The population-level economic burden of liver cancer in China, 2019–2030: prevalence-based estimations from a societal perspective

Table 1 Estimated population-level economic burden of liver cancer in China in 2019, overall and by subgroups

Overall and subgroups	Direct expenditure				Indirect cost			Total economic burden
									GDP^b, %
	Medical, CNY billion	Non-medical, CNY billion	Sub-total, CNY billion	THE^a, %	Disability, CNY billion	Premature death, CNY billion	Sub-total, CNY billion	Total, CNY billion	China^c	OECD^d
Overall	19.7 (US$2.9 billion)	1.9 (US$0.3 billion)	21.6 (US$3.1 billion)	0.366	3.0 (US$0.4 billion)	52.0 (US$7.5 billion)	55.1 (US$8.0 billion)	76.7 (US$11.1 billion)	0.085	0.047
Age at diagnosis, years
< 45	3.0	0.3	3.4	0.057	0.5	23.2	23.7	27.0	0.030	0.017
45–59	7.8	0.8	8.6	0.145	1.3	23.1	24.3	32.9	0.037	0.020
≥ 60	8.8	0.8	9.7	0.163	1.3	5.8	7.1	16.8	0.019	0.010
Gender
Male	15.9	1.6	17.5	0.296	2.5	45.2	47.7	65.2	0.072	0.040
Female	3.8	0.3	4.1	0.070	0.5	6.9	7.4	11.5	0.013	0.007
Region
East	9.2	0.8	10.0	0.170	1.3	23.9	25.3	35.3	0.039	0.022
Central	5.7	0.7	6.4	0.109	1.1	16.4	17.5	23.9	0.027	0.015
West	4.8	0.4	5.2	0.088	0.6	11.7	12.3	17.5	0.019	0.011
Clinical stage
I	2.5	0.2	2.7	0.046	0.2	7.4	7.6	10.3	0.011	0.006
II	4.4	0.4	4.7	0.080	0.8	11.8	12.6	17.3	0.019	0.011
III	9.1	1.0	10.1	0.171	1.5	23.5	25.0	35.1	0.039	0.022
IV	3.7	0.3	4.1	0.069	0.6	9.3	9.9	14.0	0.016	0.009
Health insurance
UEBMI	8.2	0.8	9.0	0.153	1.3	20.5	21.8	30.8	0.034	0.019
URBMI	3.6	0.3	3.9	0.067	0.5	9.1	9.6	13.5	0.015	0.008
NRCMS	7.4	0.7	8.1	0.137	1.2	20.5	21.7	29.8	0.033	0.018
Commercial insurance	0.1	0.0	0.1	0.001	0.0	0.5	0.5	0.6	0.001	0.000
Self-pay	0.2	0.0	0.2	0.004	0.0	1.0	1.0	1.2	0.001	0.001
Others	0.2	0.0	0.2	0.004	0.0	0.5	0.6	0.8	0.001	0.000
Pathological type
Hepatocellular carcinoma	16.6	1.6	18.2	0.308	2.4	43.6	46.0	64.3	0.071	0.039
Other	3.1	0.3	3.4	0.058	0.6	8.4	9.0	12.5	0.014	0.008

^aTotal health expenditure in China, 2019 [25]. ^bGross domestic product in China, 2019. ^cGDP = CNY90,030.95 billion from China Statistical Year Book 2019 [26]. ^dGDP = US$23,601.366 billion from OECD (Organization for Economic Co-operation and Development) [20]. UEBMI: urban employee basic medical insurance; URBMI: urban resident basic medical insurance; NRCMS: new rural cooperative medical system

ISSN: 1478-7547