European Journal of Breast Health
Original Article
Determining Breast Cancer Treatment Costs Using the Top Down Cost Approach

Determining Breast Cancer Treatment Costs Using the Top Down Cost Approach


Healthcare Management, Başkent University, Ankara, Turkey


Healthcare Management, Kırıkkale University, Kırıkkale, Turkey

Eur J Breast Health 2019; 15: 242-248
DOI: 10.5152/ejbh.2019.4909
Read: 749 Downloads: 307 Published: 22 October 2019

Objective: Breast cancer is the most common type of cancer among women in Turkey, with approximately 15.000 breast cancer diagnoses each year. In this study, our goal was to determine annual direct medical costs of all breast cancer patients in Turkey with top down cost approach.

Materials and Methods: Data regarding patients who have been diagnosed with breast cancer and received health services from any hospital in Turkey in 2014 were used for the purpose of the study. Data were obtained from the MEDULA System for a total of 126.664 patient. Treatment of costs of patients were calculated based on types of patient admissions (inpatient/outpatient/intensive care) and costs of drugs and medical equipment. Indirect costs and out of pocket costs were not included.

Results: Total medical costs of 126,664 patients was calculated as $116.792.107,9, with an average treatment cost per patient of $922,1. Based on types of patient admission, intensive care treatment had the highest average cost with $2.916.5. In metastatic breast cancer patients, average annual treatment cost per patient is $2.326,6, which is 2.8 times higher compared to non-metastatic breast cancer patients.

Conclusion: In order to ensure effective resource allocation at micro and macro level, healthcare administrators have to learn costs of diseases with high incidence such as breast cancer. Results obtained from studies on disease costs calculated using the top down cost approach provide data on actual health services use and therefore are seen as important tools for healthcare administrators in terms of effective resource allocation.


Cite this article as: Numanoğlu Tekin R, Saygılı M. Determining Breast Cancer Treatment Costs Using the Top Down Cost Approach. Eur J Breast Health 2019; 15(4): 242-248.

EISSN 2587-0831