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Incidence, cost and gender differences of oropharyngeal and noncervical anogenital cancers in South Korea

Title
Incidence, cost and gender differences of oropharyngeal and noncervical anogenital cancers in South Korea
Authors
Choi, InseonLee, DonghwanSon, Kyung-BokBae, SeungJin
Ewha Authors
배승진이동환손경복
SCOPUS Author ID
배승진scopus; 이동환scopus
Issue Date
2020
Journal Title
BMC PUBLIC HEALTH
ISSN
1471-2458JCR Link
Citation
BMC PUBLIC HEALTH vol. 20, no. 1
Keywords
CostIncidenceBurden of diseaseOropharyngeal cancerNoncervical anogenital cancer
Publisher
BMC
Indexed
SCIE; SCOPUS WOS
Document Type
Article
Abstract
BackgroundHuman papillomavirus (HPV) is associated with a significant public health burden, yet few studies have been conducted in Asia, especially on noncervical cancers. We estimated the incidence and cost of oropharyngeal and noncervical anogenital (anal, vulvar, vaginal, penile) cancer in Korea.MethodsWe conducted a retrospective cohort study using Korea's National Health Insurance (NHI) claim database from 2013 to 2016. The main outcome measures were the number of respective cancer incidences during the study period and the annual costs per patient in the first year after diagnosis, which was adjusted by relevant variables based on the regression analysis.ResultsDuring the study period, 8022 patients with these cancers were identified, and oropharyngeal cancer comprised 46% of them. The crude incidence rate for male oropharyngeal cancer was significantly higher than that of females (3.1 vs. 0.7 per 100,000 as of 2016, respectively). Additionally, the crude incidence of male oropharyngeal cancer increased from 2.7 in 2013 to 3.1 in 2016, whereas that of female and other cancers was stable during the study period. The mean annual incidence-based cost per patient in 2016 was highest for oropharyngeal cancers (21,870 USD), and it was significantly higher in males than in females based on then regression analysis (p<.001).ConclusionsOropharyngeal cancer comprises the highest number of HPV-associated noncervical cancer incidences in Korea, and the incidence and cost of oropharyngeal cancer was significantly higher among males than females. More aggressive public health policy toward males may decrease gender gap of oropharyngeal cancer.
DOI
10.1186/s12889-020-09161-y
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약학대학 > 약학과 > Journal papers
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