Evidence map›Paper›PMID 27115468›Full record

ArticleBritish journal of cancer2016

Health service use and costs in the last 6 months of life in elderly decedents with a history of cancer: a comprehensive analysis from a health payer perspective.

Julia M Langton, Rebecca Reeve, Preeyaporn Srasuebkul, Marion Haas, Rosalie Viney, David Currow, Sallie-Anne Pearson

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

31 citing papers in PubMed.

  1. Missed opportunities: delayed in-hospital palliative care consultations in patients with non-metastatic cancers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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  3. The correlation between anger/agitation and other factors including spousal care in home-dwelling older adults with advanced cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  15. Observational
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  17. Evolution of health care utilization and expenditure during the year before death in 2015 among people with cancer: French snds-based cohort study.The European journal of health economics : HEPAC : health economics in prevention and care · 2021
    Article
  18. Exploring advance care planning awareness, experiences, and preferences of people with cancer and support people: an Australian online cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    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

7 authors.

Julia M LangtonCentre for Big Data Research in Health, UNSW Australia, Sydney, NSW 2052, Australia.
Rebecca ReeveCentre for Health Economics Research & Evaluation, The University of Technology Sydney, Sydney, NSW 2007, Australia.
Preeyaporn SrasuebkulFaculty of Pharmacy, The University of Sydney, Sydney, NSW 2006, Australia.
Marion HaasCentre for Health Economics Research & Evaluation, The University of Technology Sydney, Sydney, NSW 2007, Australia.
Rosalie VineyCentre for Health Economics Research & Evaluation, The University of Technology Sydney, Sydney, NSW 2007, Australia.
David CurrowPalliative and Supportive Services, Flinders University, Adelaide, SA 5042, Australia.
Sallie-Anne PearsonCentre for Big Data Research in Health, UNSW Australia, Sydney, NSW 2052, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is growing interest in end-of-life care in cancer patients. We aim to characterise health service use and costs in decedents with cancer history and examine factors associated with resource use and costs at life's end.

methodsWe used routinely collected claims data to quantify health service use and associated costs in two cohorts of elderly Australians diagnosed with cancer: one cohort died from cancer (n=4271) and the other from non-cancer causes (n=3072). We used negative binomial regression to examine the factors associated with these outcomes.

resultsThose who died from cancer had significantly higher rates of hospitalisations and medicine use but lower rates of emergency department use than those who died from non-cancer causes. Overall health care costs were significantly higher in those who died from cancer than those dying from other causes; and 40% of costs were expended in the last month of life.

conclusionsWe analysed health services use and costs from a payer perspective, and highlight important differences in patterns of care by cause of death in patients with a cancer history. In particular, there are growing numbers of highly complex patients approaching the end of life and the heterogeneity of these populations may present challenges for effective health service delivery.

Indexed as

AgedAged, 80 and overAustraliaCause of DeathCohort StudiesDelivery of Health CareDrug CostsEmergency Service, HospitalFemaleHealth Care CostsHealth ServicesHospice CareHospitalizationHumansMaleNeoplasms

Identifiers

PMID27115468
PMCPMC4891509

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

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.