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Cancer has already caused severe economic burdens on society, especially in developing countries and has become a major public health concern. This study evaluates the medical economic burden, including total current curative expenditure (<jats:styled-content style=\"fixed-case\">CCE<\/jats:styled-content>) and catastrophic health expenditure (<jats:styled-content style=\"fixed-case\">CHE<\/jats:styled-content>) on cancer in Liaoning Province, China. A total of 252 medical institutions were investigated with multistage stratified cluster random sampling. We established a standardized database of 3\u00a0532\u00a0517 samples. \u201cSystem of Health Account 2011\u201d, a new internationally recognized accounting system, was established to analyze the <jats:styled-content style=\"fixed-case\">CCE<\/jats:styled-content> on six most common cancers. <jats:styled-content style=\"fixed-case\">CHE<\/jats:styled-content> were estimated from the extracted 1344 patients with cancer, which performed a cross\u2010sectional study. The association of individual and contextual factors with <jats:styled-content style=\"fixed-case\">CHE<\/jats:styled-content> was evaluated using logistic regression models. <jats:styled-content style=\"fixed-case\">CCE<\/jats:styled-content> for all the patients with the six types of cancer was 2801.38 million <jats:styled-content style=\"fixed-case\">CNY<\/jats:styled-content> in Liaoning Province, the highest of which was lung cancer. The incidence of <jats:styled-content style=\"fixed-case\">CHE<\/jats:styled-content> was 42.78%, while the threshold was 40%. The average and relative distance were 10.41% and 24.32%, respectively. Influencing factors were length of stay, type of health insurance, location of household, etc. Our findings highlight the need to address medical economic burden in the cancer population. Households with the cancer are more likely to incur <jats:styled-content style=\"fixed-case\">CHE<\/jats:styled-content>. Financial intervention to prevent it should target on poor households. We provide suggestions in aspects of health insurance and health service management to reduce <jats:styled-content style=\"fixed-case\">CHE<\/jats:styled-content>.<\/jats:p>","DOI":"10.1002\/cam4.1590","type":"journal-article","created":{"date-parts":[[2018,6,20]],"date-time":"2018-06-20T10:26:18Z","timestamp":1529490378000},"page":"4036-4043","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["How great is current curative expenditure and catastrophic health expenditure among patients with cancer in China? A research based on \u201cSystem of Health Account 2011\u201d"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1078-6660","authenticated-orcid":false,"given":"Ang","family":"Zheng","sequence":"first","affiliation":[{"name":"Department of Breast Surgery The First Affiliated Hospital of China Medical University  Shenyang Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenjuan","family":"Duan","sequence":"additional","affiliation":[{"name":"Department of Social Medicine and Health Management China Medical University  Shenyang Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Seven\u2010year System of Clinical Medicine Education China Medical University  Shenyang Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xintong","family":"Bao","sequence":"additional","affiliation":[{"name":"Department of Breast Surgery The First Affiliated Hospital of China Medical University  Shenyang Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyun","family":"Mao","sequence":"additional","affiliation":[{"name":"Departments of Surgical Oncology and Breast Surgery The First Affiliated Hospital of China Medical University  Shenyang Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhuojun","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Social Medicine and Health Management China Medical University  Shenyang Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feng","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Breast Surgery The First Affiliated Hospital of China Medical University  Shenyang Liaoning Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,6,20]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Global health observatory","author":"World Health Organization","year":"2011"},{"key":"e_1_2_9_3_1","first-page":"54","volume-title":"World cancer report 2014","author":"Freddie B","year":"2014"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13561-017-0160-8"},{"key":"e_1_2_9_5_1","volume-title":"Health and population health report in 2013 of Liaoning","author":"Family Planning Committee in Liaoning C","year":"2014"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(17)30429-1"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)13861-5"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.7314\/APJCP.2014.15.6.2713"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-015-0433-1"},{"key":"e_1_2_9_10_1","first-page":"250","article-title":"Report of Chinese cancer control strategy","volume":"11","author":"Dong Z","year":"2002","journal-title":"Bull Chin Cancer"},{"issue":"2","key":"e_1_2_9_11_1","first-page":"S41","article-title":"Deriving expenditures by disease under the System of Health Accounts (SHA) 2011 framework: a systematic analysis","volume":"381","author":"Alan D","year":"2013","journal-title":"Lancet"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)32006-2"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.21147\/j.issn.1000-9604.2017.01.01"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czq070"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0056873"},{"key":"e_1_2_9_16_1","unstructured":"World Health Organization.World Health Organization 2000 Health Systems: Improving Performance 2000."},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/hec.776"},{"key":"e_1_2_9_18_1","volume-title":"2015 Liaoning Statistical Yearbook","author":"Liaoning Province Bureau of Statistics","year":"2015"},{"key":"e_1_2_9_19_1","volume-title":"Cancer death investigation in China","author":"China. 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