Evidence map›Paper›PMID 26105667›Full record

ArticleJournal of oncology practice2015

Statewide Longitudinal Hospital Use and Charges for Pediatric and Adolescent Patients With Cancer.

Sapna Kaul, Bree Barbeau, Jennifer Wright, Mark Fluchel, Anne C Kirchhoff, Richard E Nelson

Abstract read
In one paragraph

Article in Journal of oncology practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Medical Cost of Cancer Care for Privately Insured Children in Chile.International journal of environmental research and public health · 2021
    Article
  3. Article
  4. Fine Particulate Matter and Respiratory Healthcare Encounters among Survivors of Childhood Cancers.International journal of environmental research and public health · 2019
    Article
  5. Article
  6. Article
  7. A systematic scoping review of the recent literature (∼2011-2017) about the costs of illness to parents of children diagnosed with cancer.European journal of oncology nursing : the official journal of European Oncology Nursing Society · 2018
    Article
  8. Observational
  9. Article
  10. Health care experiences of long-term survivors of adolescent and young adult cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
    Article
  11. Bending the Cost Curve in Childhood Cancer.Current hematologic malignancy reports · 2016
    Review
  12. Article
  13. Article
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.

Sapna KaulUniversity of Utah; and Utah Department of Health, Salt Lake City, UT sapna.kaul@hci.utah.edu.
Bree BarbeauUniversity of Utah; and Utah Department of Health, Salt Lake City, UT.
Jennifer WrightUniversity of Utah; and Utah Department of Health, Salt Lake City, UT.
Mark FluchelUniversity of Utah; and Utah Department of Health, Salt Lake City, UT.
Anne C KirchhoffUniversity of Utah; and Utah Department of Health, Salt Lake City, UT.
Richard E NelsonUniversity of Utah; and Utah Department of Health, Salt Lake City, UT.

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI CORNELIA M ULRICH · 1986 to 2026
$72.6M
University of Utah Center for Clinical and Translational ScienceUL1TR001067 · NCATS · UNIVERSITY OF UTAH · PI DERE, WILLARD H., HESS, RACHEL · 2013 to 2017
$19.8M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
NCATS NIH HHS UL1 TR000105NCATS NIH HHS UL1 TR001067NCI NIH HHS HHSN261201000026CNCI NIH HHS P30 CA042014NCI NIH HHS P30 CA42014
6 · The paper itself

Abstract

purposeWe investigated longitudinal hospitalization outcomes (total charges, hospital days and admissions) among pediatric and adolescent patients with cancer compared with individuals from the general population without cancer using a novel and efficient three-step regression procedure.

methodsThe statewide Utah Population Database, with linkages to the Utah Cancer Registry, was used to identify 1,651 patients who were diagnosed with cancer from 1996 to 2009 at ages 0 to 21 years. A comparison group of 4,953 same-sex and -age individuals was generated from birth certificates. Claims-based hospitalization data from 1996 to 2012 were retrieved from the Utah Department of Health. Using the regression method, we estimated survival (differences due to survival) and intensity (differences due to resource accumulation) effects of the cancer diagnosis on hospitalization outcomes within 10 years after diagnosis.

resultsAt 10 years after diagnosis, on average, patients with cancer incurred $51,723 (95% CI, $48,100 to $58,284) more in charges, spent 30 additional days (95% CI, 27.7 to 36.1 days) in the hospital, and had 5.7 (95% CI, 5.4 to 6.4) more admissions than the comparison group. Our analyses showed that the highest hospitalization burden occurred during the first 4 years of diagnosis. Patients with leukemia incurred the greatest hospitalization burden throughout the 10 years from diagnosis. Intensity effects explained the majority of differences in hospital outcomes.

conclusionOur results suggest that children and adolescents who were diagnosed with cancer in 2014 in the United States will incur over $800 million more in hospital charges than individuals without cancer by 2024. Interventions to reduce this burden should be explored in conjunction with improving health and survival outcomes.

Indexed as

AdolescentChildChild, PreschoolFemaleHospital ChargesHumansInfantInfant, NewbornLength of StayLeukemiaLongitudinal StudiesMaleNeoplasmsPatient AdmissionUtahYoung Adult

Identifiers

PMID26105667
PMCPMC4507394

What OpenQuestion holds

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Registered trials

None linked

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.