A prospective health economic evaluation to determine the productivity loss due to premature mortality from oral cancer in India

Head Neck. 2024 Jun;46(6):1263-1269. doi: 10.1002/hed.27776. Epub 2024 Apr 15.

Abstract

Introduction: India contributes two-thirds of the global mortality due to oral cancer and has a younger population at risk. The societal costs of this premature mortality are barely discussed.

Methods: Using the human capital approach, we aimed to estimate the productivity lost due to premature mortality, valued using individual socioeconomic data, related to oral cancer in India. A bottom-up approach was used to prospectively collect data of 100 consecutive patients with oral cancer treated between 2019 and 2020, with a follow-up of 36 months.

Results: The disease-specific survival for early and advanced stage was 85% and 70%, with a median age of 47 years. With 671 years lost prematurely, the loss of productivity was $41 900/early and $96 044/advanced stage. Based on population level rates, the total cost of premature mortality was $5.6 billion, representing 0.18% of GDP.

Conclusion: India needs to implement tailored strategies to reduce the economic burden from premature mortality.

Keywords: human capital approach; oral cancer; premature mortality; productivity loss.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Cost of Illness
  • Efficiency*
  • Female
  • Humans
  • India
  • Male
  • Middle Aged
  • Mortality, Premature*
  • Mouth Neoplasms* / economics
  • Mouth Neoplasms* / mortality
  • Prospective Studies