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Estimating the disease burden of lung cancer attributable to residential radon exposure in Korea during 2006-2015: A socio-economic approach

Authors
 Juhwan Noh  ;  Heeseon Jang  ;  Jaelim Cho  ;  Dae Ryong Kang  ;  Tae Hyun Kim  ;  Dong Chun Shin  ;  Changsoo Kim 
Citation
 SCIENCE OF THE TOTAL ENVIRONMENT, Vol.749 : 141573, 2020-12 
Journal Title
 SCIENCE OF THE TOTAL ENVIRONMENT 
ISSN
 0048-9697 
Issue Date
2020-12
Keywords
Cost-of-illness ; Disability-adjusted life years ; Global Burden of Disease ; Lung neoplasms
Abstract
Estimating the lung cancer disease burden can provide evidence for public health practitioners, researchers, and policymakers. This study uses claim data from lung cancer patients for 2006-2015 from the Korean National Health Insurance Service to estimate the lung cancer burdens attributable to residential radon in Korea using disability-adjusted life years (DALY) and patients' annual economic burden with societal perspectives using the cost-of-illness (COI) method. The number of patients increased during our study period (from 35,866 to 59,168). The disease burden and that attributable to residential radon, respectively, increased from 517.57 to 695.74 and 64.62 (95%; CIs 61.33-67.69) to 86.99 (95%; CIs 82.7-91.1) DALYs per 100,000 patients. The percentage of years lost due to disability among the DALY doubled from 8% to 17%. The cost for all the patients was US$2.33 billion, with US$292 (95%; CIs 278-306) million attributable to residential radon. During the last decade, the lung cancer disease burden increased by 1.34 times, with a doubled percentage of non-fatal burden and average annual growth rate of 9.5% of the total cost. Hence, the burden and cost of lung cancer in Korean provinces have been steadily increasing. The findings could be used as input data for future cost-effectiveness analysis of policies regarding radon reduction.
Full Text
https://www.sciencedirect.com/science/article/pii/S0048969720351020
DOI
10.1016/j.scitotenv.2020.141573
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Kim, Chang Soo(김창수) ORCID logo https://orcid.org/0000-0002-5940-5649
Kim, Tae Hyun(김태현) ORCID logo https://orcid.org/0000-0003-1053-8958
Noh, Juhwan(노주환) ORCID logo https://orcid.org/0000-0003-0657-0082
Shin, Dong Chun(신동천) ORCID logo https://orcid.org/0000-0003-4252-2280
Cho, Jae Lim(조재림)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/180659
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