Skip to main content

Advertisement

Log in

The burden of cancer in Spain

  • Research Article
  • Published:
Clinical and Translational Oncology Aims and scope Submit manuscript

Abstract

Introduction

Cancer imposes a huge financial burden in all developed countries. This study estimates the burden of cancer in Spain in 2015.

Methods

The most recent available epidemiological data on prevalence, incidence and mortality, and the economic data on direct (hospital, drugs, and primary care) and indirect (productivity) costs was used from the social perspective.

Results

Prevalence, incidence, and mortality were, respectively, 1240, 478, and 218 per 100,000 inhabitants. Mortality was higher for men, while disability rates were higher for women. Direct costs accounted for 4818 million euros and indirect costs were 640 million euros in 2015. Direct costs were almost completely borne by the hospital (94%). Total burden of cancer in Spain was 5458 million euros in 2015.

Conclusions

In Spain, the costs of cancer were mainly borne by the hospital and these costs might increase in the future due to the expected increase in longevity. Further research would be needed to investigate whether it is possible to redistribute the economic burden of cancer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. GBD Mortality and Causes of Death Collaborators. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;385(9963):117–71. https://doi.org/10.1016/S0140-6736(14)61682-2.

    Article  Google Scholar 

  2. National Center for Health Statistics. National vital statistics report. (2015). https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_06.pdf. Accessed Mar 2018.

  3. Eurostat. Causes of death statistics. (2015). https://ec.europa.eu/eurostat/statistics-explained/index.php/Causes_of_death_statistics#Main_findings. Accessed Mar 2018.

  4. Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, Rosso S, Coebergh JW, et al. Cancer incidence and mortality patterns in Europe: estimates for 40 countries in 2012. Eur J Cancer. 2013;49(6):1374–403. https://doi.org/10.1016/j.ejca.2012.12.027.

    Article  PubMed  CAS  Google Scholar 

  5. Ventola CL. Cancer immunotherapy, Part 3: challenges and future trends. Pharmacy Ther. 2017;42(8):514–21.

    Google Scholar 

  6. Lipinski KA, Barber LJ, Davies MN, Ashenden M, Sottoriva A, Gerlinger M. Cancer evolution and the limits of predictability in precision cancer medicine. Trends Cancer. 2016;2(1):49–63. https://doi.org/10.1016/j.trecan.2015.11.003.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Rice DP. Cost of illness studies: what is good about them? Injury Prev. 2000;6:177–9. https://doi.org/10.1136/ip.6.1.4.

    Article  CAS  Google Scholar 

  8. Segel JE. Cost-of-illness studies—a primer. RTI International [Internet]. (2006). https://pdfs.semanticscholar.org/3bbf/0a03079715556ad816a25ae9bf232b45f2e6.pdf. Accessed Mar 2018.

  9. Mariotto AB, Yabroff KR, Shao Y, Feuer EJ, Brown ML. Projections of the cost of cancer in the United States: 2010–2020. J Natl Cancer Inst. 2011;103(2):117–28. https://doi.org/10.1093/jnci/djq495.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Luengo-Fernandez R, Leal J, Gray A, Sullivan R. Economic burden of cancer across the European Union: a population-based cost analysis. Lancet Oncol. 2013;14(12):1165–74. https://doi.org/10.1016/S1470-2045(13)70442-X.

    Article  PubMed  Google Scholar 

  11. Instituto Nacional de Estadística. Cifras de población y censos demográficos. (2017). https://www.ine.es/dynt3/inebase/es/index.htm?padre=1894&capsel=1895. Accessed Nov 2017.

  12. Sociedad Española de Oncología Médica. Las Cifras del Cáncer en España. (2018). https://seom.org/seomcms/images/stories/recursos/Las_Cifras_del_cancer_en_Espana2018.pdf. Accessed Feb 2018.

  13. Red Española de Registros de Cáncer. Estimaciones de la Incidencia y la Supervivencia del Cáncer en España y su Situación en Europa. (2017). http://redecan.org/es/page.cfm?id=196&title=estimaciones-de-la-incidencia-y-la-supervivencia-del-cancer-en-espana-y-su-situacion-en-europa. Accessed Nov 2017.

  14. Instituto Nacional de Estadística. Encuesta de Población Activa. (2017). https://www.ine.es/dyngs/INEbase/es/operacion.htm?c=Estadistica_C&cid=1254736176918&menu=resultados&idp=1254735976595. Accessed Nov 2017.

  15. Asociación Española contra el Cáncer. Observatorio del Cáncer. (2018). http://observatorio.aecc.es/. Accessed Feb 2018.

  16. Instituto Nacional de la Seguridad Social. Incapacidad temporal. (2015). http://www.seg-social.es/wps/portal/wss/internet/EstadisticasPresupuestosEstudios/Estadisticas/EST45/EST46/2992. Accessed Nov 2017.

  17. Instituto Nacional de la Seguridad Social. Pensiones contributivas en vigor. (2015). http://www.seg-social.es/wps/portal/wss/internet/EstadisticasPresupuestosEstudios/Estadisticas/EST23/2575/3030/3031. Accessed Nov 2017.

  18. Conjunto Mínimo Básico de Datos. Hospitalización. (2017). http://pestadistico.inteligenciadegestion.msssi.es/publicoSNS/comun/ArbolNodos.aspx?idNodo=6383. Accessed Oct 2017.

  19. European Observatory on Health Systems and Policies Series. Diagnosis-related groups in Europe. Moving towards transparency, efficiency and quality in hospitals. (2011). http://www.euro.who.int/__data/assets/pdf_file/0004/162265/e96538.pdf. Accessed Oct 2017.

  20. Pineros I. Desafíos Oncología. Presented at Octava edición Desafíos Oncología, Fundación ECO. (2017).

  21. Base de Datos Clínicos de Atención Primaria. (2017). http://pestadistico.inteligenciadegestion.msssi.es/publicoSNS/comun/ArbolNodos.aspx?idNodo=22117. Accessed Oct 2017.

  22. eSalud. Información económica del sector sanitario. (2017). http://esalud.oblikue.com/. Accessed Dec 2017.

  23. Instituto Nacional de Estadística. Estadística de defunciones según la causa de muerte. (2017). https://www.ine.es/dyngs/INEbase/es/operacion.htm?c=Estadistica_C&cid=1254736176780&menu=resultados&idp=1254735573175. Accessed Nov 2017.

  24. Instituto Nacional de Estadística. Encuestas de estructura salarial. (2017). https://www.ine.es/dyngs/INEbase/es/operacion.htm?c=Estadistica_C&cid=1254736177025&menu=ultiDatos&idp=1254735976596. Accessed Nov 2017.

  25. Oliva J, Lobo F, López-Bastida J, Zozaya N, Romay R. Indirect costs of cervical and breast cancers in Spain. Eur J Health Econ. 2005;6(4):309–13. https://doi.org/10.1007/s10198-005-0303-4.

    Article  PubMed  Google Scholar 

  26. López-Bastida J, Serrano-Aguilar P, Duque-González B. Los costes socioeconómicos de las enfermedades cardiovasculares y del cáncer en las Islas Canarias en 1998. Gac Sanit. 2003;17(3):210–7.

    Article  PubMed  Google Scholar 

  27. Instituto de Salud Carlos III. Guía de valoración de incapacidad laboral para médicos de atención primaria. (2015). http://gesdoc.isciii.es/gesdoccontroller?action=download&id=15/01/2016-440fa7054c. Accessed Nov 2017.

  28. Oliva J, Lobo F, López-Bastida J, Zozaya N, Romay R. Pérdidas de productividad laboral ocasionadas por los tumores en España. Documentos de trabajo. Economic series, Nº. 4. (2005). http://docubib.uc3m.es/WORKINGPAPERS/DE/de050402.pdf. Accessed Nov 2017.

  29. Chang S, Long SR, Kutikova L, Bowman L, Finley D, Crown WH, Bennen CL. Estimating the cost of cancer: results on the basis of claims data analyses for cancer patients diagnosed with seven types of cancer during 1999 to 2000. J Clin Oncol. 2004;22(17):3524–30. https://doi.org/10.1200/JCO.2004.10.170.

    Article  PubMed  Google Scholar 

  30. Ministerio de Sanidad, Servicios Sociales e Igualdad. Programas de Cribado Poblacional de Cáncer. (2017). http://www.mscbs.gob.es/profesionales/saludPublica/prevPromocion/cribadoCancer.htm. Accessed Dec 2017.

Download references

Acknowledgements

The present study acknowledges an unrestricted Grant by Bristol-Myers Squibb (BMS). We would also like to thank the anonymous referee that helped us with the comments to improve the paper.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. Tort.

Ethics declarations

Conflict of interest

The first three authors have received funds from BMS. Eduardo Díaz-Rubio has a consulting/advisory role in Amgen, Bayer, Genómica, Servier and Merck and is Speaker in Servier and MSD. He has also received research funding from Roche, Merck-Serono, Amgen, Astra Zeneca and Sysmex. Carlos Camps has a consulting or advisory role in BMS, Bayer and Roche and is a speaker in Astra Zeneca. He has received research funding from BMS, Astra Zeneca and Sysmex.

Ethical approval

This research does not involve human participants and/or animals.

Informed consent

For this type of study informed consent is not required.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Badía, X., Tort, M., Manganelli, AG. et al. The burden of cancer in Spain. Clin Transl Oncol 21, 729–734 (2019). https://doi.org/10.1007/s12094-018-1972-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12094-018-1972-7

Keywords

Navigation