El Costo De La Atención Médica Del Cáncer Mamario: El Caso Del Instituto Mexicano Del Seguro Social (The Cost of Breast Cancer Care: The Case of the Mexican Institute of Social Security)

Knaul FM, Arreola Ornelas H, Velázquez E, Dorantes J, Méndez O, Avila Burgos L. El costo de la atención médica del cáncer mamario: el caso del Instituto Mexicano del Seguro Social. Salud Pública de México 2009; Vol. 51 suppl 2: S286-S295.

10 Pages Posted: 9 May 2012 Last revised: 12 May 2012

See all articles by Felicia Knaul

Felicia Knaul

Harvard Global Equity Initiative; Mexican Health Foundation

Héctor Arreola-Ornelas

Fundación Mexicana para la Salud, A.C.

Oscar Méndez-Carniado

Fundación Mexicana para la Salud, A.C.

Javier Dorantes

Fundación Mexicana para la Salud, A.C.

Leticia Avila-Burgos

Instituto Nacional de Salud Pública

Date Written: 2009

Abstract

We studied the cost of health care for women with breast cancer treated at the Mexican Social Security Institute (IMSS, per its abbreviation in Spanish).

Material and Methods: Using the Medical and Operative Information Systems of the IMSS, we constructed a cohort of patients diagnosed in 2002 and followed these patients to the end of 2006, identifying the use of resources and imputing the IMSS-specific cost structure.

Results: Only 14% of women were diagnosed in stage 1 and 48% were diagnosed in stages III-IV. The average cost of their medical care per patient-year was $MX110,459. Costs for stage 1 were $MX74,522 compared to $102,042 for stage II, and were $MX154,018 for stage III and $MX199,274 for stage IV.

Conclusion: Breast cancer accounts for a significant part of the IMSS health budget. Later stage at diagnosis is associated with higher economic costs per patient-year of treatment and lower probability of five-year survival.

Note: Downloadable document is in Spanish.

Keywords: breast cancer, health care costs, cost analysis, social security, Mexico

Suggested Citation

Knaul, Felicia and Knaul, Felicia and Arreola-Ornelas, Héctor and Méndez-Carniado, Oscar and Dorantes, Javier and Avila-Burgos, Leticia, El Costo De La Atención Médica Del Cáncer Mamario: El Caso Del Instituto Mexicano Del Seguro Social (The Cost of Breast Cancer Care: The Case of the Mexican Institute of Social Security) (2009). Knaul FM, Arreola Ornelas H, Velázquez E, Dorantes J, Méndez O, Avila Burgos L. El costo de la atención médica del cáncer mamario: el caso del Instituto Mexicano del Seguro Social. Salud Pública de México 2009; Vol. 51 suppl 2: S286-S295., Available at SSRN: https://ssrn.com/abstract=2046800

Felicia Knaul (Contact Author)

Harvard Global Equity Initiative ( email )

FXB Building, Room 632
651 Huntington Avenue
Boston, MA 02115
United States
(617) 4327938 (Phone)

HOME PAGE: http://isites.harvard.edu/icb/icb.do?keyword=k62597&pageid=icb.page268594

Mexican Health Foundation ( email )

Periférico sur 4809, El Arenal Tepepan, Tlalpan
El Arenal Tepepan, Tlalpan
Mexico, D.F., 14610
Mexico
(52) 55 56559011 (Phone)
(52) 55 56559082 (Fax)

HOME PAGE: http://http//www.funsalud.org.mx

Héctor Arreola-Ornelas

Fundación Mexicana para la Salud, A.C. ( email )

Periférico sur 4809, El Arenal Tepepan, Tlalpan
México, D.F., 14610
México, 14610

Oscar Méndez-Carniado

Fundación Mexicana para la Salud, A.C. ( email )

Periférico sur 4809, El Arenal Tepepan, Tlalpan
México, D.F., 14610
México, 14610

Javier Dorantes

Fundación Mexicana para la Salud, A.C. ( email )

Periférico sur 4809, El Arenal Tepepan, Tlalpan
México, D.F., 14610
México, 14610

Leticia Avila-Burgos

Instituto Nacional de Salud Pública ( email )

Mexico

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