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      Economic aspects of skin cancer management in Eastern Croatia

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          Abstract

          Introduction:

          In the past several decades there has been a substantial increase in the incidence of skin cancers worldwide and Croatia is no exception. The aim of this study was to estimate the financial cost of skin cancer treatment in the Osijek-Baranja County from 2000 to 2009 and to compare it with the cost of a primary prevention campaign organized in the Baranja County.

          Methods:

          We conducted a retrospective analysis of patients with skin cancer in the Baranja County and related health care costs. We designed a potential primary prevention campaign on a County level and calculated the financial expenses of campaign and then compared the results to health care costs from previous years.

          Results:

          The total cost of the treatment involving skin cancer (C43-C44) cases in the Osijek-Baranja County during the 2000-2009 periods was €483,710. The cost of a primary prevention campaign described in this study suggests that the estimated annual cost of a primary prevention campaign on the County level makes around 5.9% of the annual cost of all the medical treatment involving skin cancer patients in the County, which shows that a planned preventive approach towards the issue of skin cancer in Eastern Croatia is extremely justified and reasonable.

          Conclusion:

          The present study reveals the urgent need for the implementation of a primary prevention campaign in Eastern Croatia and puts emphasis on the economic potential of such an approach towards the problem of skin cancer.

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          Most cited references45

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          Solar ultraviolet radiation and skin cancer.

          Incidence rates of skin cancer, both non-melanoma skin cancer and (malignant/cutaneous) melanoma, are rising in Great Britain. It is widely accepted that solar ultraviolet radiation (UVR) is the main causal factor for these neoplasms. Many people are occupationally exposed to solar UVR, including farmers, construction workers and some public service workers. The aim of this article is to review the key epidemiologic papers on occupational solar exposure and skin cancer and discuss the relationships found. A literature search was conducted using online databases and article bibliographies. A full review of all available studies was not carried out, as only key studies on occupational exposure were required. There is a clear association between solar radiation and skin cancer. The mechanisms for induction vary between the types of skin cancer and these cannot be solely attributed to occupational exposures. There is great difficulty in separating the effects of occupational and recreational solar UVR exposure; therefore, any results discussed in this review should be interpreted with caution. However, it is clear that solar UVR exposure does induce skin cancer and protective measures should be taken in an attempt to reduce the burden of occupational skin cancer in Great Britain.
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            Lifetime cost-effectiveness of skin cancer prevention through promotion of daily sunscreen use.

            Health-care costs for the treatment of skin cancers are disproportionately high in many white populations, yet they can be reduced through the promotion of sun-protective behaviors. We investigated the lifetime health costs and benefits of sunscreen promotion in the primary prevention of skin cancers, including melanoma.
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              • Article: not found

              Economic evaluation of skin cancer prevention in Australia.

              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.
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                Author and article information

                Journal
                JHS
                Journal of Health Sciences
                University of Sarajevo Faculty of Health Studies (Bosnia )
                2232-7576
                1986-8049
                2015
                : 5
                : 2
                : 46-52
                Affiliations
                [1 ]Faculty of Economics, University of Osijek, Osijek, Croatia
                [2 ]Clinic for Surgery, University Hospital Osijek, Osijek, Croatia
                [3 ]Faculty of Medicine, University of Osijek, Osijek, Croatia
                Author notes
                [* ]Corresponding Author: Ivan Miškulin, Faculty of Economics, University of Osijek, Trg Ljudevita Gaja 7, 31000 Osijek, Croatia. E-mail: miskulin.ivan@ 123456gmail.com
                Article
                JHS-5-46
                10.17532/jhsci.2015.256
                467da940-88a9-46cd-94ca-759359ed0639
                Copyright: © Ivan Miškulin

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 06 July 2015
                : 07 September 2015
                Categories
                RESEARCH ARTICLE

                Nursing,General medicine,Medicine,Molecular medicine,Life sciences
                Osijek-Baranja County,melanoma,costs,skin cancer,Croatia,primary prevention,incidence

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