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Review
. 2018 Nov 26:12:883.
doi: 10.3332/ecancer.2018.883. eCollection 2018.

Targeted literature review of the global burden of gastric cancer

Montserrat Casamayor  1 , Robert Morlock  2 , Hiroshi Maeda  2 , Jaffer Ajani  3
Affiliations
Review

Targeted literature review of the global burden of gastric cancer

Montserrat Casamayor et al. Ecancermedicalscience. .

Abstract

Gastric cancer (GC) and gastroesophageal junction cancers (GEJCs) are the third leading cause of cancer-related death worldwide. Although several studies have evaluated the epidemiology and management of GC and GEJC, to our knowledge, no global estimates of the economic burden of GC and GEJC have yet been reported. This targeted literature review was conducted to summarise the epidemiology and management of GC and GEJC and to estimate its global economic and humanistic burden. The incidence of GC and GEJC is highest in Eastern Asia, several South and Central American countries and Central and Eastern Europe and lowest in North America and Africa. Prognosis is generally poor; the global 5-year survival rate is 5%-10% in advanced stages. Patients with GC and GEJC have more severe symptoms compared with patients with other cancers, and health-related quality of life (HRQoL) worsens as the disease progresses. Given the rapid progression of GC and GEJC at advanced stages, chemotherapy, despite its toxicity, improves HRQoL compared with best supportive care. The costs of GC/GEJC are generally higher than for other cancers; in the US, the average annual cost per patient between 1998 and 2003 was 46,501 USD, compared with 29,609 USD and 35,672 USD for colorectal and lung cancer, respectively. Based on the 2012 incidence data and average costs per patient, estimates of the annual financial burden of GC and GEJC revealed great regional differences. Japan and Iran had the highest (8,492 million USD) and lowest (27 million USD) costs for 2017, respectively, while the estimate for the US was 3,171 million USD. The overall annual cost of GC and GEJC estimated for 2017 in a geographic area including Europe (France, Germany, Italy, Spain and the UK), Asia (Iran, Japan and China), North America (Canada and the US) and Australia was 20.6 billion USD.

Keywords: burden; economic; gastric cancer; gastroesophageal junction; global; humanistic.

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Figures

Figure 1.
Figure 1.. PRISMA flow diagram of studies identified through the predefined search strategy.
Figure 2.
Figure 2.. Global incidence (a) and mortality (b) for different types of cancer in 2015. Source: Fitzmaurice 2017 [1].
Figure 3.
Figure 3.. Average overall healthcare cost per GC and GEJC patient.
Figure 4.
Figure 4.. Average overall healthcare cost of GC by tumour stage for ≥65-year-old patients in the US. Source: Yabroff 2008 [36].
See this image and copyright information in PMC

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