Evidence map›Paper›PMID 27347298›Full record

ArticleThe Pan African medical journal2016

Evaluation of the cost of cervical cancer at the National Institute of Oncology, Rabat.

Amine Cheikh, Sanaa El Majjaoui, Nabil Ismaili, Zakia Cheikh, Jamal Bouajaj, Chakib Nejjari, Amine El Hassani, Yahya Cherrah, Noureddine Benjaafar

Abstract read
In one paragraph

Article in The Pan African medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Review
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  8. Observational
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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

9 authors.

Amine CheikhTeam of Pharmacoepidemiology and Pharmacoeconomics, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco; Department of pharmacy, International Hospital Cheikh Zaid, Rabat, Morocco; Faculty of Medicine, Abulcasis University, Rabat, Morocco.
Sanaa El MajjaouiDepartment of Radiotherapy, National Institute of Oncology, Rabat, Morocco; Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco.
Nabil IsmailiDepartment of oncology, Regional Cancer Centre, Marrakech, Morocco.
Zakia CheikhFaculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco.
Jamal BouajajDepartment of Radiotherapy, International Hospital Cheikh Zaid, Rabat, Morocco.
Chakib NejjariNational Institute of Public Health, Rabat, Morocco; Department of Epidemiology, Faculty of Medicine and Pharmacy, Hassan II University, Fes, Morocco.
Amine El HassaniFaculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco; Head of Hospital, International Hospital Cheikh Zaid, Rabat, Morocco.
Yahya CherrahTeam of Pharmacoepidemiology and Pharmacoeconomics, Faculty of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco; Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco.
Noureddine BenjaafarDepartment of Radiotherapy, National Institute of Oncology, Rabat, Morocco; Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Cervical Cancer (CC) is one of the heavy and costly diseases for the population and the health system. We want to know through this study, the first in Morocco, the annual cost of the treatment of this disease at the National Institute of Oncology (NIO) in Rabat, we also want to explore the possibility of flat-rate management of this disease in order to standardize medical practices and improve reimbursement by health insurance funds.

methods550 patients were treated for their cervical cancer in the Rabat's NIO. Data of all of medical and surgical services offered to patients were collected from the NIO registry. The cost of care was assessed using the method of micro-costing. We will focus to the total direct cost of all the services lavished to patients in NIO.

resultsThe global cost was about US$ 1,429,673 with an average estimated at US$ 2,599 ± US$ 839. Radiotherapy accounts for 55% of total costs, followed by brachytherapy (27%) and surgery (7%). This three services plus chemotherapy influence the overall cost of care (p <0.001). Other services (radiology, laboratory tests and consultations) represent only 10%. The overall cost is influenced by the stage of the disease, this cost decreased significantly evolving in the stage of CC (p <0.001).

conclusionThe standardization of medical practices is essential to the equity and efficiency in access to care. The flat-rate or lump sum by stage of disease is possible and interesting for standardizing medical practices and improving the services of the health insurance plan.

Indexed as

Health Care CostsAdultFemaleHumansInsurance, HealthInsurance, Health, ReimbursementMiddle AgedMoroccoNeoplasm StagingRegistriesRetrospective StudiesUterine Cervical NeoplasmsCervical cancercost evaluationdirect cost

Identifiers

PMID27347298
PMCPMC4907759

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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.