Table 4.
Direct and indirect costs of cancer diagnosis/treatment among Chinese cancer patients reported in included articles (n = 20).
| Study | The duration that costs were incurred | The course of cancer in which the costs were incurred | Direct costs |
Indirect costs |
Costs adjustment and exchange rate | |||
|---|---|---|---|---|---|---|---|---|
| OOP medical costs | Nonmedical costs (eg, transportation expenses, nutrition expenses) | The sum of OOP medical costs and nonmedical costs | Working time loss due to cancer (d) | Income loss due to cancer | ||||
| Chen, J. E., 201848 | 1 mo | NR | US $2519 | – | US $2883 | – | – | Costs adjustment: NR US $1 = 6.60 CNY |
| Huang, H. Y., 201754 |
Direct costs: 1 y Indirect costs: NR |
Direct costs: From 2 mo before to 10 mo after cancer diagnosis Indirect costs: From cancer diagnosis to the survey |
– | – | 32,649 CNY | 96 in total Patients: 54; Caregivers: 42 |
6652 CNY | All costs were inflated to the 2014 CNY. 1 CNY = US $ 0.16 |
| Lei, H., 202051 |
Direct costs: 1 y Indirect costs: NR |
Direct costs: From 2 mo before to 10 mo after cancer diagnosis Indirect costs: From cancer diagnosis to the survey |
– | – | 24,953 CNY | 73 in total Patients: 42; Caregivers, 31 |
– | All costs were inflated to the 2014 CNY. Exchange rate: NR |
| Liao, X. Z., 201849 |
Direct costs: 1 y Indirect costs: NR |
Direct costs: From 2 mo before to 10 mo after cancer diagnosis Indirect costs: From cancer diagnosis to the survey |
– | – | US $4264 | 98 in total Patients: 56; Caregivers: 42 |
US $1529 | All costs were inflated to the 2014 CNY. Exchange rate: NR |
| Zhang, K., 202055 |
Direct costs: 1 y Indirect costs: NR |
Direct costs: From 2 mo before to 10 mo after cancer diagnosis Indirect costs: From cancer diagnosis to the survey |
– | – | US $5368 | 88 in total Patients: 48; Caregivers: 40 |
US $996 | All costs were inflated to the 2014 CNY. 1 CNY = US $ 0.16 |
| Zhang, X., 201744 | 5 y | Within 5 y of a cancer diagnosis | Insured patients: US $27,518; uninsured patients: US $20,529 | US $1890 | – | – | US $795 | All costs were inflated to the 2014 US $. US $1 = 3.57 CNY (the purchasing power parity values of RMB against the dollar in 2014) |
| Wu, Q., 202047 | About 1 y | From diagnosis to 1 y after final discharge | – | US $673, US $1459, US $1589, US $1536, US $1422, and US $979 for IA-IV patients. | – | – | US $814, US $2325, US $2080, US $1559, US $1933, and US $2623 for IA-IV patients. | All costs were inflated to the 2018 US $. US $1 = 6.62CNY |
| Leng, A.,201946 | From cancer diagnosis to death Urban: (549 ± 799) d Rural: (448 ± 487) d |
From cancer diagnosis to death | Urban: US $ (17,051 ± 23,731) Rural: US $ (9405 ± 10,625) |
– | – | – | – | All costs were inflated to the 2016 US $. US $ 1 = 6.64 CNY |
| Chen, S., 202039 | 1 y | NR | 30,257 CNY | 4634 CNY | – | – | 7322 CNY | Costs adjustment and Exchange rate: NR |
| Liu, S., 201737 | NR | NR | – | – | – | – | Uninsured patients: (2089 ± 1964) CNY Insured patients: (3056 ± 2799) CNY for UEBMI, (2874 ± 1542) CNY for URBMI, (2509 ± 1444) CNY for other health insurance. |
All costs were inflated to the 2014 CNY. Exchange rate: NR |
| Wang, C., 201636 | NR | NR | 25,420 CNY | 8603 CNY | 34,023 CNY | – | – | Costs adjustment and exchange rate: NR |
| Wu, X., 201535 | Cost for self-purchasing drugs and outpatients: 6 mo Costs for inpatient: 1 y |
NR | 2233 CNY per outpatient visit. 7675 CNY per hospitalization. 14,562 CNY for self-purchasing drugs |
Outpatient: 160 CNY Inpatient: 2970 CNY |
– | – | Outpatient: 86 CNY Inpatient: 33,385 CNY |
Costs adjustment and exchange rate: NR |
| Kang, Y., 201534 | 1 y | NR | – | 8425 CNY | – | – | – | Costs adjustment and exchange rate: NR |
| Peng, H., 201333 | 1 y | In the first year of cancer diagnosis | 24,082 CNY | – | – | – | – | Costs adjustment and exchange rate: NR |
| Huang, H., 201232 | 1 y | NR | 37,167 CNY | 26,466 CNY | – | – | 53,052 CNY | Costs adjustment and exchange rate: NR |
| Huang, H., 201231 | 1 y | NR | – | Insured patients: 26,897 CNY Uninsured patients: 22,963 CNY |
– | – | Insured patients: 53,394 CNY Uninsured patients: 50,090 CNY |
Costs adjustment and exchange rate: NR |
| Zeng, Q., 201130 | NR | NR | – | – | – | – | 10,248 CNY | Costs adjustment and exchange rate: NR |
| Luo, R., 200629 | Per hospital stay | NR | 16,481 CNY | – | – | – | – | Costs adjustment and exchange rate: NR |
| Xiao, S., 201040 | 6 mo | Within 6 mo after the discharge of the first hospitalization (including the cost of the first hospitalization) | 41,294 CNY | 16,344 CNY | 57,638 CNY | – | 9912 CNY | Costs adjustment and exchange rate: NR |
| Shang, M., 201341 | NR | NR | 28,460 CNY | 7131 CNY | 35,591 CNY | – | – | Costs adjustment and exchange rate: NR |
NR, not reported; –, not reported; UEBMI, Urban Employee Basic Medical Insurance scheme; URBMI, Urban Resident Basic Medical Insurance Scheme; y, year; mo, month; d, days.