drugsJuly 04, 2019
More than 8.7 million years of life and about $94 billion in earnings were lost to cancer in the United States in 2015, researchers say.
Cancer is the nation's second-leading killer and is expected to cause nearly 607,000 deaths this year. These premature deaths and the lost productivity they cause impose a significant economic burden, the study authors explained.
In this study, American Cancer Society (ACS) researchers analyzed nationwide death data for 2015.
That year saw over 492,000 cancer deaths among 16- to 84-year-olds, resulting in 8.74 million life years lost. Lost earnings added up to nearly $192,000 per death, or $29 million for every 100,000 people.
The researchers emphasized that those figures don't include other cancer-related costs, including treatment and caregiving.
"Years of life lost and lost earnings were high for many cancers for which there are modifiable risk factors and effective screening and treatment, which suggests that a substantial proportion of our current national mortality burden is potentially avoidable," said study leader Dr. Farhad Islami, strategic director of cancer surveillance research for ACS.
Lung cancer accounted for the most in lost earnings ($21.3 billion; 22.5% of total), followed by colorectal ($9.4 billion; 10%), female breast ($6.2 billion; 6.5%) and pancreatic ($6.1 billion; 6.5%) cancers, the study found.
By age, lost earnings were highest among leukemia patients between 16 and 39 years of age. Among older patients, the earnings loss was highest among those with lung cancer.
There were significant state-to-state differences, according to the researchers, ranging from lost earnings of $19.6 million per 100,000 people in Utah to $35.3 million per 100,000 in Kentucky.
Southern states had the highest age-adjusted lost earning rates followed by those in the Midwest. The lowest age-adjusted losses were in the West, Northeast and Hawaii.
If all states matched Utah's rate in 2015, cancer-related lost earnings nationwide would have been 29.3%, or $27.7 billion, lower, and there would have been 2.4 million fewer life years lost, the study concluded.
"Applying comprehensive cancer prevention interventions and ensuring equitable access to high-quality care across all states could reduce the burden of cancer and associated geographic and other differences in the country," Islami said in an ACS news release. "Health care professionals can contribute to achieving this goal because they play a central role in the delivery of cancer prevention, screening and treatment."
The study was published online in the journal JAMA Oncology.
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