El costo de la atención médica del cáncer mamario: El caso del Instituto Mexicano del Seguro Social

Translated title of the contribution: The health care costs of breast cancer: The case of the Mexican Social Security Institute

Felicia Marie Knaul, Héctor Arreola-Ornelas, Enrique Velázquez, Javier Dorantes, Óscar Méndez, Leticia Ávila-Burgos

Research output: Contribution to journalArticle

31 Scopus citations

Abstract

Objective: We studied the cost of health care for women with breast cancer treated at the Mexican Social Security Institute (IMSS, per its abbreviation in Spanish). Material and Methods: Using the Medical and Operative Information Systems of the IMSS, we constructed a cohort of patients diagnosed in 2002 and followed these patients to the end of 2006, identifying the use of resources and imputing the IMSS-specific cost structure. Results: Only 14% of women were diagnosed in stage 1 and 48% were diagnosed in stages III-IV. The average cost of their medical care per patient-year was $MX110,459. Costs for stage 1 were $MX74,522 compared to $102,042 for stage II, and were $MX154,018 for stage III and $MX199,274 for stage IV. Conclusions: Breast cancer accounts for a significant part of the IMSS health budget. Later stage at diagnosis is associated with higher economic costs per patient-year of treatment and lower probability of five-year survival.

Translated title of the contributionThe health care costs of breast cancer: The case of the Mexican Social Security Institute
Original languageSpanish
Pages (from-to)S286-S295
JournalSalud publica de Mexico
Volume51
Issue numberSUPPL.2
DOIs
StatePublished - Dec 1 2009
Externally publishedYes

Keywords

  • Breast cancer
  • Cost analysis
  • Health care costs
  • Mexico
  • Social security

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    Knaul, F. M., Arreola-Ornelas, H., Velázquez, E., Dorantes, J., Méndez, Ó., & Ávila-Burgos, L. (2009). El costo de la atención médica del cáncer mamario: El caso del Instituto Mexicano del Seguro Social. Salud publica de Mexico, 51(SUPPL.2), S286-S295. https://doi.org/10.1590/S0036-36342009000800019