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- W2283066366 abstract "This study investigates the smoking health-care costs, under two perspectives – health system and hospital. From the health system perspective, the cost of hospitalizations and chemotherapy procedures associated with smoking-related diseases were estimatedbased on 2005 figures, focusing on the three diseases groups: cancer, cardiovascular, and respiratory. It relies on data from the Brazilian information systems. The calculation method is based on Smoking Attributable Fraction, and to calculate its values for each smoking-related disease was used the Cancer Prevention Study - II relative risk’s estimates and the smoking prevalence of World Health Survey, carried out in 2003. From the hospital perspective, the health-care tobacco costs werecalculated in two selected providers, specialized in oncology and cardiology care. Data from a sample of 331 cases of lung, laryngeal, and esophageal cancer, angina pectoris, and chronic ischemic heart disease were collected based on medical records. The method of pathology cost was selected to calculate the health-care costs, and the patients were stratified based on the presence of clinical predictors which could contribute with costs measures. For cancer, these clinical predictors were cancer stage and co-morbidities (diabetes, COPD, hypertension and AMI) related to the maindiagnostic and co-morbidities (diabetes, lung, laryngeal, and esophageal cancer and COPD) for heart diseases. The results from health system perspective were calculated based on two formulas and, for the first one, the costs of tobacco-related diseases were R$ 137.482.819,59 and for the second one were R$ 338.692.516,02. From hospitalperspective, the average and median costs were: R$ 28.902,09 and R$ 26.028,52 to lung cancer; R$ 33.163,86 and R$ 31.882,43 to esophageal cancer; R$ 37.528,96 and R$ 38.766,52 to laryngeal cancer; R$ 29.686,93 and R$ 17.445,26 to chronic ischemic hearth disease; and R$ 33.130,03 and R$ 27.135,30 to angina pectoris. This study shows the burden of smoking on public health system, and points out some implicationson action and strategies to tobacco control in Brazil." @default.
- W2283066366 created "2016-06-24" @default.
- W2283066366 creator A5075707097 @default.
- W2283066366 date "2007-01-01" @default.
- W2283066366 modified "2023-09-27" @default.
- W2283066366 title "Custos de doenças aco relacionadas: uma análise sob a perspectiva da economia e da epidemiologia" @default.
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- W2283066366 hasPublicationYear "2007" @default.
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