The current and future costs of colorectal cancer attributable to red and processed meat consumption in Brazil

BMC Health Services Research

Research Article

Leandro F. M. Rezende¹  Ronaldo Corrêa Ferreira da Silva²  Thainá Alves Malhão²  Paula Aballo Nunes Machado²  Luciana Grucci Maya Moreira²  Arthur Orlando Correa Schilithz²  Maria Eduarda Leão Diogenes³  Gerson Ferrari⁴  Rafael da Silva Barbosa⁵ 

[1] Department of Preventive Medicine, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil;Instituto Nacional de Câncer, Coordenação de Prevenção e Vigilância, Rio de Janeiro, Brazil;Instituto Nacional de Câncer, Coordenação de Prevenção e Vigilância, Rio de Janeiro, Brazil;Universidade do Estado do Rio de Janeiro, Instituto de Nutrição, Rio de Janeiro, Brazil;Universidad de Santiago de Chile, Escuela de Ciencias de La Actividad Física, El Deport y La Salud, Santiago, Chile;Universidade Federal do Espírito Santo, Programa de Pós-Graduação em Política Social, Vitória, Brazil;

关键词: Cancer;    Meat;    Red meat;    Processed meat;    Cost of cancer;    Cost-of-illness;   

DOI  :  10.1186/s12913-023-10169-4

 received in 2022-07-19, accepted in 2023-10-16,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundCompelling evidence supports the association between red and processed meat consumption and increased risk of colorectal cancer. Herein, we estimated the current (2018) and future (2030) federal direct healthcare costs of colorectal cancer in the Brazilian Unified Health System attributable to red and processed meat consumption. Considering reduced red and processed meat consumption, we also projected attributable costs of colorectal cancer in 2040.MethodsWe retrieved information on red and processed meat consumption from two nationally representative dietary surveys, the Household Budget Survey 2008–2009 and 2017–2018; relative risks for colorectal cancer from a meta-analysis; direct healthcare costs of inpatient and outpatient procedures in adults ≥ 30 years with colorectal cancer (C18-C20) from 2008–2019 by sex.ResultsAttributable costs of colorectal cancer were calculated via comparative risk assessment, assuming a 10-year lag. In 2018, US$ 20.6 million (8.4%) of direct healthcare costs of colorectal cancer were attributable to red and processed meat consumption. In 2030, attributable costs will increase to US$ 86.6 million (19.3%). Counterfactual scenarios of reducing red and processed meat consumption in 2030 suggested that US$ 2.2 to 11.9 million and US$ 13 to 74 million could be saved in 2040, respectively.ConclusionRed and processed meat consumption has an escalating economic impact on the Brazilian Unified Health System. Our findings support interventions and policies focused on primary prevention and cancer.

【 授权许可】

CC BY   
© The Author(s) 2023

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