The cost of lost productivity due to premature cancer-related mortality: an economic measure of the cancer burden
Open accessAbstract
BACKGROUND: Most measures of the cancer burden take a public health perspective. Cancer also has a significant economic impact on society. To assess this economic burden, we estimated years of potential productive life lost (YPPLL) and costs of lost productivity due to premature cancer-related mortality in Ireland. METHODS: All cancers combined and the 10 sites accounting for most deaths in men and in women were considered. To compute YPPLL, deaths in 5-year age-bands between 15 and 64 years were multiplied by average working-life expectancy. Valuation of costs, using the human capital approach, involved multiplying YPPLL by age-and-gender specific gross wages, and adjusting for unemployment and workforce participation. Sensitivity analyses were conducted around retirement age and wage growth, labour force participation, employment and discount rates, and to explore the impact of including household production and caring costs. Costs were expressed in €2009. RESULTS: Total YPPLL was lower in men than women (men = 10,873; women = 12,119). Premature cancer-related mortality costs were higher in men (men: total cost = €332 million, cost/death = €290,172, cost/YPPLL = €30,558; women: total cost = €177 million, cost/death = €159,959, cost/YPPLL = €14,628). Lung cancer had the highest premature mortality cost (€84.0 million; 16.5% of total costs), followed by cancers of the colorectum (€49.6 million; 9.7%), breast (€49.4 million; 9.7%) and brain & CNS (€42.4 million: 8.3%). The total economic cost of premature cancer-related mortality in Ireland amounted to €509.5 million or 0.3% of gross domestic product. An increase of one year in the retirement age increased the total all-cancer premature mortality cost by 9.9% for men and 5.9% for women. The inclusion of household production and caring costs increased the total cost to €945.7 million. CONCLUSION: Lost productivity costs due to cancer-related premature mortality are significant. The higher premature mortality cost in males than females reflects higher wages and rates of workforce participation. Productivity costs provide an alternative perspective on the cancer burden on society and may inform cancer control policy decisions.
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Through trajectory risk, survivors experience loss of productive functions, financial crises, family tensions and stigma.
“Through trajectory risk, survivors experience a loss of productive functions, financial crises, family tensions and stigma [42-44].”
From Empowerment in the treatment of fatigue in breast cancer patients (2021) · cites this paper as [42]
The Discussion (Economy-level premature mortality cost burden; page unavailable) supports lost productivity, including household production and caring activity, due to premature cancer-related death. It does not establish that survivors experience those losses, financial crises, family tensions, or stigma; the paper measures an economy-level mortality burden rather than those survivor experiences. (LLM, conf=0.86)
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- Authors
- Hanly, P. A., & Sharp, L.
- Affiliations
- National College of Ireland (IE)
- National Cancer Registry (IE)
- Corresponding author
- Hanly, Paul A
- Venue
- BMC Cancer
- Published
- 2014-03-26
- Volume
- 14
- Issue
- 1
- Pages
- 224-224
- ISSN
- 1471-2407 (ISSN-L)
- PMC
- PMC3986872
- OpenAlex
- W2156575488
- Cited by
- 81
- References
- 21
- Citations by year
- 2026: 8 · 2025: 8 · 2024: 4 · 2023: 5 · 2022: 6 · 2021: 7 · 2020: 12 · 2019: 4 · 2018: 9 · 2017: 3 · 2016: 8 · 2015: 5 · 2014: 2
- FWCI
- 14.88
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Cancer (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- NORMA (acceptedVersion)
- TRAP@NCI (National College of Ireland) (acceptedVersion)
- Lenus, The Irish Health Repository (Dr Steevens Hospital Library) (submittedVersion, cc-by)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Economic and Financial Impacts of Cancer
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- cancer mortality, economic burden of cancer, productivity loss, human capital approach, lung cancer, breast cancer, colorectal cancer, brain and central nervous system cancer, retirement age, gender differences, Ireland
- MeSH terms
- Adolescent, Adult, Efficiency, Female, Humans, Ireland, Life Expectancy, Male, Middle Aged, Neoplasms, Health Care Costs, Cost of Illness, Models, Economic
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