Patterns of care and cost profiles of women with breast cancer in Italy: EPICOST study based on real world data

Walter Mazzucco, Manuel Zorzi, Walter Mazzucco, Fortunato Bianconi, Daniela Pierannunzio, Silvia Francisci, Rosanna Cusimano, Giulia Capodaglio, Catia Angiolini, Stefano Guzzinati, Andrea Tavilla, Mario Fusco, Andrea Tavilla, Rosanna Cusimano, Silvia Francisci, Manuel Zorzi, Sandra Mallone, Massimo Rugge, Silvia Iacovacci, Tania LopezSusanna Busco, Sandra Mallone, Anna Gigli, Fabrizio Stracci, Massimo Rugge, Alessandro Barchielli, Diego Serraino, Antonio Giampiero Russo, Rosanna Cusimano

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


Objectives To estimate total direct health care costs associated to diagnosis and treatment of women with breast cancer in Italy, and to investigate their distribution by service type according to the disease pathway and patient characteristics. Methods Data on patients provided by population-based Cancer Registries are linked at individual level with data on health-care services and corresponding claims from administrative databases. A combination of cross-sectional approach and a threephase of care decomposition model with initial, continuing and final phases-of-care defined according to time occurred since diagnosis and disease outcome is adopted. Direct estimation of cancer-related costs is obtained. Results Study cohort included 49,272 patients, 15.2% were in the initial phase absorbing 42% of resources, 79.7% in the continuing phase absorbing 44% of resources and 5.1% in the final phase absorbing 14% of resources. Hospitalization was the most important cost driver, accounting for over 55% of the total costs. Conclusions This paper represents the first attempt in Italy to estimate the economic burden of cancer at population level taking into account the entire disease pathway and using multiple current health care databases. The evidence produced by the study can be used to better plan resources allocation. The model proposed is replicable to countries with individual health care information on services and claims.
Original languageEnglish
Number of pages11
Publication statusPublished - 2020

All Science Journal Classification (ASJC) codes

  • Economics, Econometrics and Finance (miscellaneous)
  • Health Policy


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