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https://observatorio.fm.usp.br/handle/OPI/41545
Title: | Economic burden of colorectal and breast cancers attributable to lack of physical activity in Brazil |
Authors: | REZENDE, Leandro F. M.; FERRARI, Gerson; BAHIA, Luciana Ribeiro; ROSA, Roger Dos Santos; ROSA, Michelle Quarti Machado da; SOUZA, Romulo Cristovao de; LEE, Dong Hoon; GIOVANNUCCI, Edward; ELUF-NETO, Jose |
Citation: | BMC PUBLIC HEALTH, v.21, n.1, article ID 1190, 8p, 2021 |
Abstract: | BackgroundThe increasing number of cancer patients has an escalating economic impact to public health systems (approximately, International dollars- Int$ 60 billion annually in Brazil). Physical activity is widely recognized as one important modifiable risk factor for cancer. Herein, we estimated the economic costs of colon and post-menopausal breast cancers in the Brazilian Unified Health System (SUS) attributable to lack of physical activity.MethodsPopulation attributable fractions were calculated using prevalence data from 57,962 adults who answered a physical activity questionnaire in the Brazilian National Health Survey, and relative risks of colon and breast cancer from a meta-analysis. Annual costs (1 Int$=2.1 reais) with hospitalization, chemotherapy and radiotherapy were obtained from the Hospital and Ambulatory Information Systems of the Brazilian SUS. Two counterfactual scenarios were considered: theoretical minimum risk exposure level (>= 8000 MET-min/week) and physical activity guidelines (>= 600 MET-min/week).ResultsAnnually, the Brazilian SUS expended Int$ 4.5 billion in direct costs related to cancer treatment, of which Int$ 553 million due to colon and breast cancers. Direct costs related to colon and breast cancers attributable to lack of physical activity were Int$ 23.4 million and Int$ 26.9 million, respectively. Achieving at least the physical activity guidelines would save Int$ 10.3 mi (colon, Int$ 6.4 mi; breast, Int$ 3.9 mi).ConclusionsLack of physical activity accounts for Int$ 50.3 million annually in direct costs related to colon and post-menopausal breast cancers. Population-wide interventions aiming to promote physical activity are needed to reduce the economic burden of cancer in Brazil. |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MPR Artigos e Materiais de Revistas Científicas - LIM/38 Artigos e Materiais de Revistas Científicas - ODS/03 |
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