title: [The human and economic burden of cancer in France in 2014, based on the Sniiram national database].
abstract: BACKGROUND
  The national health insurance information system (Sniiram) can be used to estimate the national medical and economic burden of cancer. This study reports the annual rates, characteristics and expenditure of people reimbursed for cancer.
  
  
  METHODS
  Among 57 million general health scheme beneficiaries (86% of the French population), people managed for cancer were identified using algorithms based on hospital diagnoses and full refund for long-term cancer. The reimbursed costs (euros) related to the cancer, paid off by the health insurance, were estimated.
  
  
  RESULTS
  In 2014, 2.491 million people (4.4%) covered by the general health scheme had a cancer managed (men 1.1 million, 5.1%; women 1.3 million, 4.9%). The annual (2012-2014) average growth rate of patients was 0.8%. The spending related to the cancer was 13.5 billion: 5 billion for primary health care (drugs 2.3 billion), 7.5 billion for the hospital (drugs 1.3 billions) and 900 million for sick leave and invalidity pensions. Spending annual average growth rate (2012-2014) was 4% (drugs 2%). The rates of patients and the relative spending were 1.8% and 2.5 billion for the breast cancer (women), 1.5% and 1.0 billion for prostate cancer, 0.9% and 1.5 billion for the colon cancer, and 0.19% and 1.3 billion for lung cancer.
  
  
  CONCLUSIONS
  Cancers establish one of the first groups of chronic diseases pathologies in terms of patients and spending. If the numbers of patients remain stables, the spending increases, mainly for medicines.
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés (CNAMTS), 26-50, avenue du Professeur-André-Lemierre, 75986 Paris, France. Electronic address: philippe.tuppin@cnamts.fr.
authors.forename: Philippe
authors.initials: P
authors.lastname: Tuppin
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés (CNAMTS), 26-50, avenue du Professeur-André-Lemierre, 75986 Paris, France.
authors.forename: Laurence
authors.initials: L
authors.lastname: Pestel
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés (CNAMTS), 26-50, avenue du Professeur-André-Lemierre, 75986 Paris, France.
authors.forename: Solène
authors.initials: S
authors.lastname: Samson
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés (CNAMTS), 26-50, avenue du Professeur-André-Lemierre, 75986 Paris, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Cuerq
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés (CNAMTS), 26-50, avenue du Professeur-André-Lemierre, 75986 Paris, France.
authors.forename: Sébastien
authors.initials: S
authors.lastname: Rivière
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés (CNAMTS), 26-50, avenue du Professeur-André-Lemierre, 75986 Paris, France.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Tala
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés (CNAMTS), 26-50, avenue du Professeur-André-Lemierre, 75986 Paris, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Denis
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés (CNAMTS), 26-50, avenue du Professeur-André-Lemierre, 75986 Paris, France.
authors.forename: Jérôme
authors.initials: J
authors.lastname: Drouin
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés (CNAMTS), 26-50, avenue du Professeur-André-Lemierre, 75986 Paris, France.
authors.forename: Claude
authors.initials: C
authors.lastname: Gissot
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés (CNAMTS), 26-50, avenue du Professeur-André-Lemierre, 75986 Paris, France.
authors.forename: Christelle
authors.initials: C
authors.lastname: Gastaldi-Ménager
authors.affiliation: Caisse nationale d'assurance maladie des travailleurs salariés (CNAMTS), 26-50, avenue du Professeur-André-Lemierre, 75986 Paris, France.
authors.forename: Anne
authors.initials: A
authors.lastname: Fagot-Campagna
mesh_terms: D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D000970:Antineoplastic Agents / Q000191:economics*; D001943:Breast Neoplasms / Q000191:economics / Q000453:epidemiology; D003110:Colonic Neoplasms / Q000191:economics / Q000453:epidemiology; D017281:Cost of Illness; D016208:Databases, Factual; D005260:Female; D005602:France / Q000453:epidemiology; D017048:Health Care Costs / Q000639:trends*; D017722:Hospital Charges / Q000639:trends; D006801:Humans; D008175:Lung Neoplasms / Q000191:economics / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000191:economics* / Q000453:epidemiology; D011320:Primary Health Care / Q000191:economics; D011471:Prostatic Neoplasms / Q000191:economics / Q000453:epidemiology; D017678:Sex Distribution; D018582:Sick Leave / Q000191:economics
chemical_list: D000970:Antineoplastic Agents
keywords: Assurance maladie; Cancers pris en charge; Costs; Coûts; Désavantage social; France; Health insurance scheme; Managed cancers; Prevalence; Prévalence; Social deprivation