title: The impact of chronic conditions on the economic burden of cancer survivorship: a systematic review.
abstract: This systematic review examines the excess cost of chronic conditions on the economic burden of cancer survivorship among adults in the US. Areas covered: Twelve published studies were identified. Although studies varied substantially in populations, comorbidities examined, methods, and types of cost reported, costs for cancer survivors with comorbidities generally increased with greater numbers of comorbidities or an increase in comorbidity index score. Survivors with comorbidities incurred significantly more in total medical costs, out-of-pocket costs, and costs by service type compared to cancer survivors without additional comorbidities. Expert commentary: Cancer survivors with comorbidities bear significant excess out-of-pocket costs and their care is also more expensive to the healthcare system. On-going evaluation of different payment models, care coordination, and disease management programs for cancer survivors with comorbidities will be important in monitoring impact on healthcare costs.
authors.affiliation: a Division of Cancer Prevention and Control , National Center for Chronic Disease Prevention and Health Promotion, CDC , Atlanta , GA , USA.
authors.forename: Sun Hee
authors.initials: SH
authors.lastname: Rim
authors.affiliation: a Division of Cancer Prevention and Control , National Center for Chronic Disease Prevention and Health Promotion, CDC , Atlanta , GA , USA.
authors.forename: Gery P
authors.initials: GP
authors.lastname: Guy
authors.affiliation: b U.S. Department of Health and Human Services , Office of Health Policy, Assistant Secretary for Planning and Evaluation , Washington , DC , USA.
authors.forename: K Robin
authors.initials: KR
authors.lastname: Yabroff
authors.affiliation: c Health Sciences Library , University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: McGraw
authors.affiliation: a Division of Cancer Prevention and Control , National Center for Chronic Disease Prevention and Health Promotion, CDC , Atlanta , GA , USA.
authors.forename: Donatus U
authors.initials: DU
authors.lastname: Ekwueme
mesh_terms: D000328:Adult; D002908:Chronic Disease; D015897:Comorbidity; D017281:Cost of Illness; D017048:Health Care Costs / Q000706:statistics & numerical data*; D005102:Health Expenditures / Q000706:statistics & numerical data; D006801:Humans; D009369:Neoplasms / Q000191:economics*; D015996:Survival Rate; D017741:Survivors / Q000706:statistics & numerical data
keywords: Cancer survivors; chronic conditions; economic burden; systematic review