eCite Digital Repository

Economic burden of gastric cancer: A case study of Iran


Eghdami, A and Ostovar, R and Jafari, A and Palmer, AJ and Bordbar, N and Ravangard, R, Economic burden of gastric cancer: A case study of Iran, Cancer Control, 26, (1) ISSN 1073-2748 (2019) [Refereed Article]

PDF (Published version)

Copyright Statement

Copyright The Author(s) 2019. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (

DOI: doi:10.1177/1073274819837185



Today, cancers have become a major cause of mortality in developed and developing countries. Among various cancers, gastric cancer imposes a huge economic burden on patients, their families, and on the health-care system. This study aimed to determine the economic burden of gastric cancer in Kohgiluyeh and Boyer Ahmad province of Iran in 2016.


This was a cross-sectional cost of illness study conducted in Kohgiluyeh and Boyer Ahmad province of Iran in 2016, using a prevalence-based approach. All patients were studied using the census method (N = 110). The required data on direct medical, direct nonmedical, and indirect costs were collected using a data collection form from the patientsí medical records, tariffs of diagnostic, and therapeutic services approved by the Ministry of Health and Medical Education in 2016.


The total cost and burden of gastric cancer in Kohgiluyeh and Boyer Ahmad province of Iran in 2016 were $US436 237, among which the majority were direct medical costs (59%). The highest costs among direct medical costs, direct nonmedical costs, and indirect costs were, respectively, related to the costs of medications used by the patients (35%), transportation (31%), and absence of patientsí families from work and daily activities caused by patient care (56%).


Our study has revealed for the first time high costs of gastric cancer in Iran. To decrease the total costs and burden, the following suggestions can be made: increasing insurance coverage and government subsidies for purchasing necessary medications, providing the required specialized care and services related to cancer diseases such as gastric cancer in other provincial cities rather than just in capital cities, and so on.

Item Details

Item Type:Refereed Article
Keywords:economic burden, gastric cancer, Iran, Kohgiluyeh and Boyer Ahmad, burden of disease, costs
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Gastroenterology and hepatology
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Health system performance (incl. effectiveness of programs)
UTAS Author:Palmer, AJ (Professor Andrew Palmer)
ID Code:150571
Year Published:2019
Web of Science® Times Cited:10
Deposited By:Menzies Institute for Medical Research
Deposited On:2022-06-21
Last Modified:2022-07-28
Downloads:4 View Download Statistics

Repository Staff Only: item control page