Table 2.
Mean net costs of care by phase of care and tumour sitea
| Tumour Site | Phase, estimated cost (95 % CI) | |||
|---|---|---|---|---|
| Pre-diagnosis (3 months) | Initial (6 months) | Continuing (annual) | Terminal (12 months) | |
| Males | ||||
| Head and neck | $595 ($326–$865) | $19,702 ($19,691–$19,714) | $5151 ($5143–$5159) | $37,346 ($37,332–$37,360) |
| Esophagus | $818 ($455–$1180) | $41,567 ($41,539–$41,596) | $5491 ($5474–$5509) | $54,354 ($54,336–$54,371) |
| Gastric | $848 ($481–$1215) | $32,240 ($32,203–$32,278) | $3329 ($3315–$3342) | $53,708 ($53,695–$53,722) |
| Colorectal | $275 (−$101-$651) | $25,138 ($25,131–$25,146) | $5446 ($5442–$5451) | $32,408 ($32,401–$32,415) |
| Liver | $3381 ($2906–$3855) | $21,355 ($21,325–$21,384) | $11,954 ($11,937–$11,971) | $30,265 ($30,242–$30,289) |
| Pancreas | $1892 ($1468–$2315) | $29,979 ($29,950–$30,008) | $6296 ($6272–$6319) | $54,152 ($54,138–$54,167) |
| Lung | $1833 ($1458–$2209) | $22,409 ($22,402–$22,417) | $5533 ($5526–$5539) | $39,241 ($39,236–$39,247) |
| Melanoma | $553 ($331–$774) | $4649 ($4635–$4664) | $4005 ($3998–$4012) | $18,494 ($18,479–$18,509) |
| Prostate | $637 ($375–$899) | $8394 ($8391–$8397) | $5017 ($5015–$5020) | $17,391 ($17,385–$17,397) |
| Bladder | $236 (−$189–$661) | $10,429 ($10,412–$10,447) | $3394 ($3386–$3403) | $35,749 ($35,737–$35,760) |
| Renal | $1503 ($1111–$1895) | $14,950 ($14,936–$14,964) | $3991 ($3981–$4002) | $38,292 ($38,274–$38,309) |
| Brain | $1548 ($1192–$1904) | $33,241 ($33,227–$33,225) | $6563 ($6546–$6581) | $72,463 ($72,444–$72,483) |
| Lymphoma | $1484 ($1125–$1843) | $17,831 ($17,820–$17,842) | $6276 ($6268–$6285) | $59,202 ($59,182–$59,222) |
| Myeloma | $3142 ($2675–$3609) | $24,447 ($24,418–$24,476) | $15,153 ($15,138–$15,169) | $43,989 ($43,969–$44,010) |
| Leukemia | $1325 ($1006–$1645) | $18,214 ($18,194–$18,233) | $8035 ($8024–$8045) | $74,857 ($74,837–$74,877) |
| Thyroid | $1020 ($757–$1282) | $9837 ($9828–$9846) | $3382 ($3372–$3391) | $33,459 ($33,408–$33,511) |
| Testis | $1325 ($1106–$1544) | $11,201 ($11,190–$11,211) | $2264 ($2255–$2273) | $77,814 ($77,721–$77,907) |
| All other tumour sitesb | $1469 ($1075–$1862) | $18,730 ($18,720–$18,740) | $5878 ($5870–$5886) | $42,047 ($42,037–$42,057) |
| Females | ||||
| Head and neck | $1217 ($877–$1557) | $20,242 ($20,212–$20,271) | $7049 ($7032–$7065) | $36,382 ($36,361–$36,402) |
| Esophagus | $221 (−$218–$660) | $42,658 ($42,633–$42,684) | $6744 ($6703–$6785) | $51,728 ($51,699–$51,757) |
| Gastric | $681 ($214–$1149) | $29,940 ($29,922–$29,958) | $2660 ($2634–$2685) | $52,551 ($52,533–$52,570) |
| Colorectal | $542 ($122–$963) | $24,765 ($24,753–$24,777) | $5349 ($5343–$5355) | $31,120 ($31,113–$31,127) |
| Liver | $2893 ($2441–$3346) | $19,331 ($19,252–$19,411) | $7764 ($7707–$7821) | $27,850 ($27,813–$27,888) |
| Pancreas | $1716 ($1282–$2150) | $31,953 ($31,924–$31,981) | $8734 ($8702–$8767) | $53,320 ($53,303–$53,337) |
| Lung | $2047 ($1648–$2445) | $21,583 ($21,571–$21,596) | $6251 ($6243–$6260) | $35,664 ($35,657–$35,671) |
| Melanoma | $437 ($236–$638) | $4110 ($4097–$4122) | $3872 ($3864–$3880) | $16,115 ($16,095–$16,134) |
| Female breast | $1216 ($944–$1487) | $12,219 ($12,213–$12,224) | $6741 ($6738–$6744) | $18,593 ($18,587–$18,598) |
| Corpus uteri | $852 ($558–$1145) | $12,083 ($12,073–$12,093) | $3320 ($3312–$3327) | $22,577 ($22,560–$22,593) |
| Cervix | $781 ($554–$1007) | $14,448 ($14,442–$14,454) | $2833 ($2823–$2842) | $31,796 ($31,774–$31,819) |
| Ovary | $1490 ($1155–$1825) | $22,532 ($22,518–$22,546) | $4100 ($4089–$4110) | $34,670 ($34,657–$34,684) |
| Bladder | $217 (−$222–$655) | $10,886 ($10,850–$10,923) | $5127 ($5109–$5145) | $37,087 ($37,069–$37,105) |
| Renal | $2335 ($1883–$2787) | $15,602 ($15,573–$15,632) | $4525 ($4511–$4539) | $40,810 ($40,787–$40,834) |
| Brain | $2004 ($1619–$2389) | $30,683 ($30,669–$30,697) | $9883 ($9854–$9912) | $81,385 ($81,360–$81,411) |
| Lymphoma | $1838 ($1488–$2187) | $16,885 ($16,860–$16,910) | $6274 ($6263–$6285) | $43,600 ($43,579–$43,621) |
| Myeloma | $2609 ($2077–$3140) | $24,052 ($24,012–$24,092) | $15,255 ($15,238–$15,272) | $45,871 ($45,849–$45,892) |
| Leukemia | $706 ($301–$1112) | $24,256 ($24,236–$24,276) | $9949 ($9933–$9965) | $69,531 ($69,507–$69,556) |
| Thyroid | $946 ($725–$1167) | $9098 ($9093–$9102) | $3396 ($3390–$3402) | $28,704 ($28,654–$28,754) |
| All other tumour sitesb | $1455 ($1059–$1850) | $18,288 ($18,271–$18,305) | $5790 ($5780–$5800) | $43,214 ($43,202–$43,226) |
aThe initial phase of care is the first 6 months following diagnosis, the terminal phase is the final 12 months of life, and the continuing phase is all the months between the initial and last year of life phases. Net costs in the continuing phase of care are an annual estimate. Net costs in the last year of life combine the cost for cancer patients dying of cancer and those dying of other causes. All estimates are in 2009 dollars
bAll other tumour sites includes salivary gland, small intestine, appendix, intrahepatic bile duct, gallbladder and extrahepatic bile ducts, unspecified digestive organs, pleura, thymus, heart, mediastinum, other respiratory organs, bones and joints, reticulo-endothelial, spleen, connective tissue/nerves, retroperitoneum and peritoneum, soft tissue, breast (male only), labia and clitoris, vulva, vagina, other female genitals, placenta, penis, epididymis, spermatic cord, scrotum, other and unspecified male genitals, other urinary organs, ureter, eye, orbit and lacrimal gland, eye (unspecified), cerebral and spinal meninges, meninges NOS, spinal cord, cranial nerves, other nervous system, adrenal glands, parathyroid gland, pituitary gland, craniopharyngeal duct, pineal gland, other endocrine glands and miscellaneous (ill-defined and unknown organs)
Data sources: Cancer Care Ontario and administrative health data housed at the Institute for Clinical Evaluative Sciences