![]() ![]() The lifetime healthcare expenditures were estimated by multiplying the survival probability with mean monthly costs paid by the National Health Insurance for cancer diagnosis and treatment and summing this for the expected lifetime. The loss-of-QALE was obtained by subtracting the QALE of cancer from age- and sex-matched referents simulated from national vital statistics. A convenience sample of 8846 measurements of patients' quality of life with EQ-5D was collected for utility values and multiplied by survival functions to estimate quality-adjusted life expectancies (QALEs). The survival functions for eight cancers were estimated and extrapolated to lifetime using a semi-parametric method. ![]() Annual numbers of work-related cancers were estimated based on attributable fractions (AFs) abstracted from a literature review. Three databases were interlinked: the Taiwan Cancer Registry, the National Mortality Registry, and the National Health Insurance Research Database. This study estimates the annual numbers of eight work-related cancers, total losses of quality-adjusted life years ( QALYs), and lifetime healthcare expenditures that possibly could be saved by improving occupational health in Taiwan. Lee, Lukas Jyuhn-Hsiarn Lin, Cheng-Kuan Hung, Mei-Chuan Wang, Jung-Der Impact of work-related cancers in Taiwan-Estimation with QALY ( quality-adjusted life year) and healthcare costs. ![]()
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