Economic evaluation of skin cancer prevention in Australia

Shih, Sophy Ting-Fang, Carter, Rob, Sinclair, Craig, Mihalopoulos, Cathrine and Vos, Theo 2009, Economic evaluation of skin cancer prevention in Australia, Preventive medicine, vol. 49, no. 5, pp. 449-453.

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Title Economic evaluation of skin cancer prevention in Australia
Author(s) Shih, Sophy Ting-Fang
Carter, Rob
Sinclair, Craig
Mihalopoulos, Cathrine
Vos, Theo
Journal name Preventive medicine
Volume number 49
Issue number 5
Start page 449
End page 453
Total pages 5
Publisher Elsevier Inc.
Place of publication Amsterdam, The Netherlands
Publication date 2009-11
ISSN 0091-7435
1096-0260
Summary Objectives
Australia has the highest incidence of skin cancer in the world, despite prevention campaigns being implemented since the early 1980s. This study assesses the cost-effectiveness of a skin cancer prevention program (named SunSmart) since it was introduced, together with its potential cost-effectiveness as an upgraded and ongoing national program.

Methods
The reduction in melanoma incidence attributable to SunSmart was modelled as the primary end-point. Historical expenditures on SunSmart were obtained from representative Australian states in three latitude zones. Melanoma incidence rates from these states were used to model key health outcomes. Non-melanoma skin cancer was modelled separately based on national survey results.

Results
We estimate that SunSmart has averted 28,000 disability-adjusted life-years (DALYs), equivalent to 22,000 life-years saved, in the state of Victoria since its introduction in 1988, as well as saving money from cost offset in skin cancer management (dominant). An upgraded national program for the next 20 years is estimated to avert 120,000 DALYs, with associated reductions in the use of health care resources. It remains a dominant intervention in which every dollar invested in SunSmart will return an estimated AU$2.30.

Conclusions
This study demonstrates that a sustained modest investment in skin cancer control is likely to be an excellent value for money.
Language eng
Field of Research 140208 Health Economics
Socio Economic Objective 920201 Allied Health Therapies (excl. Mental Health Services)
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2009, Elsevier
Persistent URL http://hdl.handle.net/10536/DRO/DU:30024773

Document type: Journal Article
Collection: Public Health Research, Evaluation, and Policy Cluster
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