Hunter, Rachael Maree;
Huynh, Jennie;
Lüchtenborg, Margreet;
Armes, Jo;
Plugge, Emma;
Taylor, Rachel M;
Visser, Renske;
(2024)
Does the cost of cancer care for people in prison differ from those in the general population? Analysis of matched English cancer registry and hospital records.
eClinicalMedicine
, Article 102575. 10.1016/j.eclinm.2024.102575.
(In press).
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Abstract
Background People in prison experience poorer mental and physical health compared to their peers in the general population. The causes are multi-dimensional ranging from lifestyle factors to poorer access to healthcare. Little is known about cancer in people in prison or how the cost of their care compares to the general population. Methods Data on people diagnosed with cancer while in English prisons were identified in National Cancer Registration dataset and linked to Hospital Episode Statistics (HES) for the years 2012–2017. General population matched patients were identified using a 1–5 ratio, based on age, gender, year of diagnosis, cancer type and disease stage. Outpatient and inpatient HES data up to six-months from diagnosis were costed using NHS Reference costs and inflated to 2017/2018 costs. Findings 879 prison and 4326 general population cancer diagnoses were identified in HES. The adjusted six-month cost of cancer care was significantly lower for people in prison (−£1216.95% confidence interval (CI) −1638 to −795), driven by fewer outpatient attendances. However, people diagnosed in prison had higher emergency care costs (£497.95% CI 375–619). Security escorts further increased the total cost of care. Interpretation Following a cancer diagnosis, people in English prisons have significantly lower planned care costs, but higher emergency care costs and an overall higher cost due to security escorts. Further work is required to identify ways of improving cancer care for people in prisons to ensure it is equivalent to that received by the general population.
| Type: | Article |
|---|---|
| Title: | Does the cost of cancer care for people in prison differ from those in the general population? Analysis of matched English cancer registry and hospital records |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.eclinm.2024.102575 |
| Publisher version: | http://dx.doi.org/10.1016/j.eclinm.2024.102575 |
| Language: | English |
| Additional information: | This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ |
| Keywords: | Prison; Cancer; Cancer diagnosis; Cancer treatment; Cost; Economics; Health inequalities; Cancer registry; Hospital episode statistics |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Applied Health Research |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10192144 |
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