- What types of impacts from treatment of early breast cancer are considered in the literature?
- What are the non-clinical impacts of recurrence of breast cancer on individuals, their family and wider society described in the literature?
- What are the barriers and enablers to influencing policy about and access to treatment of early breast cancer?
RAND Europe conducted a study on the societal impact of early breast cancer. This study was divided into three interconnected phases, which together aim to enrich the evidence base on the broader health, societal and economic impacts of treatment of early breast cancer, using a mixed methods approach. Our research focused on mapping the research landscape of treatment for early breast cancer, assessing the impact of recurrence on patients, their carers and wider society, and identifying the opportunities and barriers to accessing diagnosis and treatment in a selection of countries (Brazil, Canada, Italy, Spain and the UK). This summary report presents the findings of the cross-analysis of the data gathered collected through all three phases. We found that early breast cancer is generally perceived, leading policymakers and payers to underestimate the need for investment in further improvements and innovation in treatment and delivery of care in early breast cancer. However, the cost of treating metastatic disease is greater than the cost of treating early breast cancer. This cost extends beyond economic costs to include indirect costs to patients, carers, and wider society, and this cost is not being linked to investing in treatment for early breast cancer. There is a need to communicate the importance and highlight the benefits of new treatment options for early breast cancer.
- Existing effective treatment for early breast cancer may lead policymakers and payers to underestimate the need for investment in further improvements and innovation in treatment and delivery of care in early breast cancer.
- The cost of treating metastatic disease and breast cancer recurrence is greater than the cost of treating early breast cancer.
- Taking non-clinical outcomes into account, the cost of early breast cancer extends beyond the direct cost of care. It includes costs associated with quality of life, out-of-pocket expenses and costs as a result of loss of productivity.
- The indirect impacts of early breast cancer treatment are not fully understood.
- Some data are available to show a significant difference in quality of life (often a reduction) between those in whom the disease has progressed and a control population.
- The economic impact of early breast cancer is not being linked to investing in treatment for early breast cancer. Therefore there is a need to communicate the importance and highlight the benefits of new treatment options for early breast cancer.
The research described in this report was sponsored by F. Hoffmann-La Roche Ltd and conducted by RAND Europe.
This report is part of the RAND Corporation Research report series. RAND reports present research findings and objective analysis that address the challenges facing the public and private sectors. All RAND reports undergo rigorous peer review to ensure high standards for research quality and objectivity.
This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.
The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.