The Economics of Cancer Care

Cover......Page 1
Half-title......Page 3
Title......Page 5
Copyright......Page 6
Contents......Page 7
Why the economics of cancer care deserve urgent attention......Page 9
Incidence of cancer set to increase......Page 13
Technological advances......Page 14
New chemotherapy drugs......Page 15
Individual cancer-risk assessment......Page 16
Projection of the future in cancer care......Page 17
Wealth and cancer incidence......Page 18
Longevity and wealth......Page 19
Aims of this book......Page 23
REFERENCES......Page 26
Introduction......Page 27
New targets......Page 28
New initiatives......Page 29
Tobacco control in the UK......Page 32
Tobacco control in Europe......Page 33
The economics of prevention: future......Page 34
Marketing smoking cessation......Page 35
Diet and cancer......Page 37
Tailored chemoprevention and its economic consequences......Page 38
Cancer genetics......Page 40
REFERENCES......Page 41
Introduction......Page 43
Bias......Page 44
Cervical cancer......Page 47
The United Kingdom......Page 48
Finland......Page 49
France......Page 50
Germany......Page 51
Breast cancer screening......Page 53
Australia......Page 55
United States of America......Page 57
Colo-rectal cancer screening......Page 59
Conclusions......Page 62
REFERENCES......Page 65
Introduction......Page 67
Transmitting information on new diagnostic techniques......Page 68
Imaging......Page 70
Future predictions for imaging......Page 71
Funding new technology......Page 72
Functional imaging......Page 73
Human eye versus computer recognition systems......Page 74
Improved diagnostics will increase prevalence......Page 75
Combination therapy......Page 76
The new economic challenges of imaging and diagnostics......Page 77
The economic constraints......Page 78
REFERENCES......Page 79
Principle drivers in developing surgery......Page 81
Techniques leading to less invasive surgery......Page 82
Prophylactic surgery......Page 83
Cancer as a chronic, controllable disease......Page 84
Surgery in 2025......Page 85
New training requirements......Page 86
Re-engineering surgery: summary......Page 87
REFERENCES......Page 88
Technical advances in radiotherapy......Page 89
The challenge for radiotherapy......Page 90
Advances in radiotherapy......Page 91
Economic consequences of predictive testing......Page 93
Ion therapy......Page 95
Boron neutron capture therapy......Page 96
Economic constraints......Page 97
REFERENCES......Page 98
Generic chemotherapy drugs......Page 99
How effective is chemotherapy?......Page 100
Clinical trials for new chemotherapies......Page 101
Molecular signatures......Page 104
A toolkit for early cancer drug development......Page 105
Adapting to changing technology......Page 107
Possible scenarios for the future of chemotherapy......Page 108
How does chemotherapy affect survival rates?......Page 109
Predictions for evaluating the effectiveness of chemotherapies......Page 110
A global approach to chemotherapy delivery......Page 111
Delivery......Page 112
The way forward......Page 113
Future chemotherapy drugs......Page 114
Selecting patients suitable for chemotherapy......Page 115
Barriers to the introduction of new treatments......Page 116
Institutional barriers to new therapies......Page 118
REFERENCES......Page 119
USA......Page 121
Conclusions......Page 128
The NHS Cancer Plan......Page 129
The future context: new technology in cancer care......Page 131
Drivers of the new agenda......Page 132
The next decade......Page 133
Asia......Page 134
Scenarios for Health Services in Asia......Page 136
Company strategies......Page 138
Future opportunities......Page 139
REFERENCES......Page 141
Effective use of resources within the model of staged cancer services......Page 143
Muddling through disconnected modules of service......Page 144
Which scenario will it be?......Page 145
Early detection......Page 146
How we can achieve progress in cancer care?......Page 147
Improving the patients’ experience: keeping up with the future......Page 148
Creating incentives for investment and care quality......Page 150
Diagnostics and assessment......Page 151
Palliative care......Page 152
The need for national cancer plans......Page 153
Recommendations......Page 155
Increased investment......Page 156
The developing world......Page 157
Guidelines for prevention......Page 158
Diet......Page 159
Cancer detection......Page 160
Treatment guidelines......Page 161
The WHO cancer priority ladder......Page 162
Private sector involvement......Page 163
Conclusion......Page 164
REFERENCES......Page 165
10 Cancer’s economic impact on society......Page 167
11 Improving the patient experience......Page 171
Improving the patient experience......Page 172
Developing the role of primary care......Page 174
Increasing choice in treatment......Page 175
Geographic distribution of treatment centres......Page 176
Palliative care......Page 177
Action plans for cancer survivorship......Page 179
REFERENCES......Page 180
Sources consulted......Page 183
Index......Page 187