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Productivity losses due to premature mortality from cancer in Brazil, Russia, India, China, and South Africa (BRICS): A population-based comparison

Lookup NU author(s): Professor Linda Sharp

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Abstract

© 2017 Elsevier Ltd Background: Over two-thirds of the world's cancer deaths occur in economically developing countries; however, the societal costs of cancer have rarely been assessed in these settings. Our aim was to estimate the value of productivity lost in 2012 due to cancer-related premature mortality in the major developing economies of Brazil, the Russian Federation, India, China and South Africa (BRICS). Methods: We applied an incidence-based method using the human capital approach. We used annual adult cancer deaths from GLOBOCAN2012 to estimate the years of productive life lost between cancer death and pensionable age in each country, valued using national and international data for wages, and workforce statistics. Sensitivity analyses examined various methodological assumptions. Results: The total cost of lost productivity due to premature cancer mortality in the BRICS countries in 2012 was $46·3 billion, representing 0·33% of their combined gross domestic product. The largest total productivity loss was in China ($28 billion), while South Africa had the highest cost per cancer death ($101,000). Total productivity losses were greatest for lung cancer in Brazil, the Russian Federation and South Africa; liver cancer in China; and lip and oral cavity cancers in India. Conclusion: Locally-tailored strategies are required to reduce the economic burden of cancer in developing economies. Focussing on tobacco control, vaccination programs and cancer screening, combined with access to adequate treatment, could yield significant gains for both public health and economic performance of the BRICS countries.

Publication metadata

Author(s): Pearce A, Sharp L, Hanly P, Barchuk A, Bray F, de Camargo Cancela M, Gupta P, Meheus F, Qiao Y-L, Sitas F, Wang S-M, Soerjomataram I

Publication type: Article

Publication status: Published

Journal: Cancer Epidemiology

Year: 2018

Volume: 53

Pages: 27-34

Print publication date: 01/04/2018

Online publication date: 30/01/2018

Acceptance date: 19/12/2017

ISSN (print): 1877-7821

ISSN (electronic): 1877-783X

Publisher: Elsevier Ltd

URL: https://doi.org/10.1016/j.canep.2017.12.013

DOI: 10.1016/j.canep.2017.12.013

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