Table 3: Total net cost (in constant 2015 dollars) for patients with malignant neoplasms* diagnosed in the 10 years up to and including the year of analysis in Ontario, 2005-2008, by cost category.
| Cost category | Year; net cost (95% CI), $ millions | |||
|---|---|---|---|---|
| 2005 | 2006 | 2007 | 2008 | |
| Hospital care | ||||
| Acute inpatient hospital care | 500.5 (484.2 to 516.8) | 550.3 (532.1 to 568.5) | 630.3 (607.5 to 653.0) | 665.5 (642.6 to 688.5) |
| Ambulatory hospital care | ||||
| Day surgery | 39.2 (38.1 to 40.3) | 39.5 (38.3 to 40.7) | 43.6 (42.3 to 45.0) | 46.0 (44.6 to 47.4) |
| Emergency department visits | 7.7 (6.9 to 8.6) | 9.2 (8.3 to 10.1) | 10.2 (9.2 to 11.1) | 13.2 (12.3 to 14.2) |
| Cancer clinics† | - | 357.3 (353.0 to 361.6) | 517.3 (511.9 5 to 22.8) | 498.4 (492.9 to 503.8) |
| Dialysis clinics† | - | -12.7 (-16.7 to -8.7) | -16.9 (-23.4 to -10.4) | -13.1 (-21.5 to -4.8) |
| Psychiatric inpatient hospital care‡ | -7.8 (-9.8 to -5.8) | -24.7 (-29.5 to -19.8) | -26.4 (-32.4 to -20.5) | -26.3 (-32.5 to -20.1) |
| Chronic and rehabilitation care | ||||
| Complex continuing care | -7.8 (-17.2 to 1.7) | -12.8 (-22.5 to -3.1) | -0.8 (-10.5 to 8.8) | 5.5 (-4.1 to 15.1) |
| Long-term care | -116.8 (-124.1 to -109.5) | -128.3 (-135.8 to -120.7) | -132.5 (-140.2 to -124.8) | -124.3 (-132.2 to -116.5) |
| Rehabilitation | 4.4 (0.2 to 8.5) | 7.4 (3.2 to 11.6) | 4.5 (0.1 to 8.8) | 7.2 (2.4 to 12.0) |
| Other hospital care | ||||
| Chemotherapy | 91.7 (89.4 to 94.1) | 128.6 (125.2 to 132.0) | 149.9 (146.4 to 153.5) | 187.3 (183.3 to 191.2) |
| Radiation therapy | 82.3 (80.6 to 84.0) | 123.7 (121.5 to 125.9) | 173.4 (169.8 to 177.0) | 201.5 (197.5 to 205.5) |
| Physician care | ||||
| Fee-for-service | 202.0 (198.1 to 205.9) | 219.6 (215.6 to 223.6) | 242.0 (237.1 to 246.9) | 273.7 (268.2 to 279.1) |
| Non-fee-for-service | 43.2 (42.4 to 43.9) | 53.0 (52.1 to 53.9) | 58.5 (57.5 to 59.5) | 70.0 (68.9 to 71.1) |
| Outpatient drugs§ | 106.1 (102.0 to 110.1) | 114.4 (110.0 to 118.9) | 122.1 (117.8 to 126.5) | 139.7 (135.2 to 144.2) |
| Other care | ||||
| Assistive devices | -1.6 (-2.6 to -0.6) | -2.4 (-3.4 to -1.4) | -2.4 (-3.3 to -1.4) | -0.3 (-1.2 to 0.6) |
| Home care | 77.4 (73.5 to 81.3) | 100.5 (95.9 to 105.0) | 103.6 (99.5 to 107.7) | 125.0 (120.7 to 129.2) |
| Diagnostic tests | 5.9 (5.6 to 6.2) | 5.7 (5.5 to 6.0) | 6.1 (5.8 to 6.4) | 7.0 (6.7 to 7.3) |
| Nonphysician care¶ | -1.9 (-2.2 to -1.7) | -2.2 (-2.5 to -2.0) | -2.6 (-2.9 to -2.3) | -2.8 (-3.1 to -2.5) |
| Total direct cost | 1024.5 (997.2 to 1051.9) | 1526.2 (1494.1 to 1558.3) | 1879.9 (1842.7 to 1917.0) | 2073.0 (2034.3 to 2111.7) |
Note: CI = confidence interval.
*Costs are presented for matched patients with cancer (case subjects) only.
†Data missing for 2005.
‡Data missing for January to September 2005.
§Includes outpatient prescription drugs covered by the provincial government (i.e., public third-party payer).
¶Includes care provided by other professionals outside the hospital setting.