Estimating Cost Savings from Early Cancer Diagnosis
Zura Kakushadze, Rakesh Raghubanshi, Willie Yu

TL;DR
This paper estimates the significant treatment cost savings achievable through early cancer diagnosis across multiple cancer types in the U.S., providing a financial perspective on screening benefits.
Contribution
It combines published cost estimates and incidence data to quantify national treatment cost savings from early diagnosis and estimates the upper bound of screening costs.
Findings
Estimated annual U.S. cost savings in the billions
Early diagnosis could substantially reduce treatment expenses
Provides a rough upper bound on screening costs
Abstract
We estimate treatment cost-savings from early cancer diagnosis. For breast, lung, prostate and colorectal cancers and melanoma, which account for more than 50% of new incidences projected in 2017, we combine published cancer treatment cost estimates by stage with incidence rates by stage at diagnosis. We extrapolate to other cancer sites by using estimated national expenditures and incidence rates. A rough estimate for the U.S. national annual treatment cost-savings from early cancer diagnosis is in 11 digits. Using this estimate and cost-neutrality, we also estimate a rough upper bound on the cost of a routine early cancer screening test.
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