ArticleInternational journal of radiation oncology, biology, physics2013
The adoption of new adjuvant radiation therapy modalities among Medicare beneficiaries with breast cancer: clinical correlates and cost implications.
Article in International journal of radiation oncology, biology, physics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Association Between Reimbursement Incentives and Physician Practice in Oncology: A Systematic Review.JAMA oncology · 2019Pooled it
- Commercial and business aspects of alpha radioligand therapeutics.Frontiers in medicine · 2022Review
- Physician trajectories of abandoning long-course breast radiotherapy and their cost impact.Health services research · 2021Article
- Dosimetric effects of supine immobilization devices on the skin in intensity-modulated radiation therapy for breast cancer: a retrospective study.BMC cancer · 2021Article
- What drives variation in spending for breast cancer patients within geographic regions?Health services research · 2019Article
- Article
- Surgeon peer network characteristics and adoption of new imaging techniques in breast cancer: A study of perioperative MRI.Cancer medicine · 2018Article
- Associations of preoperative breast magnetic resonance imaging with subsequent mastectomy and breast cancer mortality.Breast cancer research and treatment · 2018Article
- Healthcare Utilization and Costs During the Initial Phase of Care Among Elderly Women With Breast Cancer.Journal of the National Comprehensive Cancer Network : JNCCN · 2017Observational
- Health Care Use by Older Adults With Acute Myeloid Leukemia at the End of Life.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2017Article
- Myelodysplastic Syndromes and Acute Myeloid Leukemia After Radiotherapy for Prostate Cancer: A Population-Based Study.The Prostate · 2017Article
- Risk of myeloid neoplasms after radiotherapy among older women with localized breast cancer: A population-based study.PloS one · 2017Article
- Evaluation of the radiobiological gamma index with motion interplay in tangential IMRT breast treatment.Journal of radiation research · 2016Article
- Racial Differences in Diffusion of Intensity-Modulated Radiation Therapy for Localized Prostate Cancer.American journal of men's health · 2016Article
- The Role of Patient Factors, Cancer Characteristics, and Treatment Patterns in the Cost of Care for Medicare Beneficiaries with Breast Cancer.Health services research · 2016Article
- The impact of radiotherapy costs on clinical outcomes in breast cancer.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 2015Article
- Article
- The cost of cancer-related physician services to Medicare.The Yale journal of biology and medicine · 2015Article
- Accelerated partial breast irradiation through brachytherapy for ductal carcinoma in situ: factors influencing utilization and risks of second breast tumors.Breast cancer research and treatment · 2015Article
- For-profit hospital ownership status and use of brachytherapy after breast-conserving surgery.Surgery · 2014Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
purposeNew radiation therapy modalities have broadened treatment options for older women with breast cancer, but it is unclear how clinical factors, geographic region, and physician preference affect the choice of radiation therapy modality. METHODS AND MATERIALS: We used the Surveillance, Epidemiology, and End Results-Medicare database to identify women diagnosed with stage I-III breast cancer from 1998 to 2007 who underwent breast-conserving surgery. We assessed the temporal trends in, and costs of, the adoption of intensity modulated radiation therapy (IMRT) and brachytherapy. Using hierarchical logistic regression, we evaluated the relationship between the use of these new modalities and patient and regional characteristics.
resultsOf 35,060 patients, 69.9% received conventional external beam radiation therapy (EBRT). Although overall radiation therapy use remained constant, the use of IMRT increased from 0.0% to 12.6% from 1998 to 2007, and brachytherapy increased from 0.7% to 9.0%. The statistical variation in brachytherapy use attributable to the radiation oncologist and geographic region was 41.4% and 9.5%, respectively (for IMRT: 23.8% and 22.1%, respectively). Women undergoing treatment at a free-standing radiation facility were significantly more likely to receive IMRT than were women treated at a hospital-based facility (odds ratio for IMRT vs EBRT: 3.89 [95% confidence interval, 2.78-5.45]). No such association was seen for brachytherapy. The median radiation therapy cost per treated patient increased from $5389 in 2001 to $8539 in 2007.
conclusionsIMRT and brachytherapy use increased substantially from 1998 to 2007; overall, radiation therapy costs increased by more than 50%. Radiation oncologists played an important role in treatment choice for both types of radiation therapy, whereas geographic region played a bigger role in the use of IMRT than brachytherapy.
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