Prospective observational study estimating willingness-to-pay for breast cancer treatments through contingent valuation method in Japanese breast cancer patients (JCOG1709A)

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  • Tsuguo Iwatani
    National Cancer Center Hospital East, Chiba, Japan
  • Fumikata Hara
    Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan
  • Tadahiko Shien
    Okayama University Hospital, Okayama, Japan
  • Keita Sasaki
    Japan Clinical Oncology Group (JCOG) Data Center/Operations Office, National Cancer Center Hospital, Tokyo, Japan
  • Hiroshi Katayama
    Japan Clinical Oncology Group (JCOG) Data Center/Operations Office, National Cancer Center Hospital, Tokyo, Japan
  • Haruhiko Fukuda
    Japan Clinical Oncology Group (JCOG) Data Center/Operations Office, National Cancer Center Hospital, Tokyo, Japan
  • Takeru Shiroiwa
    National Institute of Public Health, Saitama, Japan
  • Hiroji Iwata
    Aichi Cancer Center Hospital, Aichi, Japan

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Abstract

<jats:title>Abstract</jats:title> <jats:p>In April 2016, the Japanese government introduced health technology assessment as a response to rising medical expenses due to ‘medical innovation’. This study investigates how Japanese breast cancer patients who received treatment in Japan consider the financial value (willingness-to-pay; WTP) for their life and health by using the contingent valuation method (CVM) prospectively. First, 168 patients (84 primary breast cancer patients and 84 metastatic breast cancer patients) were pre-examined their WTP with dichotomous-choice method survey form. Next, 1,596 patients (798 primary breast cancer patients and 798 metastatic breast cancer patients) will be surveyed to their WTP for hypothetical scenarios in CVM. Based on our results, we will construct an evaluation axis from the patients’ viewpoint for the cost-effectiveness of clinical trials to establish standard treatments for breast cancer. We believe this research can contribute to create a meaningful healthcare system for patients, clinicians, industries, and healthcare policymakers.</jats:p>

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