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Estimating the returns to UK publicly funded cancer-related research in terms of the net value of improved health outcomes

Glover, Matthew, Buxton, Martin, Guthrie, Susan, Hanney, Stephen, Pollitt, Alexandra and Grant, Jonathan (2014) Estimating the returns to UK publicly funded cancer-related research in terms of the net value of improved health outcomes BMC Medicine, 12, 99.

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Abstract

Background

Building on an approach developed to assess the economic returns to cardiovascular research, we estimated the economic returns from UK public and charitable funded cancer-related research that arise from the net value of the improved health outcomes.

Methods

To assess these economic returns from cancer-related research in the UK we estimated: 1) public and charitable expenditure on cancer-related research in the UK from 1970 to 2009; 2) net monetary benefit (NMB), that is, the health benefit measured in quality adjusted life years (QALYs) valued in monetary terms (using a base-case value of a QALY of GB£25,000) minus the cost of delivering that benefit, for a prioritised list of interventions from 1991 to 2010; 3) the proportion of NMB attributable to UK research; 4) the elapsed time between research funding and health gain; and 5) the internal rate of return (IRR) from cancer-related research investments on health benefits. We analysed the uncertainties in the IRR estimate using sensitivity analyses to illustrate the effect of some key parameters.

Results

In 2011/12 prices, total expenditure on cancer-related research from 1970 to 2009 was £15 billion. The NMB of the 5.9 million QALYs gained from the prioritised interventions from 1991 to 2010 was £124 billion. Calculation of the IRR incorporated an estimated elapsed time of 15 years. We related 17% of the annual NMB estimated to be attributable to UK research (for each of the 20 years 1991 to 2010) to 20 years of research investment 15 years earlier (that is, for 1976 to 1995). This produced a best-estimate IRR of 10%, compared with 9% previously estimated for cardiovascular disease research. The sensitivity analysis demonstrated the importance of smoking reduction as a major source of improved cancer-related health outcomes.

Conclusions

We have demonstrated a substantive IRR from net health gain to public and charitable funding of cancer-related research in the UK, and further validated the approach that we originally used in assessing the returns from cardiovascular research. In doing so, we have highlighted a number of weaknesses and key assumptions that need strengthening in further investigations. Nevertheless, these cautious estimates demonstrate that the returns from past cancer research have been substantial, and justify the investments made during the period 1976 to 1995.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Biosciences and Medicine
Authors :
NameEmailORCID
Glover, Matthewmatthew.glover@surrey.ac.uk
Buxton, Martin
Guthrie, Susan
Hanney, Stephen
Pollitt, Alexandra
Grant, Jonathan
Date : 16 June 2014
Funders : Wellcome Trust, Cancer Research UK, National Institute for Health Research (NIHR), Academy of Medical Sciences
DOI : 10.1186/1741-7015-12-99
OA Location : https://bmcmedicine.biomedcentral.com/track/pdf/10.1186/1741-7015-12-99
Copyright Disclaimer : © Glover et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Uncontrolled Keywords : Medical research investment; QALYs; Cancer; Medical research charities; Value of health; Rate of return; Time lags; Research payback
Depositing User : Clive Harris
Date Deposited : 29 Apr 2020 15:54
Last Modified : 29 Apr 2020 15:54
URI: http://epubs.surrey.ac.uk/id/eprint/855410

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