Reproductive endocrinology

Economic Burden of Endometrial Cancer Associated With Polycystic Ovary Syndrome

J Clin Endocrinol MetabPublished Systematic review and meta-analysis with economic burden analysis

Authors' conclusion

The excess annual US healthcare cost for EndoCA attributable to PCOS exceeds $467 million/year (2023 USD). Although a concerning morbidity of PCOS, it is notable that the economic burden of EndoCA attributable to the disorder represents only a small fraction of its total healthcare burden.

Study context

Population
Studies with controls on endometrial cancer rates in patients with polycystic ovary syndrome (PCOS); US cost estimate9 studies
Comparison
PCOS vs no PCOS
Outcome
Economic burden associated with endometrial cancer in PCOS (excess cost, USD)
Methodological detailsPRISMA, Newcastle-Ottawa Scale quality assessment, DerSimonian-Laird random effects model
  • PRISMA
  • Newcastle-Ottawa Scale quality assessment
  • DerSimonian-Laird random effects model

Pooled result

As reported in the abstract

Economic burden of endometrial cancer attributable to PCOS (US)

Estimated costs of endometrial cancer (2023 US dollars (USD))

exceeding $1.9 billion

Economic burden of endometrial cancer attributable to PCOS

exceeds $467 million/year

Population attributable fraction of endometrial cancer for PCOS

24.4%

Further pooled results

OutcomePooled RR (95% CI)P value
Endometrial cancer risk in PCOSRandom effects model3.46 (2.28–5.23)P ≤ 0.001
OutcomePCOS
US prevalence of endometrial cancer, 20201.712%
US prevalence of endometrial cancer, 2020 — Baseline estimated prevalence in all women
0.489%
US prevalence of endometrial cancer, 2020 — Excess prevalence attributable to PCOS
1.223%
US prevalence of endometrial cancer, 2020 — Affected women (approximately)
98 348

Original publication

Economic Burden of Endometrial Cancer Associated With Polycystic Ovary Syndrome. J Clin Endocrinol Metab. Published 6 August 2024. doi:10.1210/clinem/dgae527

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