• Chao-Hsiun Tang Chao-Hsiun Tang
  • Raoh-Fang Pwu Raoh-Fang Pwu
  • I-Ching Tsai I-Ching Tsai
  • Han-I Wang Han-I Wang
  • San-Lin You San-Lin You
  • Chi-An Chen Chi-An Chen
  • Paul Scuffham Paul Scuffham
  • Chang-Yao Hsieh Chang-Yao Hsieh
  • Cheng-Yang Chou Cheng-Yang Chou
  • Sheue-Rong Lin Sheue-Rong Lin
  • Yao-Der Chen Yao-Der Chen
  • Chien-Jen Chen Chien-Jen Chen

Purpose Although cervical cancer is the most frequent cancer for women in Taiwan, no examition of its treatment costs has yet been undertaken. This study aimed to investigate the costs of cervical cancer and precancerous lesion treatment in Taiwan. Methods A total of 7,398 cases of cervical intraepithelial neoplasia (CIN) lesions were identified from the Taiwan Cervical Cancer Screening Registration System in 2003. A further 1,469 cases of invasive cervical cancer (ICC) were also identified from a survey on cervical cancer staging information conducted by the Taiwan Cancer Registration Task Force. Resource usage covering the first 6 months after CIN diagnosis and the 5 years after ICC diagnosis were extracted from the tiol Health Insurance claims database. The duration of each visit and the transportation costs were collected by means of persol interviews with CIN/ICC patients. The mean and standard deviation of the treatment and indirect costs were estimated. Results The average total costs for CIN patients were NT4,201 for CIN1, NT4,201forCIN1,NT 8,623 for CIN2 and NT$14,406 for CIN3, with the indirect costs accounting for 25-33% of the total. The total costs for ICC patients were NT$14,406forCIN3,withtheindirectcostsaccountingfor25-33 210,230 for Stage 1, NT392,387 for Stage 2, NT392,387forStage2,NT 433,969 for Stage 3 and NT$464,701 for Stage 4, with the indirect costs accounting for about 14-17% of the total. Conclusions CIN and ICC treatment resulted in considerable costs to the healthcare system in Taiwan. Indirect costs associated with such treatment were also substantial and cannot be ignored.