Table 3:
Population health and economic effects of scaling up radiotherapy capacity for cervical cancer treatment, 2015–35
| Health parameters |
Human capital return on investment |
Full income return on investment |
|||||
|---|---|---|---|---|---|---|---|
| Patients requiring external-beam radiotherapy | Patients requiring brachytherapy | Life-years gained with radiotherapy scale-up | Nominal model | Efficient model | Nominal model | Efficient model | |
|
Base case values | |||||||
| Low-income countries | 1 340 413 | 1 005 310 | 2 348 608 | −0·4 | 0·3 | 0·3 | 1·8 |
| Lower-middle-income countries | 4 892 966 | 3 669 725 | 6 188 537 | 1·6 | 4·2 | 4·3 | 9·7 |
| Upper-middle-income countries | 3 120 872 | 2 340 654 | 2 861 813 | 6·1 | 12·3 | 14·2 | 27·7 |
| Total | 9 354 251 | 7 015 689 | 11 398 958 | 2·5 | 6·0 | 6·5 | 13·8 |
|
Sensitivity analysis: advanced stage distribution | |||||||
| Low-income countries | 1 623 599 | 1 282 643 | 3 359 445 | 0·0 | 1·1 | 1·1 | 3·3 |
| Lower-middle-income countries | 5 926 692 | 4 682 086 | 9 655 660 | 3·0 | 7·0 | 7·2 | 15·4 |
| Upper-middle-income countries | 3 780 211 | 2 986 367 | 4 480 428 | 8·7 | 17·3 | 20·0 | 38·6 |
| Total | 11 330 502 | 8 951 096 | 17 495 533 | 4·0 | 9·5 | 9·9 | 22·1 |
|
Sensitivity analysis: integrated radiotherapy and vaccination scale-up | |||||||
| Low-income countries | 1 284 243 | 963 183 | 2 041 140 | −0·4 | −0·1 | 0·3 | 0·9 |
| Lower-middle-income countries | 4 729 919 | 3 547 440 | 5 936 526 | 1·1 | 3·2 | 3·2 | 7·5 |
| Upper-middle-income countries | 3 014 362 | 2 260 772 | 2 694 691 | 5·6 | 11·4 | 13·4 | 25·87 |
| Total | 9 028 525 | 6 771 394 | 10 672 357 | 2·2 | 5·1 | 5·6 | 11·7 |
Return on investment is a ratio defined as the net present value (itself defined as the economic return on investment minus the cost of investment) divided by the cost of investment, all in US$.