Evidence map›Paper›PMID 27756310›Full record

ArticleBMC cancer2016

Phase-specific and lifetime costs of cancer care in Ontario, Canada.

Claire de Oliveira, Reka Pataky, Karen E Bremner, Jagadish Rangrej, Kelvin K W Chan, Winson Y Cheung, Jeffrey S Hoch, Stuart Peacock, Murray D Krahn

Abstract read
In one paragraph

Article in BMC cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 3 pooled it
–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

70 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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  7. Overestimation of multiple myeloma survival from cancer registry data.Journal of the National Cancer Institute · 2026
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  17. Implementing a smoke-free generation policy for Canada: estimates of the long-term impacts.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025
    Article
  18. Article
  19. Article
  20. Article

10 more citing papers are in PubMed but not listed here.

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.

Claire de OliveiraInstitute for Mental Health Policy Research, Centre for Addiction and Mental Health, 33 Russell Street, Room T414, Toronto, ON, M5S 2S1, Canada. claire.deoliveira@camh.ca.
Reka PatakyCanadian Centre for Applied Research in Cancer Control, British Columbia Cancer Agency, 675 W 10th Ave., Vancouver, BC, V5Z 1L3, Canada.
Karen E BremnerToronto General Hospital, University Health Network, 200 Elizabeth Street, Room EN13-222A, Toronto, ON, M5G 2C4, Canada.
Jagadish RangrejSunnybrook Health Sciences Centre, Institute for Clinical Evaluative Sciences, G1 72, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada.
Kelvin K W ChanSunnybrook Health Sciences Centre, 2075 Bayview Ave., Room T2 58, Toronto, ON, M4N 3M5, Canada.
Winson Y CheungBritish Columbia Cancer Agency, 600 W. 10th Ave, Vancouver, BC, V5Z 4E6, Canada.
Jeffrey S HochUniversity of California Davis, 2315 Stockton Blvd., Sacramento, CA, 95817, USA.
Stuart PeacockBritish Columbia Cancer Agency, 675 W 10th Ave., Vancouver, BC, V5Z 1L3, Canada.
Murray D KrahnToronto Health Economics and Technology Assessment Collaborative, 144 College Street, Rm 600, Toronto, ON, M5S 3M2, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer is a major public health issue and represents a significant economic burden to health care systems worldwide. The objective of this analysis was to estimate phase-specific, 5-year and lifetime net costs for the 21 most prevalent cancer sites, and remaining tumour sites combined, in Ontario, Canada.

methodsWe selected all adult patients diagnosed with a primary cancer between 1997 and 2007, with valid ICD-O site and histology codes, and who survived 30 days or more after diagnosis, from the Ontario Cancer Registry (N = 394,092). Patients were linked to treatment data from Cancer Care Ontario and administrative health care databases at the Institute for Clinical and Evaluative Sciences. Net costs (i.e., cost difference between patients and matched non-cancer control subjects) were estimated by phase of care and sex, and used to estimate 5-year and lifetime costs.

resultsMean net costs of care (2009 CAD) were highest in the initial (6 months post-diagnosis) and terminal (12 months pre-death) phases, and lowest in the (3 months) pre-diagnosis and continuing phases of care. Phase-specific net costs were generally lowest for melanoma and highest for brain cancer. Mean 5-year net costs varied from less than $25,000 for melanoma, thyroid and testicular cancers to more than $60,000 for multiple myeloma and leukemia. Lifetime costs ranged from less than $55,000 for lung and liver cancers to over $110,000 for leukemia, multiple myeloma, lymphoma and breast cancer.

conclusionsCosts of cancer care are substantial and vary by cancer site, phase of care and time horizon analyzed. These cost estimates are valuable to decision makers to understand the economic burden of cancer care and may be useful inputs to researchers undertaking cancer-related economic evaluations.

Indexed as

Cost of IllnessHealth Care CostsAdultAgedAlgorithmsFemaleHealth ServicesHumansMaleMiddle AgedModels, EconomicNeoplasmsOntarioRegistriesAdministrative dataCancerCost and cost analysisHealth care costsNeoplasms

Identifiers

PMID27756310
PMCPMC5070134

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.