Oral cancer treatment costs in Greece and the effect of advanced disease.


BACKGROUND:The main purpose of the study was to quantify the direct costs of oral cancer treatment to the healthcare system of Greece. Another aim was to identify factors that affect costs and potential cost reduction items. More specifically, we examined the relationship between stage of disease, modality of treatment and total direct costs. METHODS:The medical records and clinic files of the Oral and Maxillofacial Clinic of the Athens General Hospital "Genimatas" were abstracted to investigate clinical treatment characteristics, including length of hospitalization, modes of treatment, stage of disease etc. Records of 95 patients with oral squamous cell carcinoma (OSSC), with at least six months of follow-up, were examined. The clinical data was then used to calculate actual direct costs, based on 2001 market values. RESULTS:The mean total direct costs for OSSC treatment estimated at euro 8,450 or approximately US$ 7,450. Costs depended on the stage of the disease, with significant increases in stages III and IV, as compared with stages I and II (p < 0.05). Multi-modality treatment applied mainly to patients in stages III and IV was the factor that affected the cost. Disease stage was also associated with the total duration of hospitalization (p < 0.05). CONCLUSIONS:The clinical management of advanced oral cancer is strongly associated with higher costs. Although the ideal would be to prevent cancer, the combination of high-risk screening, early diagnosis and early treatment seems the most efficient way to reduce costs, and most importantly, prolong life.


BMC Public Health


BMC public health


Zavras A,Andreopoulos N,Katsikeris N,Zavras D,Cartsos V,Vamvakidis A





Has Abstract


2002-07-19 00:00:00








  • Is educational attainment related to end-of-life decision-making? A large post-mortem survey in Belgium.

    abstract:BACKGROUND:Educational attainment has been shown to influence access to and quality of health care. However, the influence of educational attainment on decision-making at the end of life with possible or certain life-shortening effect (ELDs ie intensified pain and symptom alleviation, non-treatment decisions, euthanasi...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Chambaere K,Rietjens JA,Cohen J,Pardon K,Deschepper R,Pasman HR,Deliens L

    更新日期:2013-11-09 00:00:00

  • Response to the challenges of pandemic H1N1 in a small island state: the Barbadian experience.

    abstract:BACKGROUND:Having been overwhelmed by the complexity of the response needed for the severe acute respiratory syndrome (SARS) epidemic, public health professionals in the small island state of Barbados put various measures in place to improve its response in the event of a pandemic METHODS:Data for this study was colle...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Sobers-Grannum N,Springer K,Ferdinand E,St John J

    更新日期:2010-12-03 00:00:00

  • Looking twice at the gender equity index for public health impact.

    abstract:BACKGROUND:It has been shown that gender equity has a positive impact on the everyday activities of people (decision making, income allocation, application and observance of norms/rules) which affect their health. Gender equity is also a crucial determinant of health inequalities at national level; thus, monitoring is ...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Fernández-Sáez J,Ruiz-Cantero MT,Guijarro-Garví M,Carrasco-Portiño M,Roca-Pérez V,Chilet-Rosell E,Álvarez-Dardet C

    更新日期:2013-07-16 00:00:00

  • Measuring the effectiveness of in-hospital and on-base Prevent Alcohol and Risk-related Trauma in Youth (P.A.R.T.Y.) programs on reducing alcohol related harms in naval trainees: P.A.R.T.Y. Defence study protocol.

    abstract:BACKGROUND:Reducing alcohol related harms in Australian Defence Force (ADF) trainees has been identified as a priority, but there are few evidence-based prevention programs available for the military setting. The study aims to test whether the P.A.R.T.Y. program delivered in-hospital or on-base, can reduce harmful alco...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验


    authors: Watterson J,Gabbe B,Dietze P,Thompson J,Oborn M,Rosenfeld JV

    更新日期:2017-05-02 00:00:00

  • Type of e-liquid vaped, poly-nicotine use and nicotine dependence symptoms in young adult e-cigarette users: a descriptive study.

    abstract:BACKGROUND:Data are lacking on type of e-liquid vaped among e-cigarette users. Further, few studies assess all sources of nicotine used by e-cigarette users to assess whether poly-nicotine use relates to nicotine dependence (ND). The objectives were to describe young adult e-cigarette users by: (i) type of e-liquid vap...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Dugas EN,Sylvestre MP,O'Loughlin J

    更新日期:2020-06-12 00:00:00

  • Distribution and patterning of non-communicable disease risk factors in indigenous Mbororo and non-autochthonous populations in Cameroon: cross sectional study.

    abstract:BACKGROUND:Data on Non-Communicable Diseases (NCDs) among indigenous populations are needed for interventions to improve health care. We conducted a survey in 2013 among rural indigenous Mbororo, Fulbe and other ethnic groups to determine the distribution of risk factors of NCDs in Cameroon. METHODS:We selected seven ...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Kufe NC,Ngufor G,Mbeh G,Mbanya JC

    更新日期:2016-11-24 00:00:00

  • A spatial model to predict the incidence of neural tube defects.

    abstract:BACKGROUND:Environmental exposure may play an important role in the incidences of neural tube defects (NTD) of birth defects. Their influence on NTD may likely be non-linear; few studies have considered spatial autocorrelation of residuals in the estimation of NTD risk. We aimed to develop a spatial model based on gene...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Li L,Wang J,Wu J

    更新日期:2012-11-07 00:00:00

  • An industry perspective on Canadian patients' involvement in medical tourism: implications for public health.

    abstract:BACKGROUND:The medical tourism industry, which assists patients with accessing non-emergency medical care abroad, has grown rapidly in recent years. A lack of reliable data about medical tourism makes it difficult to create policy, health system, and public health responses to address the associated risks and shortcomi...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Johnston R,Crooks VA,Adams K,Snyder J,Kingsbury P

    更新日期:2011-05-31 00:00:00

  • Perception of epidemic's related anxiety in the general French population: a cross-sectional study in the Rhône-Alpes region.

    abstract:BACKGROUND:To efficiently plan appropriate public health interventions during possible epidemics, governments must take into consideration the following factors about the general population: their knowledge of epidemics, their fears of and psychological responses to them, their level of compliance with government measu...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Saadatian-Elahi M,Facy F,Del Signore C,Vanhems P

    更新日期:2010-04-13 00:00:00

  • Questionnaire choice affects the prevalence of recommended physical activity: an online survey comparing four measuring instruments within the same sample.

    abstract:BACKGROUND:Since prevalence estimates of recommended physical activity (PA) considerably vary between different surveys, prevalence might be crucially affected by the choice of measuring instrument. The aim of the present study is to compare the results of four PA questionnaires regarding the current moderate- and vigo...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Stassen G,Rudolf K,Gernert M,Thiel A,Schaller A

    更新日期:2021-01-07 00:00:00

  • Risk factors associated with knife-crime in United Kingdom among young people aged 10-24 years: a systematic review.

    abstract:BACKGROUND:Since 2013, the number of violent crimes and offences by sharp instruments have increased continually, following a previous decrease, with majority of cases occurring among young people and in London. There is limited understanding surrounding the drivers influencing this change in trends, with mostly Americ...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Haylock S,Boshari T,Alexander EC,Kumar A,Manikam L,Pinder R

    更新日期:2020-09-25 00:00:00

  • A qualitative study of health promotion in academy schools in England.

    abstract:BACKGROUND:Schools are an important setting for health promotion. In England, around one third of publicly funded schools have become independent of local authorities since 2000 and are now academies, run by an academy trust. The aim of this research was to examine attitudes towards health promotion held by academy tru...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Jessiman PE,Campbell R,Jago R,Van Sluijs EMF,Newbury-Birch D

    更新日期:2019-08-28 00:00:00

  • Exploring motivation to notify and barriers to partner notification of sexually transmitted infections in South Africa: a qualitative study.

    abstract:BACKGROUND:This article will review qualitative data from intervention-based counselling sessions to explore barriers to partner notification (PN) for South African men and women who have contracted sexually transmitted infections (STIs). This qualitative study took place in a township where there is high STI and HIV p...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验


    authors: Wood JM,Harries J,Kalichman M,Kalichman S,Nkoko K,Mathews C

    更新日期:2018-08-06 00:00:00

  • Social marketing interventions to promote physical activity among 60 years and older: a systematic review of the literature.

    abstract:BACKGROUND:Falls are a significant source of morbidity in people aged 65 and over, affecting one in three people in this age group. The scientific evidence indicates that physical activity is the most effective method for preventing falls among seniors. Although public health professionals often use social marketing to...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Goethals L,Barth N,Hupin D,Mulvey MS,Roche F,Gallopel-Morvan K,Bongue B

    更新日期:2020-08-28 00:00:00

  • Unmarried male migrants and sexual risk behavior: a cross-sectional study in Shanghai, China.

    abstract:BACKGROUND:In China, there is increasing concern because of the rapid increase in HIV infection recorded over recent years. Migrant workers are recognized as one of the groups most affected. In this study, HIV/AIDS-related knowledge, attitudes, and behavior among unmarried migrant workers in Shanghai are investigated, ...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Wang KW,Wu JQ,Zhao HX,Li YY,Zhao R,Zhou Y,Ji HL

    更新日期:2013-12-09 00:00:00

  • Adverse effects of the antimalaria drug, mefloquine: due to primary liver damage with secondary thyroid involvement?

    abstract:BACKGROUND:Mefloquine is a clinically important antimalaria drug, which is often not well tolerated. We critically reviewed 516 published case reports of mefloquine adverse effects, to clarify the phenomenology of the harms associated with mefloquine, and to make recommendations for safer prescribing. PRESENTATION:We ...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Croft AM,Herxheimer A

    更新日期:2002-03-25 00:00:00

  • Acceptability of screening for mental health difficulties in primary schools: a survey of UK parents.

    abstract:BACKGROUND:Many children and young people experiencing mental health difficulties (MHD) do not access care, often due to inadequate identification. Schools have a unique potential to improve early identification; however, evidence is limited regarding the acceptability of school-based identification programmes. This st...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Soneson E,Childs-Fegredo J,Anderson JK,Stochl J,Fazel M,Ford T,Humphrey A,Jones PB,Howarth E

    更新日期:2018-12-22 00:00:00

  • Sedative, hypnotic, anxiolytic and opioid medicament use and its co-occurrence with tobacco smoking and alcohol risk drinking in a community sample.

    abstract:BACKGROUND:Sedative, hypnotic, anxiolytic and opioid medicament (SO) use and its relation to tobacco smoking and alcohol risk drinking is largely unknown. Prevalence data for SO intake and its co-occurrence with tobacco smoking and alcohol risk drinking considering age are presented. METHODS:Random general population ...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: John U,Baumeister SE,Völzke H,Meyer C,Ulbricht S,Alte D

    更新日期:2007-11-20 00:00:00

  • Association of violence against women with religion and culture in Erbil Iraq: a cross-sectional study.

    abstract:BACKGROUND:Violence against women by intimate partners is still a public health problem. The study aims at finding out the prevalence of violence among women residing in Erbil city (Muslim culture) and in Ankawa sub-district (Christian culture), finding out the role of religion and culture on the prevalence, and findin...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Al-Tawil NG

    更新日期:2012-09-17 00:00:00

  • Influences of club connectedness among young adults in Western Australian community-based sports clubs.

    abstract:BACKGROUND:Along with physical benefits, community-based sport provides opportunities to enhance connectedness, an important protective factor of social and emotional health. However, young Australians participating in sport have been found to drink alcohol at higher levels than their non-sporting peers, and many clubs...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Burns S,Evans M,Jancey J,Portsmouth L,Maycock B

    更新日期:2020-05-19 00:00:00

  • A blind area of family planning services in China: unintended pregnancy among unmarried graduate students.

    abstract:BACKGROUND:Status of premarital sex, unintended pregnancy and associated factors among Chinese graduate students remain unclear. And unmarried graduate students' needs of family planning services seem to be ignored. In the present study, we ascertained the prevalence rate of premarital sex and unintended pregnancy, as ...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Zhou Y,Xiong C,Xiong J,Shang X,Liu G,Zhang M,Yin P

    更新日期:2013-03-06 00:00:00

  • Are associations between electronic media use and BMI different across levels of physical activity?

    abstract:BACKGROUND:The use of electronic media has been found to be a risk factor for higher BMI and for being overweight. Physical activity has been found to be associated with lower BMI and lower risk for being overweight. Little is known about whether the associations between physical activity and electronic media use are a...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Melkevik O,Haug E,Rasmussen M,Fismen AS,Wold B,Borraccino A,Sigmund E,Balazsi R,Bucksch J,Inchley J,de Matos MG,Samdal O

    更新日期:2015-05-19 00:00:00

  • Investigation of an Influenza A (H3N2) outbreak in evacuation centres following the Great East Japan earthquake, 2011.

    abstract:BACKGROUND:The Great East Japan Earthquake of magnitude 9.0 that struck on 11 March 2011 resulted in more than 18000 deaths or cases of missing persons. The large-scale tsunami that followed the earthquake devastated many coastal areas of the Tohoku region, including Miyagi Prefecture, and many residents of the tsunami...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Kamigaki T,Seino J,Tohma K,Nukiwa-Soma N,Otani K,Oshitani H

    更新日期:2014-01-14 00:00:00

  • National physical activity recommendations: systematic overview and analysis of the situation in European countries.

    abstract:BACKGROUND:Developing national physical activity (PA) recommendations is an essential element of an effective national approach to promote PA. METHODS:Systematic overview and analysis of national PA recommendations across the European Region of the World Health Organization (WHO). The WHO European national information...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Kahlmeier S,Wijnhoven TM,Alpiger P,Schweizer C,Breda J,Martin BW

    更新日期:2015-02-12 00:00:00

  • Cross-sectional associations between maternal parenting styles, physical activity and screen sedentary time in children.

    abstract:BACKGROUND:Children's activity level, including physical activity (PA) and screen sedentary time (SST), is influenced by environmental factors in which parents play a critical role. Different types of parenting styles may influence children's activity level. Inconsistent results were found on the association between pa...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Van der Geest KE,Mérelle SYM,Rodenburg G,Van de Mheen D,Renders CM

    更新日期:2017-09-29 00:00:00

  • Measuring sport experiences in children and youth to better understand the impact of sport on health and positive youth development: designing a brief measure for population health surveys.

    abstract:BACKGROUND:Despite the proliferation of studies examining youth sport participation, there are significant gaps in knowledge regarding the impact of youth sport participation on health and development. These gaps are not new, but have persisted due to limitations with how sport participation is measured. Much of the re...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Cairney J,Clark HJ,Kwan MYW,Bruner M,Tamminen K

    更新日期:2018-04-03 00:00:00

  • Adapting a community-based ART delivery model to the patients' needs: a mixed methods research in Tete, Mozambique.

    abstract:BACKGROUND:To improve retention in antiretroviral therapy (ART), lessons learned from chronic disease care were applied to HIV care, providing more responsibilities to patients in the care of their chronic disease. In Tete--Mozambique, patients stable on ART participate in the ART provision and peer support through Com...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Rasschaert F,Decroo T,Remartinez D,Telfer B,Lessitala F,Biot M,Candrinho B,Van Damme W

    更新日期:2014-04-15 00:00:00

  • Working conditions mediate the association between social class and physical function in older age in Sweden: a prospective cohort study.

    abstract:BACKGROUND:Global demographics are changing as societies all over the world are aging. This puts focus on maintaining functional ability and independence into older age. Individuals from lower social classes are at greater risk of developing limitations in physical function later in life. In this study, we investigated...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Pandey N,Darin-Mattsson A,Nilsen C

    更新日期:2020-09-04 00:00:00

  • Risk and protective factors associated with being bullied on school property compared with cyberbullied.

    abstract:BACKGROUND:We identified bullying victimization (bullied on school property versus cyberbullied) by selected demographic, personal characteristic, and behavior variables. METHODS:A cross-sectional analysis was conducted on adolescents (n = 13,583) completing the 2013 Youth Risk Behavior Survey (YRBS) in grades 9 throu...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Merrill RM,Hanson CL

    更新日期:2016-02-12 00:00:00

  • Impact of the use and efficacy of long lasting insecticidal net on malaria infection during the first trimester of pregnancy - a pre-conceptional cohort study in southern Benin.

    abstract:BACKGROUND:Malaria in pregnancy is prevalent in Sub-Saharan Africa. The first trimester of pregnancy is a critical period and the best preventive measure is Long Lasting Insecticidal Nets (LLIN). Unfortunately, few studies have been conducted which focuses on the usage and efficacy of LLIN on malaria prevention during ...

    journal_title:BMC public health

    pub_type: 杂志文章


    authors: Hounkonnou C,Djènontin A,Egbinola S,Houngbegnon P,Bouraima A,Soares C,Fievet N,Accrombessi M,Yovo E,Briand V,Cottrell G

    更新日期:2018-06-01 00:00:00