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Incidence, cost and gender differences of oropharyngeal and noncervical anogenital cancers in South Korea
- Incidence, cost and gender differences of oropharyngeal and noncervical anogenital cancers in South Korea
- Choi, Inseon; Lee, Donghwan; Son, Kyung-Bok; Bae, SeungJin
- Ewha Authors
- 배승진; 이동환; 손경복
- SCOPUS Author ID
- 배승진; 이동환
- Issue Date
- Journal Title
- BMC PUBLIC HEALTH
- BMC PUBLIC HEALTH vol. 20, no. 1
- Cost; Incidence; Burden of disease; Oropharyngeal cancer; Noncervical anogenital cancer
- SCIE; SCOPUS
- Document Type
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- 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.
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