Evidence map›Paper›PMID 22415469›Full record

ArticleCancer2012

Costs and trends in pancreatic cancer treatment.

Caitriona B O'Neill, Coral L Atoria, Eileen M O'Reilly, Jennifer LaFemina, Martin C Henman, Elena B Elkin

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04984174 (Survival Rate and Treatment Cost in Patients With Pancreatic Cancer With the Advent of New Chemotherapeutic Agents in Korea), which is not on this map. Cited by 54 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04984174 completednot on this mapstarted 2021, after this paper: background citation

Survival Rate and Treatment Cost in Patients With Pancreatic Cancer With the Advent of New Chemotherapeutic Agents in Korea: An Analysis Using NHIS Database and K-PaC Registry Focusing on the Newest One, Liposomal Irinotecan

TypeobservationalSponsorNational Cancer Center, KoreaRan2021 to 2024Enrolled14,760ConditionsPancreatic Cancer
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 2 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
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  14. Quality of Life in Patients with Pancreatic Cancer-A Literature Review.International journal of environmental research and public health · 2023
    Review
  15. Pancreatic Cancer in Iran - Result of the Iranian National Cancer Registry Program.Asian Pacific journal of cancer prevention : APJCP · 2022
    Article
  16. Article
  17. Cost-Effectiveness of a Risk-Tailored Pancreatic Cancer Early Detection Strategy Among Patients With New-Onset Diabetes.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Caitriona B O'NeillHealth Outcomes Research Group, Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
Coral L Atoria
Eileen M O'Reilly
Jennifer LaFemina
Martin C Henman
Elena B Elkin
Memorial Sloan Kettering Cancer Center · USTrinity College Dublin · IE

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Effects of Mammography Capacity and Accessiblity on Utilization and OutcomesK07CA118189 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI ELKIN, ELENA B · 2007 to 2011
$671k
NCI NIH HHS 1K07CA118189NCI NIH HHS K07 CA118189NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundPancreatic cancer poses a substantial morbidity and mortality burden in the United States, and predominantly affects older adults. The objective of this study was to estimate the direct medical costs of pancreatic cancer treatment in a population-based cohort of Medicare beneficiaries, and the contribution of different treatment modalities and health care services to the total cost of care and trends in costs over time.

methodsIn the linked Surveillance, Epidemiology, and End Results (SEER)-Medicare database, pancreatic cancer patients were identified who were aged 66 years or older and who were diagnosed from 2000 to 2007. Total direct medical costs were estimated from Medicare payments overall and within categories of care. Costs attributable to pancreatic cancer were estimated by subtracting the costs of medical care in a matched cohort of cancer-free beneficiaries.

resultsA total of 15,037 patients were identified, of whom 97% were observed from diagnosis until death. Mean total direct medical costs were $65,500. Mean total costs were greater for patients with resectable locoregional disease ($134,700) than for those with unresectable locoregional or distant disease ($65,300 and $49,000, respectively). Hospitalizations and cancer-directed procedures collectively accounted for the largest fraction of health care costs. The total cost of care appeared to increase slightly over the study period (P = .05). The mean costs attributable to pancreatic cancer were $61,700.

conclusionsDespite poor prognosis and short survival, the economic burden of pancreatic cancer in the elderly is substantial. Demographic trends, greater use of targeted therapies, and possible implementation of screening strategies are likely to impact treatment patterns and costs in the future.

Indexed as

Health Care CostsAgedAged, 80 and overHealth ServicesHospitalizationHumansMaleMedicarePancreatic NeoplasmsPopulation SurveillanceRetrospective StudiesSEER ProgramUnited States

Identifiers

PMID22415469
PMCPMC5018231
OpenAlexW1550258061

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.