Chile.
authors.forename: Jorge
authors.initials: J
authors.lastname: Jiménez
mesh_terms: D000041:Absenteeism; D002677:Chile / Q000453:epidemiology; D017281:Cost of Illness; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000191:economics* / Q000453:epidemiology / Q000628:therapy; D017149:Private Sector / Q000191:economics; D017150:Public Sector / Q000191:economics; D012042:Registries; D012737:Sex Factors
keywords: cost analysis; cost of illness; costs; neoplasms